Bret Jacobson
General Practice · Federal Way, WANPI 1790893956
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $603,875 of the $690,472 with a category attached, or 87.5%. Align Technology, Inc. accounts for 99.0% of it on its own, with 5 other manufacturers making up the rest. 2025 is the largest year on record at $276,744, 3.6 times the $76,884 reported in 2019. Among general practice clinicians in WA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 433 payments — averaging $1594.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Align Technology, Inc.$683K
- Envista Holdings Corporation$6K
- A-dec, Inc.$939
- Nobel Biocare USA$142
- VOCO America Inc.$36
- Patterson Companies, Inc.$15
Across 16 payments — averaging $2564.81 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Align Technology, Inc.$41K
What the payments were for
- Consulting fees$10,3431%
- Speaking & faculty fees$603,87587%
- Travel & lodging$59,1539%
- Food & beverage$15,6562%
- Education$2500%
- Gifts$1,1960%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Align Technology, Inc. | 413 | $683,340 |
| Envista Holdings Corporation | 4 | $6,000 |
| A-dec, Inc. | 5 | $939 |
| Nobel Biocare USA | 7 | $142 |
| VOCO America Inc. | 3 | $36 |
| Patterson Companies, Inc. | 1 | $15 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Invisalign$670,826
- Itero$14,734
- EDUCATION$6,000
How this compares
$690,472 in reported general payments places this provider in the 95th percentile of 2,229 general practice providers in Washington.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Amoxicillin | 25 | $59 |
Paid to pharmacies, not to this prescriber.
Other general practice in Federal Way
- Payal PatelFederal Way$7K
- Bill WongBellevue$567K
- Michael SilvermanSeattle$252K
- Michael KocejaVancouver$103K
- Owen JohnsonTacoma$69K
- Perry Jones IiiSeattle$67K
- Kevin BrownBellevue$64K
- Mike ClarkYakima$44K
- John HodgesCovington$41K
- Michael MelkersSpokane Valley$40K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.