Zero-P
Payments companies reported to CMS as associated with Zero-P. "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 Zero-P, 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 Zero-P
These are the largest totals companies reported as associated with Zero-P. 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) |
|---|---|---|---|
| Frederick Marciano | Scottsdale, AZ | Neurological Surgery | $237,851.98 |
| Peyman Pakzaban | Pasadena, TX | Neurological Surgery | $115,126.92 |
| William Welch | Philadelphia, PA | Neurological Surgery | $134.33 |
| Curt Conry | Kittanning, PA | Neurological Surgery | $123.44 |
| Francis Kralick | Somers Point, NJ | Neurological Surgery | $101.20 |
| Abhijeet Kadam | Newton, KS | Orthopaedic Surgery | $97.89 |
| June Guillet | Galveston, TX | Neurological Surgery | $90.51 |
| Robert Tatsumi | Tualatin, OR | Orthopaedic Surgery of The Spine | $74.87 |
| Michelle Cecchini | San Antonio, TX | Neurological Surgery | $65.66 |
| George Galvan | San Antonio, TX | Neurological Surgery | $65.66 |
Prescribed Zero-P?
See what its makers reported for your doctor. Two steps, private, no account.
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.