Brian Spittle, OD
Optometrist · Midlothian, VANPI 1407856040
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (43.7%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. Coopervision Inc. accounts for 75.4% of it on its own, with 8 other manufacturers making up the rest. 2025 is the largest year on record at $3,567, 5.5 times the $653 reported in 2019. Among optometrist clinicians in VA 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 61 payments — averaging $104.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Coopervision Inc.$5K
- Alcon$639
- Bausch & Lomb Americas Inc.$293
- Maculogix, Inc.$172
- Bausch & Lomb, A Division Of Bausch Health US, LLC$158
- Optos, Inc.$123
- plus $184 from 3 others
What the payments were for
- Consulting fees$6009%
- Speaking & faculty fees$5008%
- Travel & lodging$2,37337%
- Food & beverage$2,79244%
- Entertainment$1232%
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 |
|---|---|---|
| Coopervision Inc. | 38 | $4,819 |
| Alcon | 6 | $639 |
| Bausch & Lomb Americas Inc. | 7 | $293 |
| Maculogix, Inc. | 2 | $172 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 4 | $158 |
| Optos, Inc. | 1 | $123 |
| Topcon Healthcare, Inc. | 1 | $122 |
| Carl Zeiss Meditec, Inc. | 1 | $43 |
| Johnson & Johnson Vision Care, 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.
- Biofinity Contact Lens$1,991
- MiSight Contact Lens$982
- DAILIES$261
- PANORAMIC OPHTHALMOSCOPE$246
- OCT OPHTHALMOSCOPE$246
- Precision 1$149
- Precision7$131
- NFC-700$123
- INFUSE$118
- Onefit Contact Lens$111
- Clariti Contact Lens$100
How this compares
$6,388 in reported general payments places this provider in the 95th percentile of 1,230 optometrist providers in Virginia.
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 |
|---|---|---|
| Prednisolone Acetate | 14 | $835 |
| Latanoprost | 39 | $109 |
Paid to pharmacies, not to this prescriber.
Other optometrist in Midlothian
- Emily BennettMidlothian$7K
- Walter WhitleyNorfolk$546K
- Jacqueline TheisRichmond$80K
- Joseph AllenRichmond$75K
- Keith SmithsonReston$74K
- Michael SwattsChesapeake$59K
- Kurt DevitoVirginia Beach$54K
- Walter SchlabachHarrisonburg$31K
- Mark AbrahamFalls Church$30K
- David TangVirginia Beach$29K
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.