Healthcare provider profile · identity verified

Ralph Bruce Geiger, M.D.

Allopathic & Osteopathic Physicians|Internal Medicine · SEBASTIAN, FL · NPI 1245294073

Profile state: payments and partd Open Payments: 2025 Medicare Part D: 2024 Last identity check: 2026-08-10 Page data build: 2026-08-12

Verified facts

What the public records show

CMS Open Payments records show Ralph Bruce Geiger, M.D. received $348.76 in general payments during 2025 across 15 reported records.

Phathom Pharmaceuticals, Inc. accounted for 27.1% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 15 associated products.

A separate comparison found the same explicitly named product in public Medicare Part D data: Mounjaro, Ozempic, Synthroid, Trelegy Ellipta.

ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 53 claims for Synthroid by this doctor in 2024.

Astellas Pharma US Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Myrbetriq as an associated drug or biological on 16 records involving 16 distinct recipient NPIs. Public Medicare Part D data also shows 17 claims for Myrbetriq by this doctor in 2024.

GlaxoSmithKline, LLC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported TRELEGY ELLIPTA as an associated drug or biological on 131532 records involving 37148 distinct recipient NPIs. Public Medicare Part D data also shows 15 claims for Trelegy Ellipta by this doctor in 2024.

Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 14 claims for Jardiance by this doctor in 2024.

Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 53 claims for Mounjaro by this doctor in 2024.

Novo Nordisk Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 95 claims for Ozempic by this doctor in 2024.

Novo Nordisk Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 21 claims for Rybelsus by this doctor in 2024.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

$348.76

15 reported records · 9 companies

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 companyCanonical companyAmountShareRecordsYear
Phathom Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $94.3327.1%12025
Exact Sciences Corporation Unresolved — no canonical attribution shown $72.9520.9%32025
Lilly USA, LLC Unresolved — no canonical attribution shown $46.0813.2%32025
ABBVIE INC. Unresolved — no canonical attribution shown $36.7910.6%22025
Novo Nordisk Inc Unresolved — no canonical attribution shown $31.409.0%22025
Optinose US, Inc. Unresolved — no canonical attribution shown $19.245.5%12025
Astellas Pharma US Inc Unresolved — no canonical attribution shown $18.235.2%12025
CashFlow Solutions, LLC Unresolved — no canonical attribution shown $15.724.5%12025
GlaxoSmithKline, LLC. Unresolved — no canonical attribution shown $14.024.0%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$348.7615

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 productTypeReported companyRelated amount*RecordsYear
VOQUEZNA
Normalized: voquezna
Drug Phathom Pharmaceuticals, Inc. $94.33 1 2025
Source payment records
Cologuard Collection Kit
Normalized: cologuard collection kit
Device Exact Sciences Corporation $50.46 2 2025
Source payment records
MOUNJARO
Normalized: mounjaro
Drug Lilly USA, LLC $46.08 3 2025
Source payment records
SYNTHROID
Normalized: synthroid
Drug ABBVIE INC. $36.79 2 2025
Source payment records
UBRELVY
Normalized: ubrelvy
Drug ABBVIE INC. $36.79 2 2025
Source payment records
The Cologuard Plus Collection Kit
Normalized: the cologuard plus collection kit
Device Exact Sciences Corporation $22.49 1 2025
Source payment records
Xhance
Normalized: xhance
Drug Optinose US, Inc. $19.24 1 2025
Source payment records
Veozah
Normalized: veozah
Drug Astellas Pharma US Inc $18.23 1 2025
Source payment records
ZEPBOUND
Normalized: zepbound
Drug Lilly USA, LLC $18.23 1 2025
Source payment records
Ozempic
Normalized: ozempic
Drug Novo Nordisk Inc $15.85 1 2025
Source payment records
LYMPHA PRESS OPTIMAL PLUS(US) BT
Normalized: lympha press optimal plus us bt
Device CashFlow Solutions, LLC $15.72 1 2025
Source payment records
PCD-51 731A (US) - White
Normalized: pcd 51 731a us white
Device CashFlow Solutions, LLC $15.72 1 2025
Source payment records
PCD-52 737A (US) White
Normalized: pcd 52 737a us white
Device CashFlow Solutions, LLC $15.72 1 2025
Source payment records
Wegovy
Normalized: wegovy
Drug Novo Nordisk Inc $15.55 1 2025
Source payment records
TRELEGY ELLIPTA
Normalized: trelegy ellipta
Drug GlaxoSmithKline, LLC. $14.02 1 2025
Source payment records

* 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

Open Payments productPayment yearPart D brandPart D yearClaimsMatch methodSource
MOUNJARO
mounjaro
2025 Mounjaro 2024 53
Beneficiary count suppressed
exact normalized Medicare Part D
Ozempic
ozempic
2025 Ozempic 2024 95 exact normalized Medicare Part D
SYNTHROID
synthroid
2025 Synthroid 2024 53 exact normalized Medicare Part D
TRELEGY ELLIPTA
trelegy ellipta
2025 Trelegy Ellipta 2024 15
Beneficiary count suppressed
exact normalized Medicare Part D

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.

Paying companyPayment yearDrug reported by same entityOpen Payments evidencePart DClaimsBeneficiaries
ABBVIE INC.
Exact reporting entity; no affiliate inference
2025 SYNTHROID
open payments reported associated product
CMS Open Payments — General Payments
10655 supporting records · 4881 recipient NPIs · example record 1201352636
Synthroid · 2024
Exact normalized brand match · 1 Part D row
53 13
Astellas Pharma US Inc
Exact reporting entity; no affiliate inference
2025 Myrbetriq
open payments reported associated product
CMS Open Payments — General Payments
16 supporting records · 16 recipient NPIs · example record 1238599014
Myrbetriq · 2024
Exact normalized brand match · 1 Part D row
17 suppressed by CMS
GlaxoSmithKline, LLC.
Exact reporting entity; no affiliate inference
2025 TRELEGY ELLIPTA
open payments reported associated product
CMS Open Payments — General Payments
131532 supporting records · 37148 recipient NPIs · example record 1190332369
Trelegy Ellipta · 2024
Exact normalized brand match · 1 Part D row
15 suppressed by CMS
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 JARDIANCE
open payments reported associated product
CMS Open Payments — General Payments
47708 supporting records · 23833 recipient NPIs · example record 1186464557
Jardiance · 2024
Exact normalized brand match · 1 Part D row
14 suppressed by CMS
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 MOUNJARO
open payments reported associated product
CMS Open Payments — General Payments
186719 supporting records · 66436 recipient NPIs · example record 1186464455
Mounjaro · 2024
Exact normalized brand match · 1 Part D row
53 suppressed by CMS
Novo Nordisk Inc
Exact reporting entity; no affiliate inference
2025 Ozempic
open payments reported associated product
CMS Open Payments — General Payments
261625 supporting records · 77793 recipient NPIs · example record 1188130076
Ozempic · 2024
Exact normalized brand match · 1 Part D row
95 15
Novo Nordisk Inc
Exact reporting entity; no affiliate inference
2025 Rybelsus
open payments reported associated product
CMS Open Payments — General Payments
161257 supporting records · 55409 recipient NPIs · example record 1188130076
Rybelsus · 2024
Exact normalized brand match · 1 Part D row
21 suppressed by CMS

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.

Public Medicare Part D data

Provider-and-drug rows loaded for 2024

BrandGenericClaimsBeneficiaries
Levothyroxine SodiumLevothyroxine Sodium406111
Atorvastatin CalciumAtorvastatin Calcium403121
Losartan PotassiumLosartan Potassium403116
Amlodipine BesylateAmlodipine Besylate347107
Tramadol HclTramadol Hcl34381
Metoprolol SuccinateMetoprolol Succinate33095
AlprazolamAlprazolam32881
Montelukast SodiumMontelukast Sodium315103
LisinoprilLisinopril30892
OmeprazoleOmeprazole28481
MeloxicamMeloxicam26883
Pantoprazole SodiumPantoprazole Sodium26773
Metformin HclMetformin Hcl24868
Rosuvastatin CalciumRosuvastatin Calcium23971
GabapentinGabapentin23669
SimvastatinSimvastatin23666
Tamsulosin HclTamsulosin Hcl22972
Duloxetine HclDuloxetine Hcl21855
Trazodone HclTrazodone Hcl19964
Metoprolol TartrateMetoprolol Tartrate17350
Fluticasone PropionateFluticasone Propionate15877
ClopidogrelClopidogrel Bisulfate15044
HydrochlorothiazideHydrochlorothiazide14842
Pravastatin SodiumPravastatin Sodium14445
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen13834
Potassium ChloridePotassium Chloride13850
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid13543
EliquisApixaban13434
Escitalopram OxalateEscitalopram Oxalate13146
Pioglitazone HclPioglitazone Hcl11932
FurosemideFurosemide11839
AllopurinolAllopurinol11335
OzempicSemaglutide9515
Citalopram HbrCitalopram Hydrobromide9331
AtenololAtenolol9123
Albuterol Sulfate HfaAlbuterol Sulfate9028
LorazepamLorazepam9021
FamotidineFamotidine8630
GlimepirideGlimepiride8527
Cyclobenzaprine HclCyclobenzaprine Hcl8434
MupirocinMupirocin7541
EzetimibeEzetimibe7026
Zolpidem TartrateZolpidem Tartrate6518
Metformin Hcl ErMetformin Hcl6116
ClonazepamClonazepam5715
Diclofenac SodiumDiclofenac Sodium5632
Bupropion XlBupropion Hcl5519
CarvedilolCarvedilol5314
Ciprofloxacin HclCiprofloxacin Hcl5346
DiazepamDiazepam5314
LovastatinLovastatin5315
MounjaroTirzepatide53suppressed
SynthroidLevothyroxine Sodium5313
Donepezil HclDonepezil Hcl5113
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide5116
Meclizine HclMeclizine Hcl5122
Buspirone HclBuspirone Hcl5012
Ropinirole HclRopinirole Hcl4813
Clonidine HclClonidine Hcl4615
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim4638
Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine45suppressed
FinasterideFinasteride4414
Terazosin HclTerazosin Hcl4411
IbuprofenIbuprofen4319
Oxycodone HclOxycodone Hcl41suppressed
Nifedipine ErNifedipine3911
Sertraline HclSertraline Hcl3913
Warfarin SodiumWarfarin Sodium3812
Ipratropium BromideIpratropium Bromide3712
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide36suppressed
Solifenacin SuccinateSolifenacin Succinate3615
SpironolactoneSpironolactone3611
ClonidineClonidine35suppressed
PrednisonePrednisone3516
Benazepril HclBenazepril Hcl34suppressed
Doxazosin MesylateDoxazosin Mesylate34suppressed
MethocarbamolMethocarbamol34suppressed
Oxybutynin Chloride ErOxybutynin Chloride33suppressed
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen32suppressed
Venlafaxine Hcl ErVenlafaxine Hcl32suppressed
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip3022
GemfibrozilGemfibrozil30suppressed
Lantus SolostarInsulin Glargine,hum.Rec.Anlog30suppressed
Promethazine HclPromethazine Hcl30suppressed
GlipizideGlipizide28suppressed
JanuviaSitagliptin Phosphate28suppressed
Quetiapine FumarateQuetiapine Fumarate28suppressed
Esomeprazole MagnesiumEsomeprazole Magnesium27suppressed
ValsartanValsartan26suppressed
Amitriptyline HclAmitriptyline Hcl25suppressed
DigoxinDigoxin25suppressed
Tizanidine HclTizanidine Hcl25suppressed
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav2423
PregabalinPregabalin24suppressed
TemazepamTemazepam24suppressed
Isosorbide Mononitrate ErIsosorbide Mononitrate23suppressed
Triamcinolone AcetonideTriamcinolone Acetonide23suppressed
CelecoxibCelecoxib22suppressed
Ibandronate SodiumIbandronate Sodium22suppressed
Paroxetine HclParoxetine Hcl22suppressed
FenofibrateFenofibrate21suppressed
Ondansetron HclOndansetron Hcl21suppressed
RybelsusSemaglutide21suppressed
Sildenafil CitrateSildenafil Citrate21suppressed
Alendronate SodiumAlendronate Sodium20suppressed
Amlodipine Besylate-BenazeprilAmlodipine Besylate/Benazepril20suppressed
BumetanideBumetanide20suppressed
Fluoxetine HclFluoxetine Hcl20suppressed
Hydralazine HclHydralazine Hcl20suppressed
Propranolol HclPropranolol Hcl20suppressed
PremarinEstrogens, Conjugated19suppressed
Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine18suppressed
LevetiracetamLevetiracetam18suppressed
NitroglycerinNitroglycerin1814
TelmisartanTelmisartan18suppressed
Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide18suppressed
Dicyclomine HclDicyclomine Hcl17suppressed
Diltiazem 24hr Er (Cd)Diltiazem Hcl17suppressed
Hydroxyzine HclHydroxyzine Hcl17suppressed
MyrbetriqMirabegron17suppressed
Amiodarone HclAmiodarone Hcl16suppressed
Enalapril MaleateEnalapril Maleate16suppressed
EntrestoSacubitril/Valsartan16suppressed
HydrocortisoneHydrocortisone16suppressed
Nebivolol HclNebivolol Hcl16suppressed
Sumatriptan SuccinateSumatriptan Succinate16suppressed
Bupropion Hcl SrBupropion Hcl15suppressed
Midodrine HclMidodrine Hcl15suppressed
MirtazapineMirtazapine15suppressed
Trelegy ElliptaFluticasone/Umeclidin/Vilanter15suppressed
XareltoRivaroxaban15suppressed
JantovenWarfarin Sodium14suppressed
JardianceEmpagliflozin14suppressed
Memantine HclMemantine Hcl14suppressed
MethylprednisoloneMethylprednisolone14suppressed
Pramipexole DihydrochloridePramipexole Di-Hcl14suppressed
SotalolSotalol Hcl14suppressed
SucralfateSucralfate14suppressed
Chlorhexidine GluconateChlorhexidine Gluconate13suppressed
Labetalol HclLabetalol Hcl13suppressed
LansoprazoleLansoprazole13suppressed
Oxybutynin ChlorideOxybutynin Chloride13suppressed
Zolpidem Tartrate ErZolpidem Tartrate13suppressed
Butalbital-Acetaminophen-CaffeButalb/Acetaminophen/Caffeine12suppressed
DesloratadineDesloratadine12suppressed
Propranolol Hcl ErPropranolol Hcl12suppressed
Stiolto RespimatTiotropium Br/Olodaterol Hcl12suppressed
AzithromycinAzithromycin11suppressed
BystolicNebivolol Hcl11suppressed
Candesartan CilexetilCandesartan Cilexetil11suppressed
Desvenlafaxine Succinate ErDesvenlafaxine Succinate11suppressed
LevemirInsulin Detemir11suppressed
Levocetirizine DihydrochlorideLevocetirizine Dihydrochloride11suppressed
Ondansetron OdtOndansetron11suppressed
Propafenone HclPropafenone Hcl11suppressed
Ranolazine ErRanolazine11suppressed

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.

YearGeneral PaymentsMain payerExplicit productsCompany overlapsPart D coverage
2025 $348.76 · 15 records Phathom Pharmaceuticals, Inc. Cologuard Collection Kit, LYMPHA PRESS OPTIMAL PLUS(US) BT, MOUNJARO, Ozempic, PCD-51 731A (US) - White, PCD-52 737A (US) White, SYNTHROID, TRELEGY ELLIPTA, The Cologuard Plus Collection Kit, UBRELVY, VOQUEZNA, Veozah, Wegovy, Xhance, ZEPBOUND 7
2024 Complete

Questions to ask

Questions you could discuss with your doctor

These are general questions generated from reviewed templates. They are not personalized medical advice.

Sources and limitations

How to read this page

Loaded source releases

DatasetYearPublicationSource
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

Methodology version: 2.1

Editorial template version: 2.4

Product contract version: 2.0

Schema version: 0.7.0

Page data build: 2026-08-12T23:34:59.370714+00:00

Publication policy: eligible for indexing after public-launch controls are enabled

Full methodology · Questions & answers · Report a possible error