Igor Westra, MD
Retina Specialist · Wilmington, NCNPI 1679543870
Payments from drug & device makers
What this record shows
9 manufacturers reported payments, led by Notal Vision, Inc. at 52.9% of the total. Reporting peaked in 2022 at $1,757 and has fallen 96.5% since, to $62 in 2025. That places this record below the midpoint for retina specialist clinicians in NC, where the typical reported total is $3,753.
Across 59 payments — averaging $50.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Notal Vision, Inc.$2K
- Regeneron Healthcare Solutions, Inc.$680
- Genentech USA, Inc.$227
- Bausch & Lomb Americas Inc.$134
- Bausch & Lomb, A Division Of Bausch Health US, LLC$127
- Astellas Pharma US Inc$103
- plus $122 from 3 others
Across 67 payments — averaging $35.37 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.
- Notal Vision, Inc.$2K
What the payments were for
- Speaking & faculty fees$1,54152%
- Food & beverage$1,41748%
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 |
|---|---|---|
| Notal Vision, Inc. | 9 | $1,565 |
| Regeneron Healthcare Solutions, Inc. | 18 | $680 |
| Genentech USA, Inc. | 13 | $227 |
| Bausch & Lomb Americas Inc. | 6 | $134 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 3 | $127 |
| Astellas Pharma US Inc | 3 | $103 |
| Alimera Sciences, Inc. | 4 | $76 |
| AbbVie | 2 | $29 |
| Tarsus Pharmaceuticals, Inc. | 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.
How this compares
$2,958 in reported general payments places this provider in the 45th percentile of 34 retina specialist providers in North Carolina.
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 | 48 | $45,369 |
| ProlensaBromfenac Sodium | 23 | $8,237 |
| Bromfenac Sodium | 20 | $5,296 |
| Cyclosporine | 30 | $4,596 |
| Prednisolone Acetate | 39 | $3,073 |
| Atropine Sulfate | 14 | $810 |
| Ketorolac Tromethamine | 23 | $491 |
| Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha | 19 | $251 |
| Timolol Maleate | 19 | $188 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 11 | $116 |
| Latanoprost | 14 | $34 |
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 | $29 | $45,36948 claims |
| Bausch & Lomb, A Division Of Bausch Health US, LLCProlensa | $127 | $8,23723 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 45th percentile of 34 retina specialist providers in North Carolina.
Other retina specialist in Wilmington
- Henry HoltWilmington$2K
- Kevin BrayWilmington$1K
- Eleonora LadDurham$331K
- Daniel BennettRaleigh$126K
- Michael AllinghamDurham$63K
- Raynor CaseyRaleigh$34K
- Sachin MudvariRaleigh$33K
- John ThordsenRaleigh$33K
- John DennyRaleigh$31K
- William BridgesAsheville$13K
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.