James Wrzosek, MD
Ophthalmology · Durham, NCNPI 1891929618
Payments from drug & device makers
Across 193 payments — averaging $60.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$7K
- Biotissue Holdings Inc.$835
- Rayner Intraocular Lenses Limited$598
- AbbVie$577
- Bausch & Lomb Americas Inc.$358
- Ocular Therapeutix, Inc.$348
- plus $2K from 13 others
What the payments were for
- Consulting fees$3,80032%
- Speaking & faculty fees$4654%
- Travel & lodging$1,82516%
- Food & beverage$5,59648%
- Education$100%
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 | 36 | $7,444 |
| Biotissue Holdings Inc. | 35 | $835 |
| Rayner Intraocular Lenses Limited | 7 | $598 |
| AbbVie(2 entities) | 25 | $577 |
| Bausch & Lomb Americas Inc. | 20 | $358 |
| Ocular Therapeutix, Inc. | 13 | $348 |
| Harrow Eye, LLC | 9 | $279 |
| Tarsus Pharmaceuticals, Inc. | 10 | $268 |
| Mallinckrodt Hospital Products Inc. | 9 | $223 |
| Sun Pharmaceutical Industries Inc. | 7 | $170 |
| ANI Pharmaceuticals, Inc. | 6 | $164 |
| Johnson & Johnson Surgical Vision, Inc. | 1 | $122 |
| Dompe US, Inc. | 4 | $91 |
| Novartis | 3 | $58 |
| Sight Sciences, Inc. | 3 | $57 |
| Amgen | 2 | $35 |
| Thea Pharma Inc. | 1 | $27 |
| Kala Pharmaceuticals, Inc. | 1 | $23 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 1 | $19 |
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.
- LenSx$1,305
- OMIDRIA$465
- Clareon$239
- Clareon PanOptix Pro$167
- NGENUITY$149
- AcrySof IQ VIVITY IOL$130
- Tecnis Simplicity$122
- TRIESENCE$101
How this compares
$11,696 in reported general payments places this provider in the 85th percentile of 588 ophthalmology 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 |
|---|---|---|
| XiidraLifitegrast | 23 | $29,317 |
| IlevroNepafenac | 77 | $28,858 |
| RestasisCyclosporine | 17 | $24,312 |
| LumiganBimatoprost | 31 | $12,252 |
| RocklatanNetarsudil Mesylat/Latanoprost | 27 | $11,055 |
| Prednisolone Acetate | 127 | $6,264 |
| SimbrinzaBrinzolamide/Brimonidine Tart | 20 | $4,268 |
| MoxifloxacinMoxifloxacin Hcl | 99 | $2,874 |
| Latanoprost | 173 | $1,996 |
| Fluorometholone | 21 | $1,448 |
| Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol | 12 | $1,038 |
| Brimonidine Tartrate | 36 | $1,006 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 50 | $550 |
| Doxycycline Hyclate | 21 | $443 |
| Cephalexin | 13 | $413 |
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, Lumigan | $577 | $36,56448 claims |
| Bausch & Lomb Americas Inc.Xiidra | $358 | $29,31723 claims |
| NovartisIlevro | $58 | $28,85877 claims |
| AlconSimbrinza | $7,444 | $4,26820 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 85th percentile of 588 ophthalmology providers in North Carolina.
Other ophthalmology in Durham
- Glenn JaffeDurham$38.5M
- Lejla VajzovicDurham$7.5M
- Majda HadziahmetovicDurham$2.4M
- Julie WoodwardDurham$1M
- Terry KimDurham$605K
- Anthony KuoDurham$392K
- Leon HerndonDurham$350K
- Robin VannDurham$213K
- Michael RichardDurham$113K
- Priyatham MettuDurham$111K
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.