Tearcare System
Payments companies reported to CMS as associated with Tearcare System. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Tearcare System, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Tearcare System
These are the largest totals companies reported as associated with Tearcare System. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Thomas Chester | Cleveland, OH | Optometrist | $149,204.17 |
| Jai Parekh | Woodland Park, NJ | Ophthalmology | $76,913.51 |
| Marc Bloomenstein | Scottsdale, AZ | Optometrist | $52,287.91 |
| Neel Desai | Largo, FL | Ophthalmology | $47,008.95 |
| Alana Keller | Wildwood, MO | Optometrist | $41,024.58 |
| Preeya Gupta | Raleigh, NC | Ophthalmology | $39,428.41 |
| Paul Karpecki | Lexington, KY | Optometrist | $36,488.78 |
| Damon Dierker | Indianapolis, IN | Optometrist | $35,002.65 |
| Kelly Nichols | Birmingham, AL | Optometrist | $33,919.35 |
| Derek Cunningham | Austin, TX | Optometrist | $33,765.30 |
Prescribed Tearcare System?
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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.