David Jacobs, MD
Ophthalmology · Richmond, VANPI 1184675100
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.0% of the total across 138 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 17 manufacturers reported payments, led by AbbVie at 25.4% of the total. 2025 is the largest year on record at $1,206, 5.6 times the $215 reported in 2021.
Across 138 payments — averaging $27.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$969
- Notal Vision, Inc.$554
- Halozyme Inc$380
- Genentech USA, Inc.$362
- Alimera Sciences, Inc.$326
- Regeneron Healthcare Solutions, Inc.$284
- plus $938 from 11 others
Across 161 payments — averaging $78.07 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Genentech, Inc.$6K
- Notal Vision, Inc.$6K
What the payments were for
- Speaking & faculty fees$38110%
- Food & beverage$3,43290%
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 |
|---|---|---|
| AbbVie(2 entities) | 68 | $969 |
| Notal Vision, Inc. | 9 | $554 |
| Halozyme Inc | 1 | $380 |
| Genentech USA, Inc. | 12 | $362 |
| Alimera Sciences, Inc. | 7 | $326 |
| Regeneron Healthcare Solutions, Inc. | 11 | $284 |
| Genentech, Inc. | 2 | $210 |
| Mallinckrodt Hospital Products Inc. | 6 | $180 |
| Apellis Pharmaceuticals, Inc. | 2 | $148 |
| Astellas Pharma US Inc | 4 | $112 |
| Bausch & Lomb Americas Inc. | 5 | $90 |
| Alcon | 4 | $70 |
| Harrow Eye, LLC | 2 | $38 |
| ANI Pharmaceuticals, Inc. | 2 | $36 |
| Eyepoint US, Inc. | 1 | $19 |
| Carl Zeiss Meditec USA, Inc. | 1 | $18 |
| Novartis | 1 | $17 |
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.
- HYLENEX RECOMBINANT$380
- VABYSMO$336
- OZURDEX$244
- Syfovre$125
- Iluvien$123
How this compares
$3,813 in reported general payments places this provider in the 80th percentile of 509 ophthalmology 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 | 243 | $9,926 |
| Bromfenac Sodium | 28 | $4,612 |
| Difluprednate | 33 | $3,645 |
| Atropine Sulfate | 124 | $3,032 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 103 | $1,797 |
| Ketorolac Tromethamine | 51 | $1,374 |
| Latanoprost | 145 | $975 |
| Ofloxacin | 87 | $873 |
| Timolol Maleate | 57 | $328 |
| Brimonidine Tartrate | 19 | $108 |
Paid to pharmacies, not to this prescriber.
Other ophthalmology in Richmond
- Ethnie JonesRichmond$2M
- Thomas JenkinsRichmond$26K
- Jessica RandolphRichmond$18K
- Nikisha RichardsRichmond$16K
- Tam DangRichmond$9K
- Byron LaddRichmond$7K
- Bryan SchwentRichmond$7K
- Rishi ParikhRichmond$6K
- Elizabeth Yeu-LinNorfolk$1.7M
- John SheppardNorfolk$1.1M
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.