Spiro Combest, MD
NPI 1194934216ActiveIndividual· Ophthalmology· Westport, CT
Ophthalmology (MD) with Richard A Fichman MD PC, practicing in Westport, Connecticut. Their prescriptions cost Medicare Part D more than their services did: $168,145 for 925 claims, against $75,915 paid for services in 2024. Abbvie Inc. was the largest of 9 companies reporting payments in 2024, $533.17 in all, mostly food and beverage. Lists Bridgeport Hospital as a hospital affiliation.
Overview
| NPI | 1194934216 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 22, 2007 |
| Last updated in NPPES | Nov 16, 2021 |
| Certified by provider | Nov 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 045296 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Ophthalmology (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 540 |
|---|---|
| Services billed | 1,316 across 21 procedure codes |
| Paid by Medicare | $75,915 |
Part D prescriptions in 2024
| Prescriptions (claims) | 925 · 1,313 30-day fills |
|---|---|
| Patients | 409 |
| Total drug cost | $168,145 |
| Generic share | 56% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Ophthalmology |
Medical group
- Richard A Fichman MD PCWestport, CT · 3 clinicians
Hospital affiliation
- Bridgeport HospitalBridgeport, CT
Industry payments (Open Payments)
- 2024$533.17 · 16 payments from 9 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $198.10 | 6 |
| Alcon Vision LLC | $83.33 | 1 |
| Rayner Intraocular Lenses Limited | $63.97 | 2 |
| Tarsus Pharmaceuticals, Inc. | $53.03 | 2 |
| Bausch & Lomb Americas Inc. | $41.67 | 1 |
What the 2024 payments were for
- Food and Beverage$533.17 · 16 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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