Tyler Jordan Zachary, MD

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

• Beauregard Memorial Hospital Hospital · Deridder, LA · listed as Beauregard Memorial Hospital Homecare, LLC
• Christus Ochsner St Patrick Hospital Hospital · Lake Charles, LA · listed as Christus St Patrick Hospital
• Lake Charles Memorial Hospital Hospital · Lake Charles, LA · listed as Diabetes Education of Lake Charles Memorial Hospital
• Ochsner American Legion Hospital Hospital · Jennings, LA · listed as Ochsner American Legion Hospital LLC
• West Calcasieu Cameron Hospital Hospital · Sulphur, LA

Colleagues at Imperial Health LLP

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 76 clinicians in the practice; 12 are shown here.

• Mrs. Lindsey Atherton, FNP-C Family Nurse Practitioner · Lake Charles, LA
• Jennifer Flenniken Barrow, MD Family Medicine Physician · Lake Charles, LA
• Reagan Elizabeth Bourgeois, FNP Nurse Practitioner · Lake Charles, LA
• John A Digiglia III, MD Family Medicine Physician · Lake Charles, LA
• Timothy Joseph Dougherty, NP Family Nurse Practitioner · Lake Charles, LA
• Benjamin Scott Fontenot Family Medicine Physician · Lake Charles, LA
• Emily Ann Goodfriend, NP Family Nurse Practitioner · Lake Charles, LA
• Ralph M Hays, APRN Critical Care Medicine Nurse Practitioner · Lake Charles, LA
• Meagan Elizabeth Hinch, FNP-C Nurse Practitioner · Lake Charles, LA
• Parker George Lavigne, MD Internal Medicine Physician · Lake Charles, LA
• Dr. Steve F Springer, MD Family Medicine Physician · Lake Charles, LA
• Lori Tarver, FNP Family Nurse Practitioner · Moss Bluff, LA

Other providers in Lake Charles

• Imperial Health LLP

  Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1417205469

  721 Bayou Pines East Dr, Lake Charles, LA 70601-7183 · (337) 310-3670

• Imperial Health LLP

  Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1720480924

  1727 Imperial Blvd Bldg 2, Lake Charles, LA 70605-5362 · (337) 310-3670