Gary Fowle, OD
Optometrist · Rockford, MINPI 1427020023
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (57.9%), speaking fees and entertainment — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Coopervision Inc. at 48.4% of the total. Reporting peaked in 2024 at $571 and has fallen 91.7% since, to $47 in 2025.
Across 53 payments — averaging $31.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Coopervision Inc.$815
- Alcon$226
- Optos, Inc.$199
- Johnson & Johnson Vision Care, Inc.$102
- Bausch & Lomb, A Division Of Bausch Health US, LLC$85
- Novartis$79
- plus $175 from 9 others
What the payments were for
- Speaking & faculty fees$50930%
- Food & beverage$97358%
- Entertainment$19912%
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 |
|---|---|---|
| Coopervision Inc. | 19 | $815 |
| Alcon | 11 | $226 |
| Optos, Inc. | 2 | $199 |
| Johnson & Johnson Vision Care, Inc. | 1 | $102 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 6 | $85 |
| Novartis | 4 | $79 |
| AbbVie | 2 | $31 |
| Spark Therapeutics, Inc. | 1 | $21 |
| Sight Sciences, Inc. | 1 | $20 |
| Kala Pharmaceuticals, Inc. | 1 | $20 |
| Oyster Point Pharma, Inc. | 1 | $19 |
| Bausch & Lomb Americas Inc. | 1 | $18 |
| Shire North American Group Inc | 1 | $18 |
| Biotissue Holdings Inc. | 1 | $15 |
| Visioneering Technologies, Inc. | 1 | $13 |
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.
- MyDay Contact Lens$509
- PANORAMIC OPHTHALMOSCOPE$336
- OCT OPHTHALMOSCOPE$336
- NFC-700$168
- Acuvue$102
How this compares
$1,682 in reported general payments places this provider in the 75th percentile of 1,523 optometrist providers in Michigan.
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 | 40 | $488 |
| Timolol Maleate | 26 | $230 |
Paid to pharmacies, not to this prescriber.
Other optometrist in Rockford
- Jamie KuzniarBloomfield$473K
- Monica JohnsonbaughGrosse Pointe$393K
- Nicholas BrunsFlint$238K
- Jay CrankGrand Rapids$209K
- Jeffrey VaranelliWarren$204K
- Thomas RothAnn Arbor$98K
- Frances Poma NowinskiBloomfield Twp$91K
- Michael LipsonWalled Lake$77K
- Stephanie RamdassBig Rapids$59K
- Robert FarrellMount Clemens$55K
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.