Zair Fishkin, MD
Orthopaedic Surgery of the Spine · Buffalo, NYNPI 1073763165
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $63,603 of the $65,304 with a category attached, or 97.4%. Globus Medical accounts for 97.4% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2019 at $16,218 and has fallen 57.0% since, to $6,980 in 2025.
Across 59 payments — averaging $1106.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$64K
- Medtronic$988
- Abbott$293
- Providence Medical Technology, Inc.$143
- Pacira Pharmaceuticals Incorporated$98
- Axogen$48
- plus $131 from 5 others
What the payments were for
- Royalty or licence$63,60397%
- Food & beverage$1,7023%
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 |
|---|---|---|
| Globus Medical | 24 | $63,603 |
| Medtronic(2 entities) | 23 | $988 |
| Abbott | 3 | $293 |
| Providence Medical Technology, Inc. | 1 | $143 |
| Pacira Pharmaceuticals Incorporated | 1 | $98 |
| Axogen | 1 | $48 |
| Amgen | 2 | $38 |
| Cutting Edge Spine, LLC | 1 | $25 |
| Avanos Medical | 1 | $24 |
| Pacira Therapeutics, Inc. | 1 | $22 |
| Orthofix Medical, Inc. | 1 | $22 |
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.
- MAGNIFY-S$34,860
- MAGNIFY$16,478
- Magnify-S / Magnify$12,264
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$263
- OCTRODE$160
- PROCLAIM$130
- O-ARM$109
- Mazor X Stealth Edition$100
How this compares
$65,304 in reported general payments places this provider in the 70th percentile of 161 orthopaedic surgery of the spine providers in New York.
See all orthopaedic surgery of the spine 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.
Other orthopaedic surgery of the spine in Buffalo
- Hansen YuanSyracuse$31.7M
- Frank SchwabNew York$5.1M
- Han KimNew York$3.9M
- Todd AlbertNew York$2.7M
- Jeffrey SpivakNew York$1.3M
- Aaron BucklandNew York$1M
- Seth NeubardtWhite Plains$902K
- Sheeraz QureshiNew York$828K
- Jeffrey GoldsteinNew York$765K
- Fabien BitanNew York$624K
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.