Zachary Scheer, MD
Orthopaedic Surgery · Billings, MTNPI 1841388832
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,781 of the $6,031 with a category attached, or 79.3%. Stryker accounts for 89.5% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2023 at $2,597 and has fallen 87.7% since, to $320 in 2025.
Across 69 payments — averaging $87.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$5K
- Smith+Nephew$234
- Medacta USA, Inc.$139
- Pacira Pharmaceuticals Incorporated$126
- Merz North America, Inc.$98
- Zimmer Biomet$18
- plus $17 from 1 others
What the payments were for
- Travel & lodging$1,25021%
- Food & beverage$4,78179%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 61 | $5,399 |
| Smith+Nephew | 2 | $234 |
| Medacta USA, Inc. | 1 | $139 |
| Pacira Pharmaceuticals Incorporated | 2 | $126 |
| Merz North America, Inc. | 1 | $98 |
| Zimmer Biomet | 1 | $18 |
| Heron Therapeutics, Inc. | 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.
- MAKO$2,762
- TRIATHLON$753
- STRYKER NAV3I$235
- GMK SPHERE$139
- HOFFMANN$120
- CORI$117
- REAL INTELLIGENCE$117
- Iovera$111
How this compares
$6,031 in reported general payments places this provider in the 70th percentile of 76 orthopaedic surgery providers in Montana.
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 |
|---|---|---|
| Celecoxib | 487 | $10,598 |
| Doxycycline Monohydrate | 13 | $195 |
| Amoxicillin | 122 | $178 |
| Meloxicam | 46 | $136 |
| Cyclobenzaprine Hcl | 14 | $64 |
| Ondansetron Hcl | 12 | $47 |
| Doxycycline Hyclate | 11 | $46 |
| Tizanidine Hcl | 15 | $45 |
| Clindamycin Hcl | 11 | $12 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Billings
- Brian DrakeBillings$84K
- Matthew KopplinBillings$35K
- Steven KleppsBillings$16K
- Julia QuirionBillings$12K
- Gregory GrenierBillings$10K
- Kyle LybrandBillings$4K
- James ElliottBillings$4K
- Heather HansenBillings$2K
- Alan DacreBillings$2K
- Gregory McDowellBillings$685
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.