Lynn Kohlmeier
Endocrinology, Diabetes & Metabolism · Spokane, WANPI 1528026820
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $382,496 of the $517,644 with a category attached, or 73.9%. 9 manufacturers reported payments, led by Ascendis Pharma Endocrinology Inc at 34.0% of the total. 2025 is the largest year on record at $166,223, 2.1 times the $80,774 reported in 2019. Among endocrinology, diabetes & metabolism 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 732 payments — averaging $707.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ascendis Pharma Endocrinology Inc$176K
- Amgen$172K
- Radius Health, Inc.$79K
- AstraZeneca$52K
- Shire North American Group Inc$37K
- Ultragenyx Pharmaceutical Inc.$681
- plus $414 from 3 others
What the payments were for
- Consulting fees$39,9408%
- Speaking & faculty fees$382,49674%
- Travel & lodging$81,23716%
- Food & beverage$13,7753%
- Education$1960%
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 |
|---|---|---|
| Ascendis Pharma Endocrinology Inc | 194 | $176,132 |
| Amgen(2 entities) | 286 | $172,074 |
| Radius Health, Inc. | 108 | $79,339 |
| AstraZeneca | 70 | $51,515 |
| Shire North American Group Inc | 67 | $37,488 |
| Ultragenyx Pharmaceutical Inc. | 3 | $681 |
| Kyowa Kirin, Inc. | 2 | $199 |
| Baxter Healthcare | 1 | $115 |
| Lilly USA, LLC | 1 | $100 |
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
$517,644 in reported general payments places this provider in the 95th percentile of 161 endocrinology, diabetes & metabolism providers in Washington.
See all endocrinology, diabetes & metabolism providers in Washington →
Other endocrinology, diabetes & metabolism in Spokane
- Carol WyshamSpokane$512K
- Harold CathcartSpokane$5K
- Mihaela CosmaSpokane$5K
- Puneet DhillonSpokane$3K
- Jeffrey HartmanSpokane$2K
- Michael ShannonLacey$698K
- Bruce WilsonRichland$352K
- Irl HirschSeattle$192K
- Biju KunhiramanYakima$118K
- Nicole EhrhardtSeattle$111K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.