Jeremy Ciano, OD
Optometrist · Carmel, INNPI 1962526392
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (51.1%), food and beverage and entertainment — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Coopervision Inc. at 40.7% of the total. 2025 is the largest year on record at $4,015, 2.0 times the $1,984 reported in 2019. Among optometrist clinicians in IN 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 182 payments — averaging $67.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Coopervision Inc.$5K
- Alcon$3K
- Bausch & Lomb Americas Inc.$1K
- Bausch & Lomb, A Division Of Bausch Health US, LLC$1K
- Johnson & Johnson Vision Care, Inc.$932
- Optos, Inc.$224
- plus $377 from 4 others
What the payments were for
- Speaking & faculty fees$6,30051%
- Food & beverage$5,83147%
- Entertainment$1882%
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. | 28 | $5,019 |
| Alcon | 45 | $3,248 |
| Bausch & Lomb Americas Inc. | 37 | $1,331 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 28 | $1,188 |
| Johnson & Johnson Vision Care, Inc. | 30 | $932 |
| Optos, Inc. | 7 | $224 |
| ABB Con-cise Optical Group LLC | 3 | $145 |
| Novartis | 1 | $110 |
| Sun Pharmaceutical Industries Inc. | 1 | $79 |
| Amgen | 2 | $43 |
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.
- Air Optix Color$2,000
- DAILIES TOTAL1$2,000
- Precision 1$2,000
- Clariti Contact Lens$1,000
- MyDay Contact Lens$1,000
- INFUSE$746
- BIOTRUE ONE DAY$583
- ULTRA$351
- BIOTRUE$125
- TOTAL30$123
- BTOD$122
- DAILIES$112
- XIIDRA$110
- Contact Lens$106
How this compares
$12,319 in reported general payments places this provider in the 95th percentile of 1,318 optometrist providers in Indiana.
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 Carmel
- Allison NowakCarmel$8K
- Kylene PolhamusCarmel$7K
- Damon DierkerIndianapolis$707K
- Jason JedlickaBloomington$456K
- Kari RiinaFishers$308K
- Rhonda RobinsonIndianapolis$205K
- John CzajaMerrillville$189K
- Peter KollbaumBloomington$60K
- Ryan GustusBluffton$48K
- Steve VargoHighland$48K
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.