James Rogala, OD
Optometrist · Pikeville, KYNPI 1053454835
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (46.9%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Alcon accounts for 84.1% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2019 at $6,532 and has fallen 95.4% since, to $300 in 2025. Among optometrist clinicians in KY 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 39 payments — averaging $218.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$7K
- Bausch & Lomb Americas Inc.$432
- Thea Pharma Inc.$186
- Tarsus Pharmaceuticals, Inc.$120
- Bausch & Lomb, A Division Of Bausch Health US, LLC$119
- Sun Pharmaceutical Industries Inc.$114
- plus $387 from 8 others
What the payments were for
- Consulting fees$3,99547%
- Speaking & faculty fees$501%
- Travel & lodging$1,97123%
- Food & beverage$2,50429%
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 |
|---|---|---|
| Alcon | 23 | $7,162 |
| Bausch & Lomb Americas Inc. | 4 | $432 |
| Thea Pharma Inc. | 1 | $186 |
| Tarsus Pharmaceuticals, Inc. | 1 | $120 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 1 | $119 |
| Sun Pharmaceutical Industries Inc. | 1 | $114 |
| LKC Technologies, Inc. | 1 | $83 |
| Apellis Pharmaceuticals, Inc. | 1 | $66 |
| Lombart Brothers, Inc. | 1 | $53 |
| Johnson & Johnson Vision Care, Inc. | 1 | $50 |
| Coopervision Inc. | 1 | $50 |
| Johnson & Johnson Surgical Vision, Inc. | 1 | $46 |
| Mallinckrodt Hospital Products Inc. | 1 | $24 |
| Maculogix, Inc. | 1 | $14 |
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.
- DAILIES$4,746
- MIEBO$357
- XIIDRA$239
- Precision 1$161
- Hydrus Microstent$130
- INFUSE$125
- XDEMVY$120
- LOTEMAX SM$119
- VYZULTA$119
- CEQUA$114
- Precision 7$105
How this compares
$8,520 in reported general payments places this provider in the 95th percentile of 712 optometrist providers in Kentucky.
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.
Other optometrist in Pikeville
- Renee ReederPikeville$27K
- Cliff CaudillPikeville$8K
- Donald EganPikeville$5K
- Paul KarpeckiLexington$3.6M
- Bilal AhmadLexington$150K
- Clay MattsonNicholasville$93K
- Ben LeonardCalvert City$75K
- Lee PeplinskiLouisville$74K
- Austin LifferthLouisville$72K
- Christopher KucLexington$52K
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.