Thomas Spoor, MD
Ophthalmology · Warren, MINPI 1982681086
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $6,250 of the $7,025 with a category attached, or 89.0%. Bausch & Lomb, A Division Of Bausch Health US, LLC accounts for 89.0% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2019 at $6,541 and has fallen 99.3% since, to $45 in 2025. Among ophthalmology clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 35 payments — averaging $200.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bausch & Lomb, A Division Of Bausch Health US, LLC$6K
- AbbVie$209
- Amgen$162
- Ivantis, Inc$143
- Merz Pharmaceuticals, LLC$130
- Merz North America, Inc.$116
- plus $16 from 1 others
What the payments were for
- Speaking & faculty fees$6,25089%
- Food & beverage$77511%
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 |
|---|---|---|
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 2 | $6,250 |
| AbbVie(2 entities) | 11 | $209 |
| Amgen(2 entities) | 9 | $162 |
| Ivantis, Inc | 1 | $143 |
| Merz Pharmaceuticals, LLC | 5 | $130 |
| Merz North America, Inc. | 6 | $116 |
| Dompe US, Inc. | 1 | $16 |
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.
- TRULIGN TORIC$6,250
- ENVISTA$6,250
- CRYSTALENS$6,250
- VICTUS$6,250
- STELLARIS$5,000
- Hydrus$143
How this compares
$7,025 in reported general payments places this provider in the 90th percentile of 674 ophthalmology providers in Michigan.
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 ophthalmology in Warren
- Manjool ShahAnn Arbor$609K
- Gregory KatzYpsilanti$401K
- Timothy PageBirmingham$250K
- David ZacksAnn Arbor$177K
- Scott WesthouseGrand Rapids$138K
- Bret HughesDetroit$123K
- Pradeepa YoganathanDetroit$115K
- Jason MillerAnn Arbor$104K
- David TukelDearborn$91K
- Yannis PaulusAnn Arbor$85K
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.