Gordon Nakano, MD
Hematology & Oncology · Honolulu, HINPI 1356318208
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $600 of the $854 with a category attached, or 70.3%. It is spread thinly across 14 manufacturers, the largest accounting for just 15.5%. Reporting peaked in 2019 at $478 and has fallen 82.3% since, to $84 in 2024. That places this record below the midpoint for hematology & oncology clinicians in HI, where the typical reported total is $1,482.
Across 28 payments — averaging $30.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$132
- Johnson & Johnson$124
- Gilead$122
- Puma Biotechnology, Inc.$119
- Cardinal Health 108 LLC$73
- AstraZeneca$45
- plus $238 from 8 others
What the payments were for
- Food & beverage$60070%
- Education$25330%
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 |
|---|---|---|
| Pfizer | 10 | $132 |
| Johnson & Johnson | 1 | $124 |
| Gilead(2 entities) | 2 | $122 |
| Puma Biotechnology, Inc. | 1 | $119 |
| Cardinal Health 108 LLC | 1 | $73 |
| AstraZeneca | 1 | $45 |
| Dendreon Pharmaceuticals LLC | 2 | $42 |
| Acrotech Biopharma Inc. | 3 | $40 |
| Novartis | 2 | $40 |
| Pharmacyclics LLC, An Abbvie Company | 1 | $29 |
| AbbVie | 1 | $26 |
| Karyopharm Therapeutics Inc. | 1 | $24 |
| Beigene USA, Inc. | 1 | $22 |
| Sanofi | 1 | $17 |
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.
How this compares
$854 in reported general payments places this provider in the 45th percentile of 42 hematology & oncology providers in Hawaii.
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 |
|---|---|---|
| ImbruvicaIbrutinib | 36 | $588,531 |
| Lenalidomide | 45 | $448,510 |
| TagrissoOsimertinib Mesylate | 18 | $307,534 |
| Deferasirox | 23 | $105,888 |
| Imatinib Mesylate | 26 | $67,296 |
| EliquisApixaban | 31 | $38,299 |
| Hydroxyurea | 44 | $2,008 |
| Letrozole | 50 | $1,513 |
| Alendronate Sodium | 31 | $515 |
| Dexamethasone | 14 | $288 |
| Prednisone | 18 | $147 |
| Warfarin Sodium | 22 | $117 |
| Allopurinol | 12 | $113 |
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 |
|---|---|---|
| Pharmacyclics LLC, An Abbvie CompanyImbruvica | $29 | $588,53136 claims |
| AstraZenecaTagrisso | $45 | $307,53418 claims |
| PfizerEliquis | $132 | $38,29931 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 45th percentile of 42 hematology & oncology providers in Hawaii.
Other hematology & oncology in Honolulu
- Tamie KernsHonolulu$48K
- David TamuraHonolulu$31K
- Melvin PalalayHonolulu$20K
- Ryon NakasoneHonolulu$20K
- Arnold YeeHonolulu$17K
- Jared AcobaHonolulu$15K
- Swaty AroraHonolulu$15K
- William LouiHonolulu$12K
- Jodi KagiharaHonolulu$7K
- Nicolas VillanuevaHonolulu$6K
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.