Payment overview · 2025
General Payments
$1,683.51
17 reported records · 8 companies
Healthcare provider profile · identity verified
Robert E Downs, O.D.
Eye and Vision Services Providers|Optometrist · ANAHEIM, CA · NPI 1093899817
Verified facts
What the public records show
CMS Open Payments records show Robert E Downs, O.D. received $1,683.51 in general payments during 2025 across 17 reported records.
Glaukos Corporation accounted for 25.1% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 22 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Glaukos Corporation | Unresolved — no canonical attribution shown | $421.74 | 25.1% | 3 | 2025 |
| Bausch & Lomb Americas Inc. | Unresolved — no canonical attribution shown | $327.20 | 19.4% | 4 | 2025 |
| Alcon Vision LLC | Unresolved — no canonical attribution shown | $316.74 | 18.8% | 3 | 2025 |
| CooperVision Inc. | Unresolved — no canonical attribution shown | $178.06 | 10.6% | 2 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $125.00 | 7.4% | 1 | 2025 |
| Optos, Inc. | Unresolved — no canonical attribution shown | $124.94 | 7.4% | 2 | 2025 |
| Apellis Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $114.73 | 6.8% | 1 | 2025 |
| RxSight Inc | Unresolved — no canonical attribution shown | $75.10 | 4.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,558.57 | 15 |
| Entertainment | $124.94 | 2 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| Photrexa Viscous and Photrexa Normalized: photrexa viscous and photrexa |
Drug | Glaukos Corporation | $293.87 | 2 | 2025 |
Source payment records
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| XIIDRA Normalized: xiidra |
Drug | Bausch & Lomb Americas Inc. | $267.67 | 3 | 2025 |
Source payment records
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| MIEBO Normalized: miebo |
Drug | Bausch & Lomb Americas Inc. | $249.88 | 2 | 2025 |
Source payment records
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| KXL system (not refurbished) Normalized: kxl system not refurbished |
Device | Glaukos Corporation | $174.76 | 1 | 2025 |
Source payment records
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| DAILIES TOTAL1 Normalized: dailies total1 |
Device | Alcon Vision LLC | $130.62 | 1 | 2025 |
Source payment records
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| iDoseTR Normalized: idosetr |
Drug | Glaukos Corporation | $127.87 | 1 | 2025 |
Source payment records
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| iStent infinite Normalized: istent infinite |
Device | Glaukos Corporation | $127.87 | 1 | 2025 |
Source payment records
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| DURYSTA Normalized: durysta |
Drug | ABBVIE INC. | $125.00 | 1 | 2025 |
Source payment records
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| NFC-700 Normalized: nfc 700 |
Device | Optos, Inc. | $124.94 | 2 | 2025 |
Source payment records
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| OCT OPHTHALMOSCOPE Normalized: oct ophthalmoscope |
Device | Optos, Inc. | $124.94 | 2 | 2025 |
Source payment records
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| PANORAMIC OPHTHALMOSCOPE Normalized: panoramic ophthalmoscope |
Device | Optos, Inc. | $124.94 | 2 | 2025 |
Source payment records
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| Precision7 Normalized: precision7 |
Device | Alcon Vision LLC | $121.84 | 1 | 2025 |
Source payment records
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| Syfovre Normalized: syfovre |
Drug | Apellis Pharmaceuticals, Inc. | $114.73 | 1 | 2025 |
Source payment records
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| MiSight Contact Lens Normalized: misight contact lens |
Device | CooperVision Inc. | $102.70 | 1 | 2025 |
Source payment records
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| MyDay Contact Lens Normalized: myday contact lens |
Device | CooperVision Inc. | $75.36 | 1 | 2025 |
Source payment records
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| LIGHT ADJUSTABLE LENS (LAL) Normalized: light adjustable lens lal |
Device | RxSight Inc | $75.10 | 1 | 2025 |
Source payment records
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| RXSIGHT CONTACT LENS Normalized: rxsight contact lens |
Device | RxSight Inc | $75.10 | 1 | 2025 |
Source payment records
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| RXSIGHT INJECTOR CARTRIDGE Normalized: rxsight injector cartridge |
Device | RxSight Inc | $75.10 | 1 | 2025 |
Source payment records
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| RXSIGHT INJECTOR HANDPIECE Normalized: rxsight injector handpiece |
Device | RxSight Inc | $75.10 | 1 | 2025 |
Source payment records
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| RXSIGHT LIGHT DELIVERY DEVICE (LDD) Normalized: rxsight light delivery device ldd |
Device | RxSight Inc | $75.10 | 1 | 2025 |
Source payment records
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| WaveLight EX500 Excimer Laser Normalized: wavelight ex500 excimer laser |
Device | Alcon Vision LLC | $64.28 | 1 | 2025 |
Source payment records
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| INFUSE Normalized: infuse |
Device | Bausch & Lomb Americas Inc. | $59.53 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $1,683.51 · 17 records | Glaukos Corporation | DAILIES TOTAL1, DURYSTA, INFUSE, KXL system (not refurbished), LIGHT ADJUSTABLE LENS (LAL), MIEBO, MiSight Contact Lens, MyDay Contact Lens, NFC-700, OCT OPHTHALMOSCOPE, PANORAMIC OPHTHALMOSCOPE, Photrexa Viscous and Photrexa, Precision7, RXSIGHT CONTACT LENS, RXSIGHT INJECTOR CARTRIDGE, RXSIGHT INJECTOR HANDPIECE, RXSIGHT LIGHT DELIVERY DEVICE (LDD), Syfovre, WaveLight EX500 Excimer Laser, XIIDRA, iDoseTR, iStent infinite | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error