Nathan Tomita, DO
Surgery · Kailua Kona, HINPI 1255312401
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (46.6%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Bard Peripheral Vascular, Inc. accounts for 66.4% of it on its own, with 21 other manufacturers making up the rest. Reporting peaked in 2022 at $14,944 and has fallen 93.4% since, to $986 in 2025. Among surgery clinicians in HI 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 164 payments — averaging $208.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bard Peripheral Vascular, Inc.$23K
- Endogastric Solutions, Inc$8K
- Medtronic$879
- Organogenesis Inc.$651
- Covidien LP$609
- Boston Scientific$334
- plus $1K from 16 others
Across 6 payments — averaging $16,591 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.
- Bard Peripheral Vascular, Inc.$71K
- Reddress LTD$28K
What the payments were for
- Consulting fees$14,65943%
- Travel & lodging$3,52110%
- Food & beverage$15,96847%
- Entertainment$830%
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 |
|---|---|---|
| Bard Peripheral Vascular, Inc. | 62 | $22,713 |
| Endogastric Solutions, Inc | 13 | $7,556 |
| Medtronic | 18 | $879 |
| Organogenesis Inc. | 16 | $651 |
| Covidien LP | 7 | $609 |
| Boston Scientific | 13 | $334 |
| Abbott | 4 | $258 |
| Kerecis Limited | 1 | $245 |
| Johnson & Johnson | 6 | $139 |
| Cordis US CORP. | 1 | $137 |
| Tactile Systems Technology Inc | 5 | $119 |
| Smith+Nephew | 5 | $114 |
| Mauna Kea Technologies, Inc. | 1 | $83 |
| KCI USA, Inc. | 1 | $82 |
| BD | 3 | $70 |
| TELA Bio, Inc. | 1 | $48 |
| Philips North America LLC | 2 | $45 |
| Si-bone, Inc. | 1 | $45 |
| Acera Surgical, Inc. | 1 | $40 |
| Pfizer | 1 | $29 |
| W. L. Gore & Associates, Inc. | 1 | $22 |
| AbbVie | 1 | $12 |
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.
- ESOPHYX$7,160
- Venclose Maven Catheter$3,434
- Kerecis Omega3 SurgiClose$736
- VenaSeal$415
- PillCam$316
- Kerecis Omega3 GraftGuide$245
- Kerecis Omega3 Marigen$245
- Apligraf$150
- VISTA BRITE TIP$137
- Abre$119
- Armada$106
How this compares
$34,231 in reported general payments places this provider in the 95th percentile of 109 surgery 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 |
|---|---|---|
| Mupirocin | 23 | $178 |
| Ciprofloxacin Hcl | 18 | $144 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 27 | $122 |
Paid to pharmacies, not to this prescriber.
Other surgery in Kailua Kona
- Laylah ZelkoKailua Kona$934
- Genia TaitanoKailua Kona$450
- Daniel MurariuHonolulu$238K
- Steven NishidaHonolulu$71K
- Dean MikamiHonolulu$33K
- Carl TadakiHonolulu$24K
- Gregorio MaldiniHonolulu$20K
- Chan ParkHonolulu$19K
- Steven FowlerHonolulu$18K
- Jason SpikerHonolulu$16K
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.