Gaston Octavio Lacayo III, M.D.
NPI 1902937923ActiveIndividual· Ophthalmology· Miami, FL
Ophthalmology (M.D.) in Miami, Florida, trained at Ponce School of Medicine (class of 2003). Their prescriptions cost Medicare Part D more than their services did: $1,763,115 for 5,515 claims, against $129,760 paid for services in 2024. Alcon Vision LLC was the largest of 15 companies reporting payments in 2025, $2,061 in all, mostly food and beverage.
Overview
| NPI | 1902937923 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Mar 8, 2007 |
| Last updated in NPPES | Aug 17, 2020 |
| Certified by provider | Aug 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | ME95390 | FL |
| Ophthalmology | 207W00000X | 036-115366 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Ophthalmology (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 487 |
|---|---|
| Services billed | 1,240 across 30 procedure codes |
| Paid by Medicare | $129,760 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,515 · 8,708 30-day fills |
|---|---|
| Patients | 1,185 |
| Total drug cost | $1,763,115 |
| Generic share | 40% of claims |
Education and affiliations
| Medical school | Ponce School of Medicine |
|---|---|
| Graduation year | 2003 |
| Medicare specialty | Ophthalmology |
Medical group
- Center for Excellence in Eyecare PAMiami, FL · 17 clinicians
Industry payments (Open Payments)
- 2025$2,061 · 74 payments from 15 companies
- 2024$1,672 · 78 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $586.96 | 18 |
| Harrow Eye, LLC | $278.46 | 9 |
| Oyster Point Pharma, Inc. | $245.93 | 11 |
| Abbvie Inc. | $211.49 | 8 |
| Astellas Pharma US Inc | $137.41 | 4 |
What the 2025 payments were for
- Food and Beverage$2,061 · 74 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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