David Gay, MD
Ophthalmic Plastic and Reconstructive Surgery · Dripping Springs, TXNPI 1497054605
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $67,750 of the $92,875 with a category attached, or 72.9%. Amgen accounts for 97.5% of it on its own, with 17 other manufacturers making up the rest. 2025 is the largest year on record at $26,049, more than ten times the $557 reported in 2019. Among ophthalmic plastic and reconstructive surgery clinicians in TX 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 197 payments — averaging $471.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$91K
- Johnson & Johnson Surgical Vision, Inc.$411
- Biotissue Holdings Inc.$205
- NEW World Medical,inc.$200
- Heidelberg Engineering, Inc.$184
- Tarsus Pharmaceuticals, Inc.$163
- plus $1K from 12 others
What the payments were for
- Consulting fees$5,1005%
- Speaking & faculty fees$67,75073%
- Travel & lodging$13,46314%
- Food & beverage$6,5457%
- Education$170%
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 |
|---|---|---|
| Amgen(2 entities) | 163 | $90,599 |
| Johnson & Johnson Surgical Vision, Inc. | 4 | $411 |
| Biotissue Holdings Inc. | 2 | $205 |
| NEW World Medical,inc. | 1 | $200 |
| Heidelberg Engineering, Inc. | 1 | $184 |
| Tarsus Pharmaceuticals, Inc. | 5 | $163 |
| Alcon | 1 | $143 |
| Merz North America, Inc. | 8 | $132 |
| Sight Sciences, Inc. | 1 | $127 |
| Ocular Therapeutix, Inc. | 1 | $124 |
| Mallinckrodt Hospital Products Inc. | 1 | $119 |
| Aerie Pharmaceuticals, Inc. | 1 | $118 |
| Optovue, Inc. | 1 | $100 |
| Rxsight Inc | 1 | $81 |
| Acelrx Pharmaceuticals, Inc. | 3 | $75 |
| Revance Therapeutics, Inc. | 1 | $35 |
| Eyepoint US, Inc. | 1 | $34 |
| Integra Lifesciences Corporation | 1 | $25 |
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.
- TEPEZZA$87,679
- Kahook Dual Blade$200
- Clearpath$200
- Ahmed Glaucoma Valve$200
- Streamline$200
- Spectralis$184
- Centurion$143
- OMNI(R) SURGICAL SYSTEM (US)$127
- DEXTENZA$124
- Tecnis Simplicity$122
- Tecnis IOL$122
- ACTHAR$119
- Rhopressa$118
- Rocklatan$118
- One Series Ultra$112
- Prokera$106
- AmnioGraft$106
- AmnioGuard$106
- Tecnis Multifocal Family of 1-piece IOLS$101
- XR$100
How this compares
$92,875 in reported general payments places this provider in the 95th percentile of 36 ophthalmic plastic and reconstructive surgery providers in Texas.
See all ophthalmic plastic and reconstructive surgery providers in Texas →
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 |
|---|---|---|
| ErythromycinErythromycin Base | 120 | $1,252 |
| Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha | 63 | $680 |
| Prednisolone Acetate | 13 | $373 |
| Tramadol Hcl | 87 | $172 |
| Azithromycin | 11 | $57 |
Paid to pharmacies, not to this prescriber.
Other ophthalmic plastic and reconstructive surgery in Dripping Springs
- Vikram DurairajAustin$379K
- Richard AllenAustin$32K
- Timothy McCulleyHouston$12K
- Tanya KhanAustin$10K
- Wesley BrundridgeFort Sam Houston$7K
- David HolckSan Antonio$7K
- Brian WongGalveston$5K
- Irina BelinskyAustin$5K
- Brett DaviesJbsa Lackland$5K
- Margaret PfeifferDallas$4K
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.