Byron Tatsch, NP
Gerontology · Spokane Valley, WANPI 1649932948
Payments from drug & device makers
What this record shows
14 manufacturers reported payments, led by Boston Scientific at 39.2% of the total. 2025 is the largest year on record at $2,815, more than ten times the $88 reported in 2022. Among gerontology 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 61 payments — averaging $71.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$2K
- Si-bone, Inc.$976
- Saluda Medical Americas, Inc.$968
- Nevro Corp.$251
- Collegium Pharmaceutical, Inc.$186
- Globus Medical$58
- plus $210 from 8 others
What the payments were for
- Travel & lodging$2,37154%
- Food & beverage$1,98846%
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 |
|---|---|---|
| Boston Scientific | 18 | $1,711 |
| Si-bone, Inc. | 6 | $976 |
| Saluda Medical Americas, Inc. | 10 | $968 |
| Nevro Corp. | 5 | $251 |
| Collegium Pharmaceutical, Inc. | 9 | $186 |
| Globus Medical | 2 | $58 |
| Kowa Pharmaceuticals America, Inc. | 4 | $53 |
| Biotronik NRO, Inc. | 1 | $31 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $28 |
| Nalu Medical, Inc. | 1 | $22 |
| Fidia Pharma USA Inc. | 1 | $22 |
| Tonix Medicines, Inc. | 1 | $21 |
| Lilly USA, LLC | 1 | $18 |
| GRT US Holding, 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.
- GENERAL - THERAPIES$1,288
- Evoke$867
- IFUSE IMPLANT SYSTEM$708
- GENERAL PAIN MANAGEMENT$249
- Senza$117
How this compares
$4,359 in reported general payments places this provider in the 95th percentile of 105 gerontology providers in Washington.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| BelbucaBuprenorphine Hcl | 109 | $65,355 |
| Nucynta ErTapentadol Hcl | 43 | $63,156 |
| Buprenorphine | 203 | $43,417 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 1,289 | $34,181 |
| Xtampza ErOxycodone Myristate | 33 | $27,652 |
| Fentanyl | 137 | $14,699 |
| ButransBuprenorphine | 40 | $12,211 |
| Butorphanol Tartrate | 34 | $7,740 |
| Tramadol Hcl ErTramadol Hcl | 60 | $7,603 |
| Pregabalin | 221 | $6,916 |
| OxycontinOxycodone Hcl | 13 | $5,621 |
| MovantikNaloxegol Oxalate | 12 | $5,095 |
| Gabapentin | 164 | $4,486 |
| Morphine Sulfate ErMorphine Sulfate | 158 | $4,115 |
| Oxycodone Hcl | 280 | $4,036 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Collegium Pharmaceutical, Inc.Belbuca, Nucynta Er, Xtampza Er | $186 | $156,164185 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 105 gerontology providers in Washington.
Other gerontology in Spokane Valley
- Sarah HarwoodSpokane Valley$1K
- Amy WoodruffTacoma$118K
- Peter WilcoxSilverdale$16K
- Kristi ParrisSilverdale$10K
- Samuel GodinSilverdale$7K
- Catherine RehbergerTacoma$4K
- Nachole BrownSeattle$4K
- Si FengRichland$3K
- Shanti Benoit BoyceSeattle$3K
- Elizabeth MyrickSeattle$3K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.