Has Zachary Ries, MD received payments from drug or device companies?

Yes. Drug and device makers reported $42,704 in general payments to Zachary Ries, MD across 237 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Zachary Ries, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Zachary Ries, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Zachary Ries, MD

Orthopaedic Surgery · West Des Moines, IANPI 1841558285

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (54.7%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Stryker at 55.9% of the total. Reporting peaked in 2022 at $19,005 and has fallen 94.5% since, to $1,036 in 2025. Among orthopaedic surgery clinicians in IA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$42,704in general payments, 2019–2025

Across 237 payments — averaging $180.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Stryker$24K
Spine Wave, Inc.$9K
Globus Medical$6K
Medtronic$2K
Johnson & Johnson$516
Brainlab, Inc.$473
plus $753 from 9 others

What the payments were for

Consulting fees$23,35055%
Travel & lodging$10,31324%
Food & beverage$9,04121%

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
Stryker	62	$23,891
Spine Wave, Inc.	16	$8,528
Globus Medical(2 entities)	83	$6,190
Medtronic(2 entities)	59	$2,354
Johnson & Johnson	4	$516
Brainlab, Inc.	2	$473
Nevro Corp.	2	$181
Boston Scientific	2	$134
4web, Inc.	1	$124
Centinel Spine, LLC	1	$107
Spineart USA Inc	1	$85
Aesculap Implant Systems, LLC	1	$55
Vertex	1	$31
Smith+Nephew	1	$19
Bioventus LLC	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.

EVEREST SPINAL SYSTEM$10,816
AVIATOR$5,000
ALIF$2,547
XLIF$1,905
SALVO SPINE SYSTEM$1,750
Spinal Implants$500
RELINE$303
VIPER$248
O-ARM-Spine$245
SYMPHONY$222
ACF$163
Expedium VERSE$163
Spine & Trauma 3D Navigation$163
Simplify Cervical Artificial Disc$162
NAVLOCK$155
ProLift$153
Pulse$150
Senza Spinal Cord Stimulation System$147
CD HORIZON$143
YUKON OCT SPINAL SYSTEM$128

How this compares

$42,704 in reported general payments places this provider in the 90th percentile of 219 orthopaedic surgery providers in Iowa.

See all orthopaedic surgery providers in Iowa →

Medicare billing

Part B allowed, 2024

$397,242

Medicare patients

370

Services billed

1,616

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
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	58	$1,215
Mupirocin	114	$751
Gabapentin	74	$668
Methocarbamol	60	$618
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	30	$378
Pregabalin	17	$304
Tramadol Hcl	13	$83
Prednisone	27	$57
Tizanidine Hcl	13	$33

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in West Des Moines

Barron BremnerWest Des Moines$22K
Christopher KimWest Des Moines$10K
Kawsu BarryWest Des Moines$8K
John CallaghanIowa City$23.3M
Brian AdamsIowa City$865K
Cesar de Cesar NettoIowa City$693K
Lynn NelsonBelmond$285K
Robert WestermannIowa City$182K
Joseph BuckwalterIowa City$132K
Brendan PattersonIowa City$122K

See the full list for Iowa →

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.

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