Zmr
Payments companies reported to CMS as associated with Zmr. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Zmr, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Zmr
These are the largest totals companies reported as associated with Zmr. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Charles Clark | Iowa City, IA | Orthopaedic Surgery | $20,214.00 |
| Todd Sekundiak | Elkhorn, NE | Orthopaedic Surgery | $500.00 |
| Daniel Jones | Stuart, FL | Orthopaedic Surgery | $149.35 |
| Omar Behery | Charlotte, NC | Orthopaedic Surgery | $144.82 |
| Akash Shah | Chino Hills, CA | Orthopaedic Surgery | $143.42 |
| Gail Hopkins | Redlands, CA | Orthopaedic Surgery of The Spine | $143.42 |
| Matthew Kerr | West Palm Beach, FL | Orthopaedic Surgery | $113.80 |
| John Sullivan | Vero Beach, FL | Orthopaedic Surgery | $107.20 |
| Nathanael Heckmann | Los Angeles, CA | Adult Reconstructive Orthopaedic Surgery | $104.44 |
| Charles Toulson | Mckinney, TX | Orthopaedic Surgery | $104.43 |
Prescribed Zmr?
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.