Christopher Kishiyama
Pediatric Endocrinology · Spokane, WANPI 1477609147
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.9% of the total across 62 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 28 manufacturers, the largest accounting for just 13.9% — the pattern of someone who eats at a lot of different presentations.
Across 62 payments — averaging $26.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biomarin Pharmaceutical Inc.$230
- Medtronic$217
- BETA Bionics, Inc.$213
- Ascendis Pharma Endocrinology Inc$181
- Insulet Corporation$111
- Mannkind Corporation$70
- plus $630 from 22 others
What the payments were for
- Food & beverage$1,58596%
- Education$684%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Biomarin Pharmaceutical Inc. | 7 | $230 |
| Medtronic(2 entities) | 8 | $217 |
| BETA Bionics, Inc. | 7 | $213 |
| Ascendis Pharma Endocrinology Inc | 3 | $181 |
| Insulet Corporation | 5 | $111 |
| Mannkind Corporation | 3 | $70 |
| Sanofi-aventis U.S. LLC | 2 | $57 |
| Dexcom, Inc. | 2 | $51 |
| Pfizer | 3 | $50 |
| Ultragenyx Pharmaceutical Inc. | 2 | $41 |
| Arbor Pharmaceuticals, Inc. | 2 | $36 |
| Abbott | 2 | $35 |
| Atricure, Inc. | 1 | $34 |
| Tolmar, Inc. | 1 | $33 |
| Integra Lifesciences Corporation | 1 | $27 |
| Soleno Therapeutics, Inc. | 1 | $25 |
| Dentsply IH Inc. | 1 | $25 |
| Novo Nordisk | 1 | $23 |
| Neurocrine Biosciences, Inc. | 1 | $23 |
| Kyowa Kirin, Inc. | 1 | $22 |
| AbbVie | 1 | $22 |
| Eton Pharmaceuticals, Inc. | 1 | $22 |
| Hologic Sales And Service, LLC | 1 | $21 |
| Azurity Pharmaceuticals, Inc. | 1 | $20 |
| Lilly USA, LLC | 1 | $19 |
| Tandem Diabetes Care, Inc. | 1 | $17 |
| Palette Life Sciences, Inc. | 1 | $15 |
| Amgen | 1 | $13 |
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.
- SKYTROFA$110
How this compares
$1,653 in reported general payments places this provider in the 65th percentile of 29 pediatric endocrinology providers in Washington.
Other pediatric endocrinology in Spokane
- Carrie CorwinSpokane$2K
- Christina GerhardtSpokane$2K
- Radha NandagopalSpokane$486
- Petter BjornstadSeattle$159K
- Patricia FechnerSeattle$29K
- Christian RothSeattle$23K
- Barbara ThompsonTacoma$10K
- Gad KletterTacoma$7K
- Kalie TommerdahlSeattle$4K
- Melinda PierceSeattle$3K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.