Stephen Pakkianathan
Obstetrics & Gynecology · Spokane, WANPI 1124227566
Payments from drug & device makers
Across 133 payments — averaging $31.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$1K
- Applied Medical Resources Corporation$670
- AbbVie$637
- Astellas Pharma US Inc$409
- Hologic Sales And Service, LLC$264
- Daiichi Sankyo Inc.$189
- plus $970 from 18 others
What the payments were for
- Travel & lodging$1,13227%
- Food & beverage$2,97471%
- Education$842%
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 |
|---|---|---|
| Intuitive Surgical | 10 | $1,051 |
| Applied Medical Resources Corporation | 3 | $670 |
| AbbVie(2 entities) | 29 | $637 |
| Astellas Pharma US Inc | 29 | $409 |
| Hologic Sales And Service, LLC | 7 | $264 |
| Daiichi Sankyo Inc. | 5 | $189 |
| Exeltis, USA Inc. | 8 | $167 |
| Bayer | 8 | $147 |
| Organon | 6 | $71 |
| Therapeuticsmd, Inc. | 5 | $65 |
| AMAG Pharmaceuticals, Inc. | 4 | $61 |
| Olympus America Inc. | 2 | $59 |
| Medtronic | 1 | $57 |
| Sage Therapeutics, LLC | 2 | $44 |
| Supernus Pharmaceuticals, Inc. | 2 | $44 |
| Pfizer | 2 | $44 |
| Pacira Pharmaceuticals Incorporated | 1 | $33 |
| Coopersurgical, Inc. | 2 | $31 |
| Merck | 2 | $29 |
| Agiliti Surgical, Inc. | 1 | $27 |
| Axonics, Inc. | 1 | $26 |
| Myovant Sciences Inc. | 1 | $24 |
| Sumitomo Pharma America, Inc. | 1 | $23 |
| Agile Therapeutics, Inc. | 1 | $19 |
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.
- Da Vinci Surgical System$930
- VOYANT$609
- Orilissa$238
How this compares
$4,190 in reported general payments places this provider in the 90th percentile of 733 obstetrics & gynecology providers in Washington.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Estradiol | 32 | $2,308 |
| Medroxyprogesterone Acetate | 19 | $137 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Spokane
- John McKennaSpokane$191K
- Denise BayuszikSpokane$42K
- Ronald HardySpokane$39K
- Fleur CoulterSpokane$26K
- Ashley FullerSeattle$7.9M
- Erin BerrySeattle$1.2M
- Joshua PressSeattle$517K
- Carolyn KayEdmonds$310K
- Jacob CalvertVancouver$248K
- Esther Park-HwangTacoma$156K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.