Gad Kletter
Pediatric Endocrinology · Tacoma, WANPI 1730278086
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (50.8%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Tolmar Pharmaceuticals, Inc. accounts for 66.7% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2019 at $6,798 and has fallen 99.7% since, to $18 in 2024.
Across 24 payments — averaging $286.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Tolmar Pharmaceuticals, Inc.$5K
- Eli Lilly$1K
- Pfizer$538
- AbbVie$111
- Tandem Diabetes Care, Inc.$87
- Novo Nordisk$40
- plus $85 from 4 others
Across 225 payments — averaging $2211.83 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.
- Pfizer$154K
- AbbVie$148K
- OPKO Pharmaceuticals, LLC$69K
- Novo Nordisk AS$51K
- Eli Lilly$50K
- Janssen Research & Development, LLC$12K
- plus $13K from 4 others
What the payments were for
- Speaking & faculty fees$3,50051%
- Travel & lodging$2,44035%
- Food & beverage$94414%
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 |
|---|---|---|
| Tolmar Pharmaceuticals, Inc. | 5 | $4,595 |
| Eli Lilly | 4 | $1,428 |
| Pfizer | 2 | $538 |
| AbbVie | 6 | $111 |
| Tandem Diabetes Care, Inc. | 1 | $87 |
| Novo Nordisk | 2 | $40 |
| Insulet Corporation | 1 | $30 |
| Endo Pharmaceuticals Inc. | 1 | $24 |
| Azurity Pharmaceuticals, Inc. | 1 | $18 |
| Medtronic | 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.
- ELIGARD$4,510
- HUMALOG$1,428
- GENOTROPIN$538
How this compares
$6,884 in reported general payments places this provider in the 85th percentile of 29 pediatric endocrinology providers in Washington.
Other pediatric endocrinology in Tacoma
- Barbara ThompsonTacoma$10K
- Britney FrazierTacoma$1K
- Rebecca McConnellTacoma$134
- Robert NewmanTacoma$50
- Petter BjornstadSeattle$159K
- Patricia FechnerSeattle$29K
- Christian RothSeattle$23K
- Kalie TommerdahlSeattle$4K
- Melinda PierceSeattle$3K
- Carrie CorwinSpokane$2K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.