Nicholas Flebotte
Optometrist · Poland, OHNPI 1598318610
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $6,029 of the $8,530 with a category attached, or 70.7%. 20 manufacturers reported payments, led by Alcon at 30.9% of the total. Reporting peaked in 2024 at $3,220 and has fallen 85.7% since, to $461 in 2025. Among optometrist clinicians in OH 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 120 payments — averaging $71.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$3K
- Biotissue Holdings Inc.$2K
- Bausch & Lomb Americas Inc.$1K
- AbbVie$774
- Sun Pharmaceutical Industries Inc.$494
- Tarsus Pharmaceuticals, Inc.$250
- plus $1K from 14 others
What the payments were for
- Travel & lodging$2,50129%
- Food & beverage$6,02971%
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 |
|---|---|---|
| Alcon | 13 | $2,639 |
| Biotissue Holdings Inc. | 26 | $1,748 |
| Bausch & Lomb Americas Inc. | 15 | $1,379 |
| AbbVie(2 entities) | 17 | $774 |
| Sun Pharmaceutical Industries Inc. | 13 | $494 |
| Tarsus Pharmaceuticals, Inc. | 3 | $250 |
| Oyster Point Pharma, Inc. | 8 | $231 |
| Kala Pharmaceuticals, Inc. | 5 | $199 |
| Coopervision Inc. | 2 | $172 |
| Mallinckrodt Hospital Products Inc. | 3 | $114 |
| Ivantis, Inc | 1 | $87 |
| Carl Zeiss Meditec, Inc. | 1 | $87 |
| LKC Technologies, Inc. | 1 | $71 |
| Amgen | 3 | $67 |
| Lombart Brothers, Inc. | 2 | $61 |
| Rxsight Inc | 2 | $55 |
| Glaukos Corporation | 1 | $37 |
| Dompe US, Inc. | 2 | $32 |
| Alimera Sciences, Inc. | 1 | $18 |
| Thea Pharma Inc. | 1 | $15 |
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.
- Prokera$1,249
- AmnioGraft$1,249
- Hydrus Microstent$245
- LOTEMAX SM$239
- LUMIGAN$234
- DAILIES TOTAL1$131
- Precision 1$126
- INFUSE$125
- Precision7$125
- VYZULTA$120
- VUITY$119
- EYSUVIS$119
- XDEMVY$115
- INFUSE MULTIFOCAL$103
How this compares
$8,530 in reported general payments places this provider in the 95th percentile of 1,995 optometrist providers in Ohio.
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 | 21 | $316 |
Paid to pharmacies, not to this prescriber.
Other optometrist in Poland
- Mile BrujicBowling Green$1.3M
- Gregory DenaeyerColumbus$846K
- Cory LappinMontgomery$367K
- Chris SmileyColumbus$305K
- Thomas ChesterCleveland$300K
- Carly RoseCincinnati$203K
- Wendy HallierReynoldsburg$200K
- John LahrCincinnati$145K
- Erin RueffColumbus$131K
- Mary YackeyCincinnati$122K
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.