Lori Couch, OD
Optometrist · Laurinburg, NCNPI 1265438816
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 23 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 13 manufacturers, the largest accounting for just 19.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $164 and has fallen 52.2% since, to $78 in 2023. That places this record below the midpoint for optometrist clinicians in NC, where the typical reported total is $1,101.
Across 23 payments — averaging $16.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$73
- Shire North American Group Inc$71
- Novartis$38
- Aerie Pharmaceuticals, Inc.$37
- Amgen$35
- Oyster Point Pharma, Inc.$23
- plus $105 from 7 others
What the payments were for
- Food & beverage$382100%
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 |
|---|---|---|
| AbbVie(2 entities) | 4 | $73 |
| Shire North American Group Inc | 4 | $71 |
| Novartis | 2 | $38 |
| Aerie Pharmaceuticals, Inc. | 3 | $37 |
| Amgen | 2 | $35 |
| Oyster Point Pharma, Inc. | 1 | $23 |
| Sun Pharmaceutical Industries Inc. | 1 | $22 |
| Eyevance Pharmaceuticals LLC | 1 | $17 |
| Carl Zeiss Meditec, Inc. | 1 | $17 |
| Johnson & Johnson Vision Care, Inc. | 1 | $15 |
| Sight Sciences, Inc. | 1 | $13 |
| Alcon | 1 | $12 |
| Visioneering Technologies, Inc. | 1 | $8 |
How this compares
$382 in reported general payments places this provider in the 25th percentile of 1,326 optometrist providers in North Carolina.
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 Laurinburg
- Crystal BrimerWilmington$920K
- Osama SaidRaleigh$597K
- Ryan CorteAsheville$569K
- Sanjay PatelApex$518K
- Sean SmolenyakRaleigh$512K
- Rachael WrubleBelmont$228K
- Lisa GreeneArden$186K
- Jennifer LyerlyMorrisville$164K
- Timothy PoirierKnightdale$130K
- Randall ThomasConcord$126K
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.