Zion Zibly, MD
Neurological Surgery · Greenwich, CTNPI 1346591609
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (53.0%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 4 manufacturers reported payments, led by Medtronic at 46.6% of the total.
Across 91 payments — averaging $57.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Insightec,inc$2K
- Elekta, Inc.$1K
- Neuropace, Inc.$46
What the payments were for
- Consulting fees$301%
- Travel & lodging$2,40946%
- Food & beverage$2,74953%
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 |
|---|---|---|
| Medtronic | 82 | $2,418 |
| Insightec,inc | 6 | $1,641 |
| Elekta, Inc. | 2 | $1,083 |
| Neuropace, Inc. | 1 | $46 |
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.
- Exablate$1,472
- PERCEPT PC BRAINSENSE$419
How this compares
$5,188 in reported general payments places this provider in the 55th percentile of 94 neurological surgery providers in Connecticut.
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 neurological surgery in Greenwich
- Paul ApostolidesGreenwich$5K
- Andrea DouglasGreenwich$4K
- Mohamed Akli ZetchiGreenwich$3K
- Amory FioreGreenwich$2K
- John StrugarGreenwich$2K
- Murat GunelNew Haven$839K
- Sanjay RathiNorth Haven$541K
- Patrick SenatusSouth Windsor$309K
- Ahmed KhanNew Britain$250K
- Abraham MintzShelton$204K
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.