Tal Rubinstein, MD
Ophthalmology · Cary, NCNPI 1376830760
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $3,668 of the $5,526 with a category attached, or 66.4%. Amgen accounts for 87.5% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2020 at $2,324 and has fallen 92.4% since, to $177 in 2025.
Across 58 payments — averaging $95.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$5K
- Alcon$242
- Biotissue Holdings Inc.$164
- Genentech USA, Inc.$135
- Spark Therapeutics, Inc.$92
- Mallinckrodt Enterprises LLC$34
- plus $22 from 1 others
What the payments were for
- Speaking & faculty fees$3,66866%
- Food & beverage$1,85834%
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 |
|---|---|---|
| Amgen(2 entities) | 50 | $4,837 |
| Alcon | 2 | $242 |
| Biotissue Holdings Inc. | 2 | $164 |
| Genentech USA, Inc. | 1 | $135 |
| Spark Therapeutics, Inc. | 1 | $92 |
| Mallinckrodt Enterprises LLC | 1 | $34 |
| Kerecis Limited | 1 | $22 |
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.
How this compares
$5,526 in reported general payments places this provider in the 80th percentile of 588 ophthalmology 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| RestasisCyclosporine | 27 | $16,755 |
| Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha | 330 | $3,675 |
| Prednisolone Acetate | 65 | $1,771 |
| ErythromycinErythromycin Base | 88 | $1,036 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 20 | $1,014 |
| MoxifloxacinMoxifloxacin Hcl | 51 | $897 |
| Doxycycline Hyclate | 35 | $218 |
| Polymyxin B Sul-TrimethoprimPolymyxin B Sulf/Trimethoprim | 24 | $178 |
| Methylprednisolone | 25 | $105 |
| Cephalexin | 23 | $82 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $71 |
| Lorazepam | 18 | $16 |
Paid to pharmacies, not to this prescriber.
Other ophthalmology in Cary
- Preeya GuptaRaleigh$1.8M
- Julie WoodwardDurham$1M
- Rajiv ShahWinston Salem$909K
- Lejla VajzovicDurham$681K
- Karl StonecipherGreensboro$653K
- Terry KimDurham$605K
- Keith WalterWinston Salem$397K
- Leon HerndonDurham$230K
- Thomas MundorfCharlotte$220K
- Glenn JaffeDurham$218K
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.