Richard Gower
Allergy & Immunology · Spokane, WANPI 1619969557
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $69,255 of the $103,669 with a category attached, or 66.8%. 11 manufacturers reported payments, led by Shire North American Group Inc at 55.6% of the total. Reporting peaked in 2019 at $81,502 and has fallen 99.9% since, to $50 in 2023. Among allergy & immunology 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 117 payments — averaging $886.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Shire North American Group Inc$58K
- Biocryst US Sales Co., LLC$13K
- Biocryst Pharmaceuticals, Inc.$12K
- Pfizer$9K
- Fresenius Kabi USA, LLC$6K
- Takeda Pharmaceuticals U.S.A., Inc.$4K
- plus $3K from 5 others
Across 311 payments — averaging $3290.53 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$361K
- Incyte Corporation$270K
- Biocryst Pharmaceuticals, Inc.$198K
- Shire North American Group Inc$82K
- Novartis$68K
- Teva Pharmaceuticals USA, Inc.$28K
- plus $17K from 4 others
What the payments were for
- Consulting fees$21,62521%
- Speaking & faculty fees$69,25567%
- Travel & lodging$10,85310%
- Food & beverage$1,9372%
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 |
|---|---|---|
| Shire North American Group Inc | 67 | $57,678 |
| Biocryst US Sales Co., LLC | 13 | $13,092 |
| Biocryst Pharmaceuticals, Inc. | 16 | $11,841 |
| Pfizer | 7 | $8,546 |
| Fresenius Kabi USA, LLC | 4 | $5,798 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $3,538 |
| CSL Behring | 2 | $3,025 |
| Optinose US, Inc. | 1 | $61 |
| Pharming Healthcare, Inc. | 2 | $43 |
| Sanofi | 1 | $24 |
| AstraZeneca | 1 | $23 |
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.
- CINRYZE$60,260
- Orladeyo$12,878
- EUCRISA$8,505
- PH-Icatibant$5,798
- Haegarda$3,000
How this compares
$103,669 in reported general payments places this provider in the 95th percentile of 81 allergy & immunology providers in Washington.
Other allergy & immunology in Spokane
- Ronald EnglandSpokane$6K
- Steven KernermanSpokane$3K
- Kerry DrainSpokane$2K
- Rayna TraenSpokane$1K
- Taiil SongLakewood$192K
- Frank VirantSeattle$107K
- Leonard AltmanSeattle$81K
- Daniel PetroniSeattle$68K
- David McGarrySpokane Valley$66K
- Rahool DaveSeattle$42K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.