David Spengler, OD
Optometrist · Southport, CTNPI 1225624448
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,407 of the $5,293 with a category attached, or 83.3%. 13 manufacturers reported payments, led by Bausch & Lomb Americas Inc. at 58.2% of the total. Reporting peaked in 2024 at $2,879 and has fallen 59.9% since, to $1,153 in 2025. Among optometrist clinicians in CT with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 59 payments — averaging $89.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bausch & Lomb Americas Inc.$3K
- Amgen$359
- Biotissue Holdings Inc.$309
- Coopervision Inc.$305
- Lumenis BE Inc$292
- Sight Sciences, Inc.$267
- plus $680 from 7 others
What the payments were for
- Travel & lodging$88717%
- Food & beverage$4,40783%
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 Americas Inc. | 38 | $3,080 |
| Amgen(2 entities) | 3 | $359 |
| Biotissue Holdings Inc. | 3 | $309 |
| Coopervision Inc. | 4 | $305 |
| Lumenis BE Inc | 1 | $292 |
| Sight Sciences, Inc. | 2 | $267 |
| Alcon | 2 | $167 |
| Reichert, Inc. | 1 | $141 |
| Harrow Eye, LLC | 1 | $121 |
| Johnson & Johnson Vision Care, Inc. | 1 | $108 |
| Sun Pharmaceutical Industries Inc. | 1 | $83 |
| Rayner Intraocular Lenses Limited | 1 | $39 |
| Rxsight Inc | 1 | $21 |
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.
- INFUSE$795
- TEPEZZA$359
- MIEBO$359
- XIIDRA$359
- optilight$292
- OMNI(R) SURGICAL SYSTEM (US)$149
- EYSUVIS$125
- VEVYE$121
- TEARCARE SYSTEM$118
- ALDEN SCLERAL ZENLENS$110
- Acuvue$108
- MyDay Contact Lens$105
How this compares
$5,293 in reported general payments places this provider in the 90th percentile of 574 optometrist providers in Connecticut.
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 |
|---|---|---|
| Latanoprost | 15 | $181 |
Paid to pharmacies, not to this prescriber.
Other optometrist in Southport
- Joseph ThimonsFairfield$340K
- Inna LazarOld Greenwich$147K
- Jennifer StewartNew Canaan$91K
- Maria PribisStamford$78K
- Michael CooperWest Hartford$44K
- Joseph PavanoNew Britain$22K
- Susan JanikWest Hartford$20K
- Donald HigginsPlainville$18K
- Richard NowakEast Windsor$15K
- Barbara DuneHartford$14K
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.