Alan Spigelman, MD
Ophthalmology · Bloomfield Hills, MINPI 1366433229
Payments from drug & device makers
Across 9 payments — averaging $15.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sun Pharmaceutical Industries Inc.$43
- Bausch & Lomb Americas Inc.$21
- Alcon$20
- Biotissue Holdings Inc.$19
- Amgen$17
- Johnson & Johnson Surgical Vision, Inc.$14
- plus $4 from 1 others
What the payments were for
- Food & beverage$138100%
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 |
|---|---|---|
| Sun Pharmaceutical Industries Inc. | 3 | $43 |
| Bausch & Lomb Americas Inc. | 1 | $21 |
| Alcon | 1 | $20 |
| Biotissue Holdings Inc. | 1 | $19 |
| Amgen | 1 | $17 |
| Johnson & Johnson Surgical Vision, Inc. | 1 | $14 |
| NEW World Medical,inc. | 1 | $4 |
How this compares
$138 in reported general payments places this provider in the 15th percentile of 674 ophthalmology providers in Michigan.
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 |
|---|---|---|
| RestasisCyclosporine | 29 | $23,542 |
| Cyclosporine | 34 | $23,534 |
| Latanoprost | 501 | $11,453 |
| LumiganBimatoprost | 14 | $8,375 |
| Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol | 18 | $5,715 |
| Prednisolone Acetate | 117 | $5,053 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 133 | $3,735 |
| CombiganBrimonidine Tartrate/Timolol | 11 | $3,571 |
| Dorzolamide Hcl | 121 | $3,208 |
| Fluorometholone | 35 | $2,877 |
| Brimonidine Tartrate | 94 | $2,162 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 32 | $1,945 |
| Timolol Maleate | 119 | $1,792 |
| ErythromycinErythromycin Base | 85 | $1,187 |
| ValacyclovirValacyclovir Hcl | 17 | $940 |
Paid to pharmacies, not to this prescriber.
Other ophthalmology in Bloomfield Hills
- Leslie GrosingerBloomfield Hills$275K
- Mahdi BashaFraser$2.2M
- Thomas WubbenAnn Arbor$1.2M
- Manjool ShahAnn Arbor$745K
- Scott WesthouseGrand Rapids$525K
- Gregory KatzYpsilanti$495K
- Cagri BesirliAnn Arbor$441K
- David BrownSaint Joseph$432K
- Vinay AakaluAnn Arbor$429K
- Timothy PageBirmingham$324K
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.