Physician profile
John Fleming
NPI 1033192133
$3,808.26
in general payments reported to CMS, 2019-2025
10 companies · $699 in 2025
The $699 reported for 2025 was more than what 85% of Optometrist providers received nationally (typical 2025 total: $204).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $580 · 2020: $158 · 2021: $190 · 2022: $421 · 2023: $814 · 2024: $946 · 2025: $699.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $2,370 · Entertainment: $89.59.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $2,369.89 |
| Entertainment | $89.59 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Bausch & Lomb Americas INC. | $884.57 | 2022-2025 | Infuse, Miebo |
| Alcon Vision LLC | $830.59 | 2022-2025 | Wavelight Ex500 Excimer Laser, Dailies, Wavelight Refractive Suite |
| Coopervision INC. | $621.88 | 2019-2025 | Myday Contact Lens |
| Bausch & Lomb, A Division of Bausch Health US, LLC | $524.91 | 2019-2020 | |
| Lombart Brothers, INC. | $238.74 | 2025 | Opd-III |
| Glaukos Corporation | $182.41 | 2024-2025 | Idose, Idosetr |
| Maculogix, INC. | $153.87 | 2019 | |
| Sight Sciences, INC. | $148.14 | 2023 | Omni Surgical System |
| Abbvie INC. | $123.50 | 2022 | |
| Optos, INC. | $99.65 | 2020-2024 | Oct Ophthalmoscope, Panoramic Ophthalmoscope, Nfc-700 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw John Fleming listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.