Keith Smithson, OD
Optometrist · Reston, VANPI 1154339687
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $46,738 of the $73,504 with a category attached, or 63.6%. Johnson & Johnson Vision Care, Inc. accounts for 97.1% of it on its own, with 19 other manufacturers making up the rest. Reporting peaked in 2019 at $35,478 and has fallen 98.1% since, to $691 in 2025. Among optometrist clinicians in VA 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 174 payments — averaging $422.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson Vision Care, Inc.$71K
- Bausch & Lomb Americas Inc.$516
- AbbVie$268
- Alcon$230
- Sun Pharmaceutical Industries Inc.$180
- Bausch & Lomb, A Division Of Bausch Health US, LLC$138
- plus $793 from 14 others
What the payments were for
- Consulting fees$16,50022%
- Speaking & faculty fees$46,73864%
- Travel & lodging$5,4487%
- Food & beverage$4,6896%
- Entertainment$1300%
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 |
|---|---|---|
| Johnson & Johnson Vision Care, Inc. | 93 | $71,379 |
| Bausch & Lomb Americas Inc. | 17 | $516 |
| AbbVie(2 entities) | 13 | $268 |
| Alcon | 11 | $230 |
| Sun Pharmaceutical Industries Inc. | 10 | $180 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 7 | $138 |
| Optos, Inc. | 3 | $130 |
| Carl Zeiss Meditec, Inc. | 1 | $113 |
| Biotissue Holdings Inc. | 1 | $98 |
| Coopervision Inc. | 4 | $97 |
| Carl Zeiss Meditec USA, Inc. | 1 | $81 |
| Tarsus Pharmaceuticals, Inc. | 3 | $79 |
| Oasis Medical, Inc. | 2 | $40 |
| Johnson & Johnson Surgical Vision, Inc. | 1 | $37 |
| Oyster Point Pharma, Inc. | 2 | $28 |
| Harrow Eye, LLC | 1 | $25 |
| Sight Sciences, Inc. | 1 | $24 |
| Novartis | 1 | $15 |
| Tearlab Corp | 1 | $15 |
| Plexus Optix, Inc. | 1 | $12 |
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.
- Acuvue$70,059
- INFUSE$237
- CLARUS 500 Fundus Camera$113
How this compares
$73,504 in reported general payments places this provider in the 95th percentile of 1,230 optometrist providers in Virginia.
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 Reston
- Walter WhitleyNorfolk$546K
- Jacqueline TheisRichmond$80K
- Joseph AllenRichmond$75K
- Michael SwattsChesapeake$59K
- Kurt DevitoVirginia Beach$54K
- Walter SchlabachHarrisonburg$31K
- Mark AbrahamFalls Church$30K
- David TangVirginia Beach$29K
- Tiffany LioneAldie$23K
- Jeffrey FardinkRichmond$23K
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.