Lance Kugler, MD
Ophthalmology · Omaha, NENPI 1255370466
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $32,982 of the $41,195 with a category attached, or 80.1%. Rxsight Inc accounts for 67.7% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2022 at $28,931 and has fallen 94.4% since, to $1,616 in 2025. Among ophthalmology clinicians in NE 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 73 payments — averaging $564.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Rxsight Inc$28K
- Johnson & Johnson Surgical Vision, Inc.$6K
- Optos, Inc.$3K
- Carl Zeiss Meditec, Inc.$2K
- Beaver-visitec International, Inc.$1K
- Alcon$622
- plus $839 from 10 others
Across 8 payments — averaging $6682.50 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$37K
- Bausch & Lomb Americas Inc.$17K
What the payments were for
- Consulting fees$32,98280%
- Speaking & faculty fees$6,06615%
- Food & beverage$2,0925%
- Gifts$550%
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 |
|---|---|---|
| Rxsight Inc | 10 | $27,889 |
| Johnson & Johnson Surgical Vision, Inc. | 5 | $5,635 |
| Optos, Inc. | 3 | $3,024 |
| Carl Zeiss Meditec, Inc. | 4 | $2,187 |
| Beaver-visitec International, Inc. | 1 | $1,000 |
| Alcon | 23 | $622 |
| Carl Zeiss Meditec USA, Inc. | 3 | $316 |
| AbbVie(2 entities) | 10 | $171 |
| Staar Surgical Company | 4 | $128 |
| Glaukos Corporation | 2 | $53 |
| The Cameron-ehlen Group, Inc. | 2 | $41 |
| Shire North American Group Inc | 2 | $35 |
| Tarsus Pharmaceuticals, Inc. | 1 | $31 |
| Lensar, Inc. | 1 | $22 |
| Oyster Point Pharma, Inc. | 1 | $22 |
| Carl Zeiss Meditec AG | 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.
- LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD)$27,400
- Tecnis IOL$4,888
- CATALYS SYSTEM$3,450
- Healon Duet Pro$3,450
- Tecnis Symfony IOL$2,132
- PANORAMIC OPHTHALMOSCOPE$1,500
- OCT OPHTHALMOSCOPE$1,500
- RXSIGHT INJECTOR HANDPIECE$315
- RXSIGHT CONTACT LENS$315
- LIGHT ADJUSTABLE LENS (LAL)$315
- RXSIGHT INJECTOR CARTRIDGE$315
- RXSIGHT LIGHT DELIVERY DEVICE (LDD)$315
- CLARUS$148
- VisuMax$132
- Wavelight Refractive Suite$121
How this compares
$41,195 in reported general payments places this provider in the 95th percentile of 105 ophthalmology providers in Nebraska.
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 ophthalmology in Omaha
- Brandon BaartmanOmaha$226K
- Ronald KruegerOmaha$224K
- Lorraine ProvencherOmaha$220K
- Rao ChunduryOmaha$14K
- Shane HavensOmaha$6K
- Brandon MenkeOmaha$6K
- Sao LiuOmaha$5K
- Michael HalstedOmaha$4K
- Thomas HejkalOmaha$4K
- Sao LiuOmaha$4K
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.