David Brigham, MD
Ophthalmology · St Louis, MONPI 1780605212
Payments from drug & device makers
Across 38 payments — averaging $16.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bausch & Lomb, A Division Of Bausch Health US, LLC$110
- Kala Pharmaceuticals, Inc.$80
- AbbVie$79
- Biotissue Holdings Inc.$62
- Amgen$58
- Eyevance Pharmaceuticals LLC$47
- plus $198 from 8 others
What the payments were for
- Food & beverage$634100%
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 |
|---|---|---|
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 3 | $110 |
| Kala Pharmaceuticals, Inc. | 4 | $80 |
| AbbVie(2 entities) | 5 | $79 |
| Biotissue Holdings Inc. | 7 | $62 |
| Amgen(2 entities) | 3 | $58 |
| Eyevance Pharmaceuticals LLC | 3 | $47 |
| Johnson & Johnson Vision Care, Inc. | 3 | $43 |
| Alcon | 3 | $39 |
| Aerie Pharmaceuticals, Inc. | 2 | $32 |
| Thea Pharma Inc. | 1 | $20 |
| Rxsight Inc | 1 | $18 |
| Shire North American Group Inc | 1 | $18 |
| Sun Pharmaceutical Industries Inc. | 1 | $16 |
| Dompe US, Inc. | 1 | $12 |
How this compares
$634 in reported general payments places this provider in the 35th percentile of 286 ophthalmology providers in Missouri.
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 | 16 | $22,110 |
| LumiganBimatoprost | 25 | $10,554 |
| Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol | 14 | $945 |
| Brimonidine Tartrate | 14 | $519 |
| Latanoprost | 44 | $457 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 22 | $309 |
| Timolol Maleate | 31 | $198 |
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 | $79 | $32,66441 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 35th percentile of 286 ophthalmology providers in Missouri.
Other ophthalmology in St Louis
- Nicholas ChinskeySt Louis$300K
- Levent AkdumanSt Louis$47K
- Nancy HolekampChesterfield$2.7M
- Steven SilversteinKansas City$1.6M
- Joseph TauberKansas City$1.3M
- Steven CouchSaint Louis$1.2M
- Andrew MoyesKansas City$1.1M
- Ranjan MalhotraSaint Louis$964K
- Navin TekwaniSaint Louis$957K
- Joseph GiraDes Peres$926K
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.