Jason Tuchowski
Optometrist · Fraser, MINPI 1851386981
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,274 of the $3,291 with a category attached, or 69.1%. 20 manufacturers reported payments, led by Alcon at 53.7% of the total. Reporting peaked in 2019 at $1,573 and has fallen 73.6% since, to $415 in 2025. Among optometrist clinicians in MI 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 88 payments — averaging $37.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$2K
- AbbVie$272
- Novartis$245
- Bausch & Lomb, A Division Of Bausch Health US, LLC$137
- Thea Pharma Inc.$123
- Aerie Pharmaceuticals, Inc.$112
- plus $635 from 14 others
Across 139 payments — averaging $675.61 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.
- Alcon Research LLC$94K
What the payments were for
- Travel & lodging$1,01831%
- Food & beverage$2,27469%
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 |
|---|---|---|
| Alcon | 18 | $1,766 |
| AbbVie(2 entities) | 12 | $272 |
| Novartis | 9 | $245 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 7 | $137 |
| Thea Pharma Inc. | 6 | $123 |
| Aerie Pharmaceuticals, Inc. | 4 | $112 |
| Kala Pharmaceuticals, Inc. | 5 | $88 |
| Tarsus Pharmaceuticals, Inc. | 3 | $79 |
| Oyster Point Pharma, Inc. | 4 | $77 |
| Glaukos Corporation | 1 | $70 |
| Amgen(2 entities) | 4 | $60 |
| Bausch & Lomb Americas Inc. | 3 | $57 |
| Akorn Operating Company LLC | 3 | $55 |
| Lombart Brothers, Inc. | 1 | $31 |
| Sun Pharmaceutical Industries Inc. | 2 | $27 |
| Shire North American Group Inc | 2 | $27 |
| Mallinckrodt Hospital Products Inc. | 1 | $24 |
| Spark Therapeutics, Inc. | 1 | $16 |
| Eyevance Pharmaceuticals LLC | 1 | $13 |
| Coopervision 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.
- DAILIES$421
- Hydrus Microstent$130
- Clareon PanOptix Pro$125
How this compares
$3,291 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| RestasisCyclosporine | 28 | $19,927 |
| Cyclosporine | 24 | $14,427 |
| Prednisolone Acetate | 281 | $11,341 |
| LumiganBimatoprost | 13 | $5,319 |
| Latanoprost | 397 | $4,430 |
| TafluprostTafluprost/Pf | 18 | $3,027 |
| Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol | 18 | $2,430 |
| Brimonidine Tartrate | 57 | $1,875 |
| Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha | 107 | $1,269 |
| Difluprednate | 11 | $1,103 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 65 | $1,076 |
| Timolol Maleate | 44 | $942 |
| Ketorolac Tromethamine | 36 | $736 |
| ValacyclovirValacyclovir Hcl | 14 | $540 |
| ErythromycinErythromycin Base | 27 | $336 |
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 | $272 | $25,24641 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 90th percentile of 1,523 optometrist providers in Michigan.
Other optometrist in Fraser
- Margaret SchlosserFraser$32K
- 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
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.