Kristine Kerestan Garbig
Optometrist · Wilder, KYNPI 1043277577
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $33,758 of the $50,810 with a category attached, or 66.4%. Alcon accounts for 97.2% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $21,156 and has fallen 98.9% since, to $229 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 162 payments — averaging $313.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$49K
- Shire North American Group Inc$333
- Optos, Inc.$290
- Tarsus Pharmaceuticals, Inc.$214
- Coopervision Inc.$148
- Rxsight Inc$103
- plus $333 from 7 others
What the payments were for
- Consulting fees$33,75866%
- Travel & lodging$12,14324%
- Food & beverage$4,6009%
- Gifts$190%
- Entertainment$2901%
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 | 133 | $49,390 |
| Shire North American Group Inc | 6 | $333 |
| Optos, Inc. | 3 | $290 |
| Tarsus Pharmaceuticals, Inc. | 4 | $214 |
| Coopervision Inc. | 3 | $148 |
| Rxsight Inc | 1 | $103 |
| Sun Pharmaceutical Industries Inc. | 4 | $103 |
| Novartis | 3 | $86 |
| Carl Zeiss Meditec USA, Inc. | 1 | $56 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 1 | $36 |
| Carl Zeiss Meditec AG | 1 | $19 |
| Sight Sciences, Inc. | 1 | $17 |
| Biotissue Holdings Inc. | 1 | $16 |
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$18,553
- TOTAL30$17,210
- Precision 1$14,909
- DAILIES TOTAL1$14,237
- AIR OPTIX$5,119
- Dailies Aqua Comfort Plus$4,572
- DAILIES TOTAL1 Multifocal$4,053
- Precision7$145
- XDEMVY$136
- XIIDRA$113
- RXSIGHT CONTACT LENS$103
- RXSIGHT INJECTOR CARTRIDGE$103
- RXSIGHT INJECTOR HANDPIECE$103
- RXSIGHT LIGHT DELIVERY DEVICE (LDD)$103
- LIGHT ADJUSTABLE LENS (LAL)$103
How this compares
$50,810 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Latanoprost | 20 | $69 |
Paid to pharmacies, not to this prescriber.
Other optometrist in Wilder
- Paul KarpeckiLexington$3.6M
- Bilal AhmadLexington$150K
- Clay MattsonNicholasville$93K
- Ben LeonardCalvert City$75K
- Lee PeplinskiLouisville$74K
- Austin LifferthLouisville$72K
- Christopher KucLexington$52K
- Renee ReederPikeville$27K
- Karoline MunsonFrankfort$26K
- Aaron McNultyLouisville$22K
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.