Ian de Boer
Nephrology · Seattle, WANPI 1932146669
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $95,719 of the $117,464 with a category attached, or 81.5%. It is spread thinly across 14 manufacturers, the largest accounting for just 22.3%. 2025 is the largest year on record at $29,513, 3.2 times the $9,151 reported in 2019. Among nephrology 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 53 payments — averaging $2216.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boehringer Ingelheim International GmbH$26K
- Novo Nordisk AS$23K
- Lexicon Pharmaceuticals, Inc.$16K
- Eli Lilly$15K
- Alnylam Pharmaceuticals Inc.$8K
- Gilead$7K
- plus $22K from 8 others
Across 23 payments — averaging $12,247 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.
- Novo Nordisk$202K
- Dexcom, Inc.$50K
- Novo Nordisk AS$29K
What the payments were for
- Consulting fees$95,71981%
- Travel & lodging$20,86418%
- Food & beverage$8811%
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 |
|---|---|---|
| Boehringer Ingelheim International GmbH | 11 | $26,189 |
| Novo Nordisk AS | 14 | $22,747 |
| Lexicon Pharmaceuticals, Inc. | 3 | $16,288 |
| Eli Lilly | 7 | $14,918 |
| Alnylam Pharmaceuticals Inc. | 1 | $8,120 |
| Gilead | 3 | $7,310 |
| Boehringer Ingelheim | 4 | $4,927 |
| GSK | 2 | $4,550 |
| Roche Products Limited | 1 | $3,930 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $2,720 |
| F. Hoffmann-la Roche AG | 1 | $2,620 |
| AstraZeneca | 3 | $2,518 |
| Astrazeneca UK Limited | 1 | $490 |
| Dexcom, Inc. | 1 | $138 |
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.
- JARDIANCE$26,021
- Ozempic$15,516
- DEXCOM G6 TRANSMITTER$138
How this compares
$117,464 in reported general payments places this provider in the 95th percentile of 237 nephrology providers in Washington.
Other nephrology in Seattle
- Osama AmroSeattle$395K
- Nicolae LecaSeattle$101K
- Syeda AhmadSeattle$68K
- Stuart ShanklandSeattle$10K
- Anne PesensonSeattle$10K
- Lisa NakamotoSeattle$9K
- Nisha BansalSeattle$8K
- Michael TekesteSeattle$6K
- Sarah SanghaviSeattle$4K
- Bryan KestenbaumSeattle$4K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.