Zachary Pierson, DPM
Foot & Ankle Surgery · Saginaw, MINPI 1205452281
Payments from drug & device makers
Across 81 payments — averaging $82.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vilex LLC$2K
- Treace Medical Concepts, Inc.$2K
- Tricoast Surgical Solutions LLC$599
- Paragon 28, Inc.$545
- Amgen$300
- Convatec Inc.$278
- plus $2K from 17 others
What the payments were for
- Travel & lodging$3,38251%
- Food & beverage$3,30949%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Vilex LLC | 9 | $1,696 |
| Treace Medical Concepts, Inc. | 9 | $1,639 |
| Tricoast Surgical Solutions LLC | 6 | $599 |
| Paragon 28, Inc. | 8 | $545 |
| Amgen(2 entities) | 10 | $300 |
| Convatec Inc. | 3 | $278 |
| Arthrex | 4 | $278 |
| Next Science LLC | 3 | $210 |
| Johnson & Johnson | 2 | $176 |
| Bioventus LLC | 2 | $157 |
| Stryker | 2 | $128 |
| Smith+Nephew | 1 | $115 |
| Averitas Pharma Inc. | 4 | $88 |
| Epsfl, LLC | 1 | $80 |
| Organogenesis Inc. | 3 | $80 |
| Crossroads Extremity Systems, LLC | 1 | $55 |
| Paratek Pharmaceuticals, Inc. | 3 | $52 |
| Medtronic | 3 | $51 |
| Medwest Associates | 1 | $49 |
| Kerecis Limited | 2 | $38 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $37 |
| In2bones USA, LLC | 1 | $24 |
| Integra Lifesciences Corporation | 1 | $17 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- HINTERMANN$1,482
- Lapiplasty System$1,336
- InnovaMatrix AC$254
- Portfolio$224
- SurgX$150
- Xperience$150
- BlastX$150
- MOTOBAND$118
- Grafix$115
- GRAFIX PL$115
- Stravix$115
- PROPHECY$111
- Exogen Ultrasound Bone Healing System$109
- TTC NAIL$109
How this compares
$6,691 in reported general payments places this provider in the 65th percentile of 384 foot & ankle surgery providers in Michigan.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Doxycycline Hyclate | 40 | $555 |
| Terbinafine Hcl | 23 | $526 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 29 | $523 |
| Gabapentin | 15 | $347 |
| Meloxicam | 61 | $255 |
| Ciclopirox | 11 | $194 |
| Methylprednisolone | 31 | $180 |
| Ondansetron OdtOndansetron | 14 | $108 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $97 |
| Ibuprofen | 25 | $64 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Saginaw
- John AndersonGrand Rapids$1.3M
- Brian LoderClinton Township$893K
- Karl DunnClinton Twp$434K
- John MaskillGrand Rapids$424K
- Anthony LalamaMacomb$421K
- Christopher ZingasSaint Clair Shores$227K
- Michael SwordsLansing$202K
- Gregory SheremetaTroy$87K
- Jason WesloskyClinton Township$87K
- Hatim BurhaniGrosse Pointe Woods$77K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.