Zachary Schwam, MD
Otology & Neurotology · New York, NYNPI 1871956821
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (51.3%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Acclarent, Inc at 49.6% of the total. Reporting peaked in 2023 at $9,098 and has fallen 93.1% since, to $625 in 2025.
Across 71 payments — averaging $205.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acclarent, Inc$7K
- Integra Lifesciences Corporation$2K
- Med-el Corporation$2K
- Cochlear Americas$1K
- Stryker$1K
- Intersect ENT, Inc.$278
- plus $560 from 6 others
What the payments were for
- Consulting fees$7,48351%
- Speaking & faculty fees$1481%
- Travel & lodging$2,04214%
- Food & beverage$4,19729%
- Education$7145%
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 |
|---|---|---|
| Acclarent, Inc | 18 | $7,239 |
| Integra Lifesciences Corporation | 7 | $1,941 |
| Med-el Corporation | 6 | $1,812 |
| Cochlear Americas | 19 | $1,409 |
| Stryker | 14 | $1,346 |
| Intersect ENT, Inc. | 1 | $278 |
| Carl Zeiss Meditec USA, Inc. | 1 | $148 |
| Oticon Medical, LLC | 1 | $145 |
| Advanced Bionics, LLC | 1 | $107 |
| Iotamotion, Inc. | 1 | $83 |
| Fennec Pharmaceuticals, Inc. | 1 | $48 |
| Johnson & Johnson | 1 | $30 |
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.
- ACCLARENT Balloon Inflation Device$6,151
- Acclarent Aera$1,834
- Mi1250 SYNCHRONY 2 FLEXsoft$1,633
- BCI 602 Kit$1,633
- ADHEAR Professional Kit$1,633
- Baha$1,133
- Inspira Air$1,116
- Cochlear Nucleus CI632 cochlear implant with Slim Modiolar electrode$1,114
- RELIEVA SPINPLUS NAV$1,014
- OSIA OSI300 IMPLANT$1,000
- N/A$750
- TruDi Nav Cable$656
- TruDi Probe$296
- PROPEL$278
- Cochlear$267
- UNIVERSAL MANDIBLE$174
- SCOPIS ENT$163
- XEROGEL NASAL/EPISTAXIS 2 PACK$163
- SHAVER SYSTEM$163
- XPRESS ENT DILATION SYSTEM$163
How this compares
$14,584 in reported general payments places this provider in the 85th percentile of 26 otology & neurotology providers in New York.
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 |
|---|---|---|
| Ofloxacin | 160 | $12,700 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 23 | $2,125 |
| Fluocinolone Acetonide Oil | 47 | $1,106 |
| Acetic Acid | 48 | $811 |
| Ipratropium Bromide | 32 | $555 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 30 | $160 |
| Meclizine Hcl | 20 | $106 |
| Ciprofloxacin Hcl | 11 | $84 |
| Fluticasone Propionate | 11 | $41 |
| Prednisone | 11 | $19 |
Paid to pharmacies, not to this prescriber.
Other otology & neurotology in New York
- John RolandNew York$86K
- Sean McMenomeyNew York$27K
- Daniel JethanamestNew York$17K
- David FriedmannNew York$11K
- George AlexiadesNew York$8K
- Sujana ChandrasekharNew York$5K
- Eric SmouhaNew York$5K
- Darius KohanNew York$3K
- Neil SperlingNew York$2K
- Won Taek ChoeNew York$2K
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.