Nathaniel Rieveschl
Ophthalmology · Fernandina Beach, FLNPI 1851854731
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 93.5% of the total across 39 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 14 manufacturers, the largest accounting for just 18.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $744, 5.8 times the $129 reported in 2021. That places this record below the midpoint for ophthalmology clinicians in FL, where the typical reported total is $1,824.
Across 39 payments — averaging $35.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Harrow Eye, LLC$258
- Bausch & Lomb Americas Inc.$205
- Rxsight Inc$179
- Mallinckrodt Hospital Products Inc.$148
- Biotissue Holdings Inc.$137
- Alcon$107
- plus $331 from 8 others
What the payments were for
- Food & beverage$1,27693%
- Education$897%
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 |
|---|---|---|
| Harrow Eye, LLC | 7 | $258 |
| Bausch & Lomb Americas Inc. | 5 | $205 |
| Rxsight Inc | 3 | $179 |
| Mallinckrodt Hospital Products Inc. | 7 | $148 |
| Biotissue Holdings Inc. | 2 | $137 |
| Alcon | 2 | $107 |
| Tarsus Pharmaceuticals, Inc. | 3 | $94 |
| Amgen | 3 | $57 |
| Dompe US, Inc. | 2 | $49 |
| Apellis Pharmaceuticals, Inc. | 1 | $48 |
| AbbVie | 1 | $24 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 1 | $22 |
| Glaukos Corporation | 1 | $20 |
| Sun Pharmaceutical Industries Inc. | 1 | $17 |
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.
- RXSIGHT CONTACT LENS$140
- RXSIGHT INJECTOR CARTRIDGE$140
- RXSIGHT INJECTOR HANDPIECE$140
- RXSIGHT LIGHT DELIVERY DEVICE (LDD)$140
- LIGHT ADJUSTABLE LENS (LAL)$140
- Flarex$124
- IHEEZO$124
- Verkazia$124
- Tobradex ST$124
- Natacyn$124
- MIEBO$122
- XIIDRA$122
How this compares
$1,365 in reported general payments places this provider in the 40th percentile of 1,405 ophthalmology providers in Florida.
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 |
|---|---|---|
| Prednisolone Acetate | 25 | $1,114 |
| ValacyclovirValacyclovir Hcl | 16 | $782 |
| MoxifloxacinMoxifloxacin Hcl | 26 | $566 |
| Tobramycin | 21 | $247 |
| ErythromycinErythromycin Base | 17 | $182 |
| Latanoprost | 16 | $154 |
| Vancomycin Hcl | 20 | $98 |
Paid to pharmacies, not to this prescriber.
Other ophthalmology in Fernandina Beach
- Cathleen McCabeBradenton$2M
- Daniel KiernanSarasota$1.7M
- David EichenbaumSt Petersburg$1.7M
- Mark MilnerPalm Beach Gardens$1.2M
- Neel DesaiLargo$1M
- Jorge FortunPalm Beach Gardens$798K
- Courtney BoveeTampa$796K
- Harold BrooksTallahassee$683K
- Robert WeinstockLargo$605K
- William TrattlerMiami$579K
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.