Alvah Cayton, OD
Optometrist · Tarboro, NCNPI 1902054042
Payments from drug & device makers
Across 91 payments — averaging $22.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$545
- AbbVie$336
- Sun Pharmaceutical Industries Inc.$187
- Bausch & Lomb Americas Inc.$152
- Harrow Eye, LLC$148
- Oyster Point Pharma, Inc.$121
- plus $527 from 13 others
What the payments were for
- Food & beverage$1,97998%
- Gifts$191%
- Entertainment$161%
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 |
|---|---|---|
| Alcon | 17 | $545 |
| AbbVie(2 entities) | 20 | $336 |
| Sun Pharmaceutical Industries Inc. | 10 | $187 |
| Bausch & Lomb Americas Inc. | 7 | $152 |
| Harrow Eye, LLC | 4 | $148 |
| Oyster Point Pharma, Inc. | 7 | $121 |
| Novartis | 6 | $111 |
| Mallinckrodt Hospital Products Inc. | 4 | $96 |
| Coopervision Inc. | 2 | $78 |
| Kala Pharmaceuticals, Inc. | 2 | $46 |
| Eyevance Pharmaceuticals LLC | 2 | $32 |
| Thea Pharma Inc. | 1 | $30 |
| Shire North American Group Inc | 2 | $27 |
| Aerie Pharmaceuticals, Inc. | 2 | $26 |
| Dompe US, Inc. | 1 | $21 |
| Carl Zeiss Meditec AG | 1 | $19 |
| Optos, Inc. | 1 | $16 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 1 | $12 |
| Glaukos Corporation | 1 | $11 |
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.
- TRYPTYR$120
- Hydrus Microstent$116
How this compares
$2,014 in reported general payments places this provider in the 65th percentile of 1,326 optometrist providers in North Carolina.
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 | 448 | $332,135 |
| XiidraLifitegrast | 221 | $165,169 |
| LumiganBimatoprost | 389 | $116,045 |
| CequaCyclosporine | 108 | $73,564 |
| EysuvisLoteprednol Etabonate | 64 | $31,774 |
| CombiganBrimonidine Tartrate/Timolol | 111 | $23,340 |
| VevyeCyclosporine | 29 | $22,368 |
| Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol | 213 | $21,615 |
| VyzultaLatanoprostene Bunod | 28 | $12,567 |
| MieboPerfluorohexyloctane/Pf | 16 | $12,164 |
| Cyclosporine | 32 | $10,099 |
| Alphagan PBrimonidine Tartrate | 38 | $9,137 |
| TyrvayaVarenicline Tartrate | 11 | $7,387 |
| Brinzolamide | 35 | $7,326 |
| Loteprednol Etabonate | 51 | $5,468 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AbbVieRestasis, Lumigan, Combigan, Alphagan P | $336 | $480,658986 claims |
| Bausch & Lomb Americas Inc.Xiidra, Vyzulta, Miebo | $152 | $189,899265 claims |
| Sun Pharmaceutical Industries Inc.Cequa | $187 | $73,564108 claims |
| Kala Pharmaceuticals, Inc.Eysuvis | $46 | $31,77464 claims |
| Harrow Eye, LLCVevye | $148 | $22,36829 claims |
| Oyster Point Pharma, Inc.Tyrvaya | $121 | $7,38711 claims |
| Bausch & Lomb, A Division Of Bausch Health US, LLCLoteprednol Etabonate | $12 | $5,46851 claims |
| Eyevance Pharmaceuticals LLCFlarex | $32 | $3,15625 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 65th percentile of 1,326 optometrist providers in North Carolina.
Other optometrist in Tarboro
- Carol AuneRaleigh$1.7M
- Crystal BrimerWilmington$920K
- Osama SaidRaleigh$597K
- Ryan CorteAsheville$569K
- Sanjay PatelApex$518K
- Sean SmolenyakRaleigh$512K
- Esther NakagawaraGarner$363K
- Michael SamuelsCary$318K
- Bianca OliverRaleigh$242K
- Rachael WrubleBelmont$228K
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.