Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

MICHAEL J ZACHEK

Allopathic & Osteopathic Physicians Internal Medicine Sleep Medicine

NPI
1457357865
CMS profile
20917
Location
BOWLING GREEN, KY

General Payments · PY2018–2024

$33,406.40

  • Reported across 216 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,198.82

46 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,063.73 44
Education $135.09 2

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $335.32 23
PY2019 $771.45 38
PY2020 $6,666.66 29
PY2021 $15,058.22 32
PY2022 $8,794.59 22
PY2023 $581.34 26
PY2024 $1,198.82 46

Payment records · PY2024 (46)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
AstraZeneca Pharmaceuticals LP $17.58 08/01/2024 Food and Beverage Undisputed 01/23/2026 1104775502 CMS
Avadel CNS Pharmaceuticals, LLC $19.75 01/30/2024 Food and Beverage Undisputed 01/23/2026 1123389808 CMS
Avadel CNS Pharmaceuticals, LLC $16.34 02/20/2024 Food and Beverage Undisputed 01/23/2026 1123389810 CMS
Avadel CNS Pharmaceuticals, LLC $13.53 03/19/2024 Food and Beverage Undisputed 01/23/2026 1123389812 CMS
Avadel CNS Pharmaceuticals, LLC $112.40 04/18/2024 Food and Beverage Undisputed 01/23/2026 1123389814 CMS
Avadel CNS Pharmaceuticals, LLC $14.45 07/16/2024 Food and Beverage Undisputed 01/23/2026 1123389816 CMS
Avadel CNS Pharmaceuticals, LLC $13.00 09/10/2024 Food and Beverage Undisputed 01/23/2026 1123389818 CMS
Avadel CNS Pharmaceuticals, LLC $15.03 10/15/2024 Food and Beverage Undisputed 01/23/2026 1123389820 CMS
Axsome Therapeutics, Inc. $27.42 02/05/2024 Food and Beverage Undisputed 01/23/2026 1148305818 CMS
Axsome Therapeutics, Inc. $115.47 03/13/2024 Food and Beverage Undisputed 01/23/2026 1148305826 CMS
Axsome Therapeutics, Inc. $25.89 03/21/2024 Food and Beverage Undisputed 01/23/2026 1148305820 CMS
Axsome Therapeutics, Inc. $24.49 05/08/2024 Food and Beverage Undisputed 01/23/2026 1148305822 CMS
Axsome Therapeutics, Inc. $28.46 07/15/2024 Food and Beverage Undisputed 01/23/2026 1148305824 CMS
Axsome Therapeutics, Inc. $27.98 12/17/2024 Food and Beverage Undisputed 01/23/2026 1148305828 CMS
Fisher & Paykel Healthcare Inc $15.20 03/05/2024 Food and Beverage Undisputed 01/23/2026 1143831155 CMS
Fisher & Paykel Healthcare Inc $15.90 05/02/2024 Food and Beverage Undisputed 01/23/2026 1143834859 CMS
Fisher & Paykel Healthcare Inc $14.88 08/15/2024 Food and Beverage Undisputed 01/23/2026 1143841776 CMS
Fisher & Paykel Healthcare Inc $19.50 11/20/2024 Food and Beverage Undisputed 01/23/2026 1143845419 CMS
Harmony Biosciences Llc $30.49 11/04/2024 Food and Beverage Undisputed 01/23/2026 1141474596 CMS
Harmony Biosciences Llc $29.13 12/02/2024 Food and Beverage Undisputed 01/23/2026 1141474804 CMS
HARMONY BIOSCIENCES LLC $14.46 01/18/2024 Food and Beverage Undisputed 01/23/2026 1126070266 CMS
HARMONY BIOSCIENCES LLC $8.14 03/11/2024 Food and Beverage Undisputed 01/23/2026 1126070272 CMS
HARMONY BIOSCIENCES LLC $22.26 04/16/2024 Food and Beverage Undisputed 01/23/2026 1126070260 CMS
HARMONY BIOSCIENCES LLC $20.94 05/21/2024 Food and Beverage Undisputed 01/23/2026 1126070262 CMS
HARMONY BIOSCIENCES LLC $89.99 05/29/2024 Education Undisputed 01/23/2026 1126070250 CMS
HARMONY BIOSCIENCES LLC $8.76 05/29/2024 Food and Beverage Undisputed 01/23/2026 1126070270 CMS
HARMONY BIOSCIENCES LLC $24.73 07/09/2024 Food and Beverage Undisputed 01/23/2026 1126070258 CMS
HARMONY BIOSCIENCES LLC $45.10 07/22/2024 Education Undisputed 01/23/2026 1126070254 CMS
HARMONY BIOSCIENCES LLC $32.97 08/13/2024 Food and Beverage Undisputed 01/23/2026 1126070256 CMS
HARMONY BIOSCIENCES LLC $9.18 08/27/2024 Food and Beverage Undisputed 01/23/2026 1126070268 CMS
HARMONY BIOSCIENCES LLC $15.67 09/18/2024 Food and Beverage Undisputed 01/23/2026 1126070264 CMS
HARMONY BIOSCIENCES LLC $47.70 11/07/2024 Food and Beverage Undisputed 01/23/2026 1126070252 CMS
IDORSIA PHARMACEUTICALS US INC $17.87 02/09/2024 Food and Beverage Undisputed 01/23/2026 1146766572 CMS
IDORSIA PHARMACEUTICALS US INC $16.22 06/06/2024 Food and Beverage Undisputed 01/23/2026 1146779791 CMS
Inspire Medical Systems, Inc. $19.34 01/16/2024 Food and Beverage Undisputed 01/23/2026 1148129871 CMS
Inspire Medical Systems, Inc. $16.55 04/29/2024 Food and Beverage Undisputed 01/23/2026 1148129876 CMS
Inspire Medical Systems, Inc. $14.89 08/27/2024 Food and Beverage Undisputed 01/23/2026 1148129880 CMS
Inspire Medical Systems, Inc. $13.97 12/09/2024 Food and Beverage Undisputed 01/23/2026 1148129884 CMS
JAZZ PHARMACEUTICALS INC. $17.77 04/18/2024 Food and Beverage Undisputed 01/23/2026 1150215999 CMS
JAZZ PHARMACEUTICALS INC. $13.38 05/06/2024 Food and Beverage Undisputed 01/23/2026 1150216001 CMS
JAZZ PHARMACEUTICALS INC. $2.79 05/29/2024 Food and Beverage Undisputed 01/23/2026 1150215989 CMS
JAZZ PHARMACEUTICALS INC. $7.43 10/17/2024 Food and Beverage Undisputed 01/23/2026 1150215993 CMS
JAZZ PHARMACEUTICALS INC. $11.97 11/12/2024 Food and Beverage Undisputed 01/23/2026 1150215995 CMS
JAZZ PHARMACEUTICALS INC. $20.70 11/21/2024 Food and Beverage Undisputed 01/23/2026 1150215997 CMS
JAZZ PHARMACEUTICALS INC. $78.02 11/22/2024 Food and Beverage Undisputed 01/23/2026 1150216003 CMS
JAZZ PHARMACEUTICALS INC. $11.13 12/19/2024 Food and Beverage Undisputed 01/23/2026 1150215991 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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