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

BRIAN A ZARO

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1629443940
CMS profile
10789483
Location
SPOKANE, WA

General Payments · PY2021–2024

$2,107.99

  • Reported across 121 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$940.14

45 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 $814.14 43
Education $126.00 2

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $108.81 3
PY2022 $533.97 45
PY2023 $525.07 28
PY2024 $940.14 45

Payment records · PY2024 (45)

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

Program year 2024 202120222023 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
Alnylam Pharmaceuticals Inc. $18.32 08/26/2024 Food and Beverage Undisputed 01/23/2026 1125854765 CMS
Amgen Inc. $13.44 09/26/2024 Food and Beverage Undisputed 01/23/2026 1116222391 CMS
Amgen Inc. $16.15 11/14/2024 Food and Beverage Undisputed 01/23/2026 1116222395 CMS
Amgen Inc. $14.47 12/02/2024 Food and Beverage Undisputed 01/23/2026 1116222399 CMS
AstraZeneca Pharmaceuticals LP $21.12 06/05/2024 Food and Beverage Undisputed 01/23/2026 1104538154 CMS
AstraZeneca Pharmaceuticals LP $19.57 08/02/2024 Food and Beverage Undisputed 01/23/2026 1104324666 CMS
AstraZeneca Pharmaceuticals LP $14.08 10/30/2024 Food and Beverage Undisputed 01/23/2026 1104419873 CMS
AstraZeneca Pharmaceuticals LP $16.94 11/17/2024 Food and Beverage Undisputed 01/23/2026 1104355300 CMS
Baxter Healthcare $23.18 04/25/2024 Food and Beverage Undisputed 01/23/2026 1120671278 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.91 04/23/2024 Food and Beverage Undisputed 01/23/2026 1086285656 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.00 05/15/2024 Food and Beverage Undisputed 01/23/2026 1086307531 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.21 05/20/2024 Food and Beverage Undisputed 01/23/2026 1086298526 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.13 06/27/2024 Food and Beverage Undisputed 01/23/2026 1086323196 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.28 07/15/2024 Food and Beverage Undisputed 01/23/2026 1086338275 CMS
Bayer Healthcare Pharmaceuticals Inc. $14.72 10/03/2024 Food and Beverage Undisputed 01/23/2026 1086324516 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.61 11/18/2024 Food and Beverage Undisputed 01/23/2026 1086350651 CMS
Daiichi Sankyo Inc. $27.04 07/23/2024 Food and Beverage Undisputed 01/23/2026 1089501456 CMS
E.R. Squibb & Sons, L.L.C. $18.77 02/14/2024 Food and Beverage Undisputed 01/23/2026 1101415091 CMS
E.R. Squibb & Sons, L.L.C. $17.25 12/05/2024 Food and Beverage Undisputed 01/23/2026 1101415135 CMS
Janssen Pharmaceuticals, Inc $14.01 06/26/2024 Food and Beverage Undisputed 01/23/2026 1078246479 CMS
Janssen Pharmaceuticals, Inc $21.55 07/10/2024 Food and Beverage Undisputed 01/23/2026 1078246473 CMS
Janssen Pharmaceuticals, Inc $28.90 08/02/2024 Food and Beverage Undisputed 01/23/2026 1078246231 CMS
Janssen Pharmaceuticals, Inc $19.26 08/23/2024 Food and Beverage Undisputed 01/23/2026 1078246261 CMS
Medtronic, Inc. $36.00 02/20/2024 Education Undisputed 01/23/2026 1112056499 CMS
Medtronic, Inc. $90.00 03/04/2024 Education Undisputed 01/23/2026 1112056867 CMS
Merck Sharp & Dohme LLC $23.39 11/11/2024 Food and Beverage Undisputed 01/23/2026 1141859870 CMS
Novartis Pharmaceuticals Corporation $14.85 01/22/2024 Food and Beverage Undisputed 01/23/2026 1087366774 CMS
Novartis Pharmaceuticals Corporation $16.68 02/12/2024 Food and Beverage Undisputed 01/23/2026 1087366776 CMS
Novartis Pharmaceuticals Corporation $16.40 03/11/2024 Food and Beverage Undisputed 01/23/2026 1087366786 CMS
Novartis Pharmaceuticals Corporation $17.42 03/25/2024 Food and Beverage Undisputed 01/23/2026 1087366784 CMS
Novartis Pharmaceuticals Corporation $21.37 04/19/2024 Food and Beverage Undisputed 01/23/2026 1087366794 CMS
Novartis Pharmaceuticals Corporation $18.97 04/29/2024 Food and Beverage Undisputed 01/23/2026 1087366796 CMS
Novartis Pharmaceuticals Corporation $20.11 05/28/2024 Food and Beverage Undisputed 01/23/2026 1087366804 CMS
Novartis Pharmaceuticals Corporation $25.28 06/03/2024 Food and Beverage Undisputed 01/23/2026 1087366802 CMS
Novartis Pharmaceuticals Corporation $21.97 06/13/2024 Food and Beverage Undisputed 01/23/2026 1087366806 CMS
Novartis Pharmaceuticals Corporation $16.85 06/17/2024 Food and Beverage Undisputed 01/23/2026 1087366808 CMS
Novartis Pharmaceuticals Corporation $17.28 07/15/2024 Food and Beverage Undisputed 01/23/2026 1087366812 CMS
Novartis Pharmaceuticals Corporation $23.28 10/31/2024 Food and Beverage Undisputed 01/23/2026 1087366830 CMS
Novartis Pharmaceuticals Corporation $23.28 11/05/2024 Food and Beverage Undisputed 01/23/2026 1087366828 CMS
Novartis Pharmaceuticals Corporation $19.41 11/22/2024 Food and Beverage Undisputed 01/23/2026 1087366834 CMS
Novartis Pharmaceuticals Corporation $23.67 12/16/2024 Food and Beverage Undisputed 01/23/2026 1087366836 CMS
Novo Nordisk Inc $13.68 06/12/2024 Food and Beverage Undisputed 01/23/2026 1100377001 CMS
PFIZER INC. $21.85 08/13/2024 Food and Beverage Undisputed 01/23/2026 1131871197 CMS
PFIZER INC. $17.20 10/15/2024 Food and Beverage Undisputed 01/23/2026 1132098625 CMS
PFIZER INC. $21.29 12/03/2024 Food and Beverage Undisputed 01/23/2026 1131091083 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
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.