Medicare Enrolled
Dr. Nicole Fram, MD
Ophthalmology · Los Angeles, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Consulting-driven
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Fram from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Fram?
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What this data tells you about Dr. Fram
Dr. Nicole Fram is an ophthalmology specialist in Los Angeles, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Fram performed 4,248 Medicare services across 3,229 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fram received a total of $350,305 from 52 pharmaceutical and/or device companies across 723 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Fram is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 18 years in practice
▲ Top 24% volume in CA
$350,305 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,248
Medicare services
Top 24% in CA for ophthalmology
3,229
Unique beneficiaries
$115
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~236 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Corneal topography and eye depth measurement This procedure measures the curvature and depth of the cornea, the clear front surface of the eye. |
789 | $21 | $60 |
| Retinal imaging (OCT scan) This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye. |
401 | $33 | $91 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
385 | $72 | $200 |
| Cataract surgery with lens implant Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision. |
373 | $434 | $1,196 |
| Ultrasound scan of cornea to determine thickness An ultrasound procedure used to measure the thickness of the cornea. |
312 | $9 | $25 |
| Laser removal of recurring cataract A laser procedure to remove a recurring cataract within the lens capsule. |
187 | $283 | $763 |
| Comprehensive eye exam, new patient A comprehensive examination of the visual system performed for a new patient. |
180 | $113 | $337 |
| Optic nerve imaging (OCT scan) Imaging of the optic nerve. |
179 | $29 | $83 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
168 | $98 | $422 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
163 | $126 | $365 |
| Comprehensive eye exam, established patient A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider. |
159 | $93 | $286 |
| Retinal photography (fundus photo) This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures. |
151 | $29 | $85 |
| Eye photography Photographic imaging of the interior structures of the eye. |
140 | $20 | $54 |
| CT scan of cornea A computed tomography scan used to create detailed images of the cornea, the clear front part of the eye. |
118 | $29 | $83 |
| Visual field test, extended A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam. |
93 | $54 | $144 |
| Insertion of drug delivery implant into tear duct A small implant containing medication is placed into the tear duct of the eye to deliver drugs directly to the eye over time. |
75 | $14 | $92 |
| Complex cataract removal with lens implant A surgical procedure to remove a cataract from the eye and insert an artificial lens to restore vision. |
55 | $589 | $1,634 |
| Slit lamp examination of the eye This procedure uses a specialized microscope to examine the front portion of the eye. |
48 | $33 | $89 |
| Tear duct plug insertion A procedure to insert a small plug into the tear duct opening to help retain tears on the eye surface. |
46 | $99 | $333 |
| Suture of iris and lens A surgical procedure to stitch the iris and lens back into place. |
38 | $319 | $1,609 |
| Prosthetic lens exchange Surgical removal of an existing artificial lens and replacement with a new one. |
33 | $743 | $1,973 |
| Vitreous removal between lens and retina This procedure involves the removal of the vitreous fluid located between the lens and the retina of the eye. |
25 | $480 | $1,969 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
25 | $44 | $126 |
| Eye exam, established patient, focused A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom. |
20 | $80 | $204 |
| Corneal transplant, outer layer Surgical procedure to replace the outer layer of the cornea with donor tissue. |
18 | $942 | $2,578 |
| Partial removal of eye fluid between lens and retina A procedure to partially remove fluid located between the lens and the retina using mechanical removal techniques. |
17 | $236 | $1,198 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
15 | $84 | $247 |
| Repositioning of lens prosthesis This procedure involves adjusting or moving an artificial lens implant to its correct position within the eye. |
12 | $529 | $1,870 |
| New patient office visit, complex (60-74 min) | 12 | $159 | $470 |
| Ultrasound of eye using water bath method An ultrasound imaging test of the eye that uses a water bath technique to visualize internal eye structures. |
11 | $51 | $173 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
9.2% high complexity
24.0% medium
66.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$350,305
Total received (2018-2024)
Avg $50,044/year across 7 years
Top 2% in CA for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
52
Companies
723
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$241,033 (68.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$97,773 (27.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$11,500 (3.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$95,621
2023
$45,984
2022
$36,390
2021
$51,584
2020
$46,581
2019
$29,450
2018
$44,696
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Alcon Vision LLC
$30,092
Alcon Research LLC
$16,225
Tarsus Pharmaceuticals, Inc.
$12,308
Carl Zeiss Meditec, Inc.
$8,208
ABBVIE INC.
$5,414
Beaver-Visitec International, Inc.
$5,200
Microsurgical Technology, Inc.
$5,000
Johnson & Johnson Surgical Vision, Inc.
$3,400
Dompe US, Inc.
$3,185
Glaukos Corporation
$2,639
RxSight Inc
$2,514
Carl Zeiss Meditec USA, Inc.
$861
Bausch & Lomb Americas Inc.
$236
SUN PHARMACEUTICAL INDUSTRIES INC.
$152
Mallinckrodt Hospital Products Inc.
$56
Oyster Point Pharma, Inc.
$40
Amgen Inc.
$25
Harrow Eye, LLC
$23
NEW WORLD MEDICAL,INC.
$23
Thea Pharma Inc.
$20
Top 3 companies account for 61.3% of 2024 payments
All-time payments by company (2018-2024) ›
Alcon Vision LLC
$95,644
Johnson & Johnson Surgical Vision, Inc.
$51,299
Alcon Research LLC
$43,748
Shire North American Group Inc
$20,736
Carl Zeiss Meditec, Inc.
$17,220
Beaver-Visitec International, Inc.
$16,120
Tarsus Pharmaceuticals, Inc.
$12,308
Microsurgical Technology, Inc.
$10,000
Glaukos Corporation
$8,384
Bausch & Lomb, a division of Bausch Health US, LLC
$7,699
Dompe US, Inc.
$7,361
Ocular Therapeutix, Inc.
$7,006
Novartis Pharmaceuticals Corporation
$6,887
ABBVIE INC.
$6,132
Alcon Laboratories Inc
$6,040
RxSight Inc
$5,124
Allergan Inc.
$4,734
NEW WORLD MEDICAL,INC.
$3,518
Sun Pharmaceutical Industries Inc.
$2,924
OPTOVUE, INC.
$2,500
GLAUKOS CORPORATION
$2,486
Carl Zeiss Meditec USA, Inc.
$2,125
Aerie Pharmaceuticals, Inc.
$1,956
Allergan, Inc.
$1,387
Alcon Research Ltd
$980
TissueTech, Inc.
$836
LENSAR, Inc.
$700
W. L. Gore & Associates, Inc.
$650
Bausch & Lomb Americas Inc.
$393
Eyevance Pharmaceuticals LLC
$359
Johnson & Johnson Vision Care, Inc.
$320
SUN PHARMACEUTICAL INDUSTRIES INC.
$265
Oyster Point Pharma, Inc.
$258
VisionCare Inc.
$241
Sight Sciences, Inc.
$232
Akorn, Inc.
$217
Optos, Inc.
$210
Omeros Corporation
$208
Lumenis BE inc
$152
Mallinckrodt LLC
$144
TearLab Corp
$127
Genentech USA, Inc.
$125
Mallinckrodt Hospital Products Inc.
$104
Horizon Therapeutics plc
$83
Thea Pharma Inc.
$82
Kala Pharmaceuticals, Inc.
$82
Stryker Corporation
$52
EyePoint Pharmaceuticals US, Inc.
$43
Quidel Corporation
$31
Mallinckrodt Enterprises LLC
$26
Amgen Inc.
$25
Harrow Eye, LLC
$23
Top 3 companies account for 54.4% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ALPHAGAN P · ALREX · ARGOS · ARTEVO 800 · AcrySof · AcrySof IQ PanOptix · AcrySof IQ PanOptix UV IOL · AcrySof IQ VIVITY · AcrySof IQ VIVITY IOL · AcrySof Toric Aspheric UV Absorbing IOL · Ahmed Glaucoma Valve · Alcon Closure Systems · AngioVue · AzaSite · BromSite (bromfenac ophthalmic solution) 0.075% · CALLISTO eye · CATALYS SYSTEM · CE-marked KXLA system · CEQUA · CEQUA (cyclosporine ophthalmic solution) 0.09% · CIRRUS 6000 with AngioPlex · CIRRUS HD-OCT · CLARUS 500 Fundus Camera · COMBIGAN · Catalys Laser System · Centurion · Cequa · Clareon · Constellation · DEXTENZA · DEXYCU · DUREZOL · DURYSTA · ENVISTA · EYSUVIS · Eye Health · FORUM · Flarex · IHEEZO · INVELTYS · IOLMaster 500 · IOLMaster 700 · ISTENT INJECT W · IYUZEH · Implantable Miniature Telescope · InflammaDry · KXL SYSTEM · KXL System · Kahook Dual Blade · LENSAR LASER SYSTEM · LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD) · LIPIFLOW SYSTEM ACTIVATOR (DISPOSABLE) · LOTEMAX · LOTEMAX GEL · LOTEMAX SM · LUMERA · LUMERA 700 · LUMIGAN · LenSx · Lucentis · MIEBO · NGENUITY · OCT OPHTHALMOSCOPE · OMNI(R) SURGICAL SYSTEM (US) · ORA · ORA System VerifEye · OXERVATE · Omidria · OptiLight · Oxervate · PROLENSA · PanOptix · Phacofragmentation Accessories · Product in Development · Prokera · QUATERA 700 · RESTASIS · RESTASIS MULTIDOSE · RXSIGHT CONTACT LENS · ReSTOR · Rhopressa · Rocklatan · SCOUTPRO · SMART Suite · SPIROX - LATERA · STELLARIS PC · SURGICAL MISC · TEARLAB OSMOLARITY SYSTEM · TECNIS IOL · TEPEZZA · TRAVATAN Z · TYRVAYA · TearCare SmartLid · Tecnis 1-piece IOL · Tecnis IOL · Tecnis Multifocal Family of 1-piece IOLS · Tecnis Simplicity · Tecnis Symfony IOL · Tecnis iTec Preloaded Delivery System · VERACITY SURGICAL · VUITY · VYZULTA · VisuMax · Wavelight Refractive Suite · Whitestart Phacoemulsficiation System · XDEMVY · XELPROS · XEN GLAUCOMA TREATMENT SYSTEM · XIIDRA · Zerviate · Zioptan · enVista MX60 IOL · iAccess Precision Blade · iDose · iStent · iStent Inject Trabecular Micro-Bypass System · iStent Trabecular Micro-Bypass System Model iS3 · iStent infinite Trabecular Micro-Bypass System Model iS3 · iStent inject Trabecular Micro-Bypass Stent System · iStent inject Trabecular Micro-Bypass System Model G2-M-IS · iStent inject W · rocklatan
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
The majority of payments (69%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 2% for ophthalmology in CA.
Geographic Context
Ophthalmologists within 10 mi
721
Per 100K population
7.3
County median income
$87,760
Nearest hospital
KAISER FOUNDATION HOSPITAL - WEST LA
2.0 mi
2.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Fram is a clinical cardiology specialist, with above-average Medicare volume (top 24% in CA), with consulting-driven industry engagement in the top 2% of CA peers, with 18 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Fram experienced with corneal topography and eye depth measurement?
Based on Medicare claims data, Dr. Fram performed 789 corneal topography and eye depth measurement services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Fram receive payments from pharmaceutical companies?
Yes. Dr. Fram received a total of $350,305 from 52 companies across 723 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Fram's costs compare to other ophthalmologists in Los Angeles?
Dr. Fram's average Medicare payment per service is $115. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Fram) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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