David Gano, MD
Ophthalmology · Chehalis, WANPI 1891862769
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $350 of the $390 with a category attached, or 89.7%. Rayner Intraocular Lenses Limited accounts for 89.7% of it on its own, with 1 other manufacturer making up the rest. That places this record below the midpoint for ophthalmology clinicians in WA, where the typical reported total is $767.
Across 2 payments — averaging $195.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Rayner Intraocular Lenses Limited$350
- Alcon$40
What the payments were for
- Consulting fees$35090%
- Food & beverage$4010%
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 |
|---|---|---|
| Rayner Intraocular Lenses Limited | 1 | $350 |
| Alcon | 1 | $40 |
How this compares
$390 in reported general payments places this provider in the 35th percentile of 428 ophthalmology 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 |
|---|---|---|
| Prednisolone Acetate | 11 | $485 |
| Ofloxacin | 13 | $272 |
Paid to pharmacies, not to this prescriber.
Other ophthalmology in Chehalis
- Laura PerimanSeattle$1.7M
- Sheldon CowenSeattle$560K
- Todd SchneidermanSilverdale$200K
- Jennifer ChaoSeattle$188K
- Mark KontosSpokane Valley$175K
- Audrey RostovBellevue$155K
- John SamplesOlympia$115K
- Barbara SmitSpokane$110K
- Debarshi MustafiSeattle$85K
- Michelle CabreraSeattle$75K
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.