Zachary Smith, MD
Urology · Orlando, FLNPI 1427376425
Payments from drug & device makers
What this record shows
This record is dominated by education: $19,027 of the $27,378 with a category attached, or 69.5%. Intuitive Surgical accounts for 79.4% of it on its own, with 14 other manufacturers making up the rest. Among urology clinicians in FL 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.
Across 48 payments — averaging $570.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$22K
- Angiodynamics, Inc.$3K
- Photocure Inc$1K
- Urogen Pharma, Inc.$272
- Baxter Healthcare$258
- Seagen Inc.$163
- plus $594 from 9 others
Across 14 payments — averaging $6877.29 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Merck$49K
- Janssen Research & Development, LLC$31K
- Histosonics, Inc.$16K
What the payments were for
- Consulting fees$3,52013%
- Travel & lodging$1,3935%
- Food & beverage$3,43813%
- Education$19,02769%
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 |
|---|---|---|
| Intuitive Surgical | 18 | $21,738 |
| Angiodynamics, Inc. | 7 | $3,279 |
| Photocure Inc | 5 | $1,074 |
| Urogen Pharma, Inc. | 2 | $272 |
| Baxter Healthcare | 3 | $258 |
| Seagen Inc. | 1 | $163 |
| Sanofi | 1 | $122 |
| Boston Scientific | 3 | $110 |
| Janssen Scientific Affairs, LLC | 1 | $109 |
| Astellas Pharma US Inc | 2 | $94 |
| Civatech Oncology, Inc. | 1 | $78 |
| AstraZeneca | 1 | $27 |
| KARL Storz Endoscopy-america | 1 | $25 |
| Heron Therapeutics, Inc. | 1 | $16 |
| Mimedx Group, Inc. | 1 | $14 |
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.
How this compares
$27,378 in reported general payments places this provider in the 90th percentile of 935 urology providers in Florida.
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 |
|---|---|---|
| Tamsulosin Hcl | 47 | $643 |
| Oxybutynin Chloride ErOxybutynin Chloride | 12 | $93 |
| Ciprofloxacin Hcl | 20 | $75 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $40 |
| Oxycodone Hcl | 12 | $37 |
Paid to pharmacies, not to this prescriber.
Other urology in Orlando
- Olubayo TojuolaOrlando$283K
- Jeffrey BradyOrlando$145K
- Lucas WiegandOrlando$136K
- Christopher RussellOrlando$84K
- Albert OngOrlando$77K
- Paul PeritoCoral Gables$3.6M
- Scott SellingerTallahassee$2.3M
- Mark Anthony GonzalgoMiami$1M
- Edward GheilerHialeah$655K
- Rolando RiveraNaples$437K
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.