Nicholas Risbrudt, OD
Optometrist · West Fargo, NDNPI 1275193864
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.0% of the total across 158 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 26 manufacturers, the largest accounting for just 21.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $808, 8.3 times the $97 reported in 2019. Among optometrist clinicians in ND 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 158 payments — averaging $22.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$755
- Mallinckrodt Hospital Products Inc.$687
- Alcon$452
- Glaukos Corporation$246
- Tarsus Pharmaceuticals, Inc.$228
- Sun Pharmaceutical Industries Inc.$161
- plus $1K from 20 others
What the payments were for
- Consulting fees$501%
- Food & beverage$3,39796%
- Education$933%
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) | 37 | $755 |
| Mallinckrodt Hospital Products Inc. | 26 | $687 |
| Alcon | 19 | $452 |
| Glaukos Corporation | 10 | $246 |
| Tarsus Pharmaceuticals, Inc. | 9 | $228 |
| Sun Pharmaceutical Industries Inc. | 8 | $161 |
| Amgen(2 entities) | 8 | $148 |
| Oyster Point Pharma, Inc. | 5 | $123 |
| Dompe US, Inc. | 6 | $120 |
| Sight Sciences, Inc. | 5 | $75 |
| Novartis | 3 | $69 |
| Aerie Pharmaceuticals, Inc. | 2 | $68 |
| Carl Zeiss Meditec USA, Inc. | 1 | $58 |
| Ocular Therapeutix, Inc. | 1 | $50 |
| Harrow Eye, LLC | 2 | $45 |
| Rxsight Inc | 2 | $45 |
| Bausch & Lomb Americas Inc. | 2 | $36 |
| The Cameron-ehlen Group, Inc. | 2 | $31 |
| Biotissue Holdings Inc. | 2 | $29 |
| NEW World Medical,inc. | 2 | $23 |
| Apellis Pharmaceuticals, Inc. | 1 | $21 |
| Johnson & Johnson Vision Care, Inc. | 1 | $19 |
| Rayner Intraocular Lenses Limited | 1 | $19 |
| Johnson & Johnson Surgical Vision, Inc. | 1 | $16 |
| Omeros Corporation | 1 | $12 |
| LKC Technologies, Inc. | 1 | $5 |
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.
- ACTHAR$122
How this compares
$3,540 in reported general payments places this provider in the 95th percentile of 179 optometrist providers in North Dakota.
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 |
|---|---|---|
| RestasisCyclosporine | 17 | $17,366 |
| RhopressaNetarsudil Mesylate | 34 | $13,503 |
| Difluprednate | 77 | $10,268 |
| RocklatanNetarsudil Mesylat/Latanoprost | 26 | $8,817 |
| LumiganBimatoprost | 15 | $8,383 |
| CombiganBrimonidine Tartrate/Timolol | 23 | $6,058 |
| Prednisolone Acetate | 70 | $3,257 |
| SimbrinzaBrinzolamide/Brimonidine Tart | 15 | $3,050 |
| Latanoprost | 103 | $1,812 |
| Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol | 11 | $1,601 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 46 | $954 |
| MoxifloxacinMoxifloxacin Hcl | 28 | $553 |
| Brimonidine Tartrate | 15 | $529 |
| Timolol Maleate | 23 | $311 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AbbVieRestasis, Lumigan, Combigan | $755 | $31,80755 claims |
| Aerie Pharmaceuticals, Inc.Rhopressa, Rocklatan | $68 | $22,31960 claims |
| AlconSimbrinza | $452 | $3,05015 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 179 optometrist providers in North Dakota.
Other optometrist in West Fargo
- Brooke MesserWest Fargo$263K
- Christian PrattWest Fargo$6K
- Seth StofferahnWest Fargo$3K
- Madison BoshWest Fargo$985
- Dori CarlsonPark River$19K
- Melissa McCulleyFargo$6K
- Jordan MuirFargo$6K
- William RobisonFargo$4K
- Megan HueskeRichardton$4K
- Adam MotacekFargo$3K
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.