Zackery Witte, MD
Orthopaedic Surgery · Missoula, MTNPI 1174968416
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (49.7%), food and beverage and education — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Stryker at 58.8% of the total. Reporting peaked in 2019 at $9,098 and has fallen 99.5% since, to $45 in 2025.
Across 149 payments — averaging $121.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$11K
- Globus Medical$3K
- Medical Device Business Services, Inc.$1K
- Alphatec Spine, Inc$959
- Depuy Synthes Products, Inc.$776
- Johnson & Johnson$710
- plus $347 from 6 others
What the payments were for
- Consulting fees$7704%
- Travel & lodging$8,97450%
- Food & beverage$6,29435%
- Education$2,00911%
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 | 92 | $10,607 |
| Globus Medical(2 entities) | 26 | $3,438 |
| Medical Device Business Services, Inc. | 7 | $1,212 |
| Alphatec Spine, Inc | 2 | $959 |
| Depuy Synthes Products, Inc. | 2 | $776 |
| Johnson & Johnson | 11 | $710 |
| Si-bone, Inc. | 2 | $123 |
| Medtronic | 1 | $73 |
| VB Spine LLC | 1 | $45 |
| Spinal Elements, Inc. | 1 | $40 |
| Radius Health, Inc. | 2 | $34 |
| Pacira Therapeutics, Inc. | 2 | $32 |
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.
- CASCADIA$2,501
- CHESAPEAKE$1,492
- CERVICAL PLATE$1,492
- EVEREST SPINAL SYSTEM$1,290
- VIPER$1,221
- XLIF$1,089
- TRITANIUM$1,022
- ELSA$918
- LATERAL ACCESS SPINAL SYSTEM$901
- SYNJECT$770
- Other - Miscellaneous$680
- ES2$653
- Excelsius - GPS$618
- NONE$591
- EXPEDIUM$473
- RAVINE LATERAL ACCESS SYSTEM$420
- CASCADIA INTERBODY SYSTEM$360
- BASE$250
- Modulus$133
- MaXcess-C$133
How this compares
$18,048 in reported general payments places this provider in the 85th 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 |
|---|---|---|
| Gabapentin | 68 | $762 |
| Meloxicam | 13 | $182 |
| Oxycodone Hcl | 24 | $161 |
| Methocarbamol | 24 | $107 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Missoula
- Daniel WhitingMissoula$39K
- Daniel DixonMissoula$38K
- John WernerMissoula$24K
- Michael WoodsMissoula$10K
- Mark ChannerMissoula$8K
- James GholsonMissoula$7K
- Jessica TelleriaMissoula$4K
- Larry StaynerMissoula$3K
- Justin JacobsonMissoula$2K
- Gary WillsteinMissoula$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.