Healthcare provider profile · identity verified

Lionel Ramirez, MD

Allopathic & Osteopathic Physicians|General Practice · KISSIMMEE, FL · NPI 1508387200

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 Lionel Ramirez, MD received $682.87 in general payments during 2025 across 37 reported records.

AstraZeneca Pharmaceuticals LP accounted for 26.4% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 13 associated products.

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

AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 75 claims for Farxiga by this doctor in 2024.

Boehringer Ingelheim Pharmaceuticals, 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 JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 89 claims for Jardiance 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 20 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 89 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 17 claims for Mounjaro 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 TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 13 claims for Trulicity 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 47 claims for Ozempic by this doctor in 2024.

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

Payment overview · 2025

General Payments

$682.87

37 reported records · 10 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
AstraZeneca Pharmaceuticals LP Unresolved — no canonical attribution shown $179.9126.4%112025
Lilly USA, LLC Unresolved — no canonical attribution shown $90.7713.3%52025
GlaxoSmithKline, LLC. Unresolved — no canonical attribution shown $78.9711.6%42025
Novo Nordisk Inc Unresolved — no canonical attribution shown $76.6011.2%42025
Boehringer Ingelheim Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $72.0810.6%42025
Organon LLC Unresolved — no canonical attribution shown $56.088.2%22025
Bayer Healthcare Pharmaceuticals Inc. Unresolved — no canonical attribution shown $42.346.2%22025
Amgen Inc. Unresolved — no canonical attribution shown $34.315.0%22025
SHIELD THERAPEUTICS INC Unresolved — no canonical attribution shown $31.674.6%22025
Salix Pharmaceuticals, a division of Bausch Health US, LLC Unresolved — no canonical attribution shown $20.143.0%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$682.8737

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
AIRSUPRA
Normalized: airsupra
Drug AstraZeneca Pharmaceuticals LP $129.13 8 2025
Source payment records
MOUNJARO
Normalized: mounjaro
Drug Lilly USA, LLC $90.77 5 2025
Source payment records
TRELEGY ELLIPTA
Normalized: trelegy ellipta
Drug GlaxoSmithKline, LLC. $78.97 4 2025
Source payment records
Ozempic
Normalized: ozempic
Drug Novo Nordisk Inc $76.60 4 2025
Source payment records
ZEPBOUND
Normalized: zepbound
Drug Lilly USA, LLC $72.70 4 2025
Source payment records
JARDIANCE
Normalized: jardiance
Drug Boehringer Ingelheim Pharmaceuticals, Inc. $72.08 4 2025
Source payment records
Rybelsus
Normalized: rybelsus
Drug Novo Nordisk Inc $62.61 3 2025
Source payment records
FARXIGA
Normalized: farxiga
Drug AstraZeneca Pharmaceuticals LP $50.78 3 2025
Source payment records
Kerendia
Normalized: kerendia
Drug Bayer Healthcare Pharmaceuticals Inc. $42.34 2 2025
Source payment records
REPATHA
Normalized: repatha
Biological Amgen Inc. $34.31 2 2025
Source payment records
ACCRUFER
Normalized: accrufer
Drug SHIELD THERAPEUTICS INC $31.67 2 2025
Source payment records
RELISTOR
Normalized: relistor
Drug Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.14 1 2025
Source payment records
  • 2025-10-28 · Salix Pharmaceuticals, a division of Bausch Health US, LLC · $20.14 · Open Payments source
OTEZLA
Normalized: otezla
Drug Amgen Inc. $17.01 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
FARXIGA
farxiga
2025 Farxiga 2024 75 exact normalized Medicare Part D
JARDIANCE
jardiance
2025 Jardiance 2024 89 exact normalized Medicare Part D
MOUNJARO
mounjaro
2025 Mounjaro 2024 17
Beneficiary count suppressed
exact normalized Medicare Part D
Ozempic
ozempic
2025 Ozempic 2024 47 exact normalized Medicare Part D
TRELEGY ELLIPTA
trelegy ellipta
2025 Trelegy Ellipta 2024 20
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
AstraZeneca Pharmaceuticals LP
Exact reporting entity; no affiliate inference
2025 FARXIGA
open payments reported associated product
CMS Open Payments — General Payments
106133 supporting records · 42906 recipient NPIs · example record 1206131362
Farxiga · 2024
Exact normalized brand match · 1 Part D row
75 27
Boehringer Ingelheim Pharmaceuticals, Inc.
Exact reporting entity; no affiliate inference
2025 JARDIANCE
open payments reported associated product
CMS Open Payments — General Payments
123636 supporting records · 49438 recipient NPIs · example record 1221811583
Jardiance · 2024
Exact normalized brand match · 1 Part D row
89 33
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
20 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
89 33
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
17 suppressed by CMS
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 TRULICITY
open payments reported associated product
CMS Open Payments — General Payments
71 supporting records · 57 recipient NPIs · example record 1186464601
Trulicity · 2024
Exact normalized brand match · 1 Part D row
13 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
47 12

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
Atorvastatin CalciumAtorvastatin Calcium644232
Losartan PotassiumLosartan Potassium462157
Levothyroxine SodiumLevothyroxine Sodium379126
LisinoprilLisinopril358127
Metformin HclMetformin Hcl356123
Amlodipine BesylateAmlodipine Besylate334124
Rosuvastatin CalciumRosuvastatin Calcium328126
GabapentinGabapentin299119
SimvastatinSimvastatin23580
Albuterol Sulfate HfaAlbuterol Sulfate21760
MeloxicamMeloxicam19882
HydrochlorothiazideHydrochlorothiazide19773
Tamsulosin HclTamsulosin Hcl19373
OmeprazoleOmeprazole18981
Tizanidine HclTizanidine Hcl18277
FamotidineFamotidine17175
Metoprolol SuccinateMetoprolol Succinate16556
Pantoprazole SodiumPantoprazole Sodium16064
Diclofenac SodiumDiclofenac Sodium14769
Trazodone HclTrazodone Hcl14149
CarvedilolCarvedilol14049
FurosemideFurosemide14059
Metoprolol TartrateMetoprolol Tartrate13748
Vitamin D2Ergocalciferol (Vitamin D2)12844
Montelukast SodiumMontelukast Sodium12644
ClopidogrelClopidogrel Bisulfate12336
EzetimibeEzetimibe11139
AzithromycinAzithromycin11086
Pioglitazone HclPioglitazone Hcl10736
Alendronate SodiumAlendronate Sodium10235
PrednisonePrednisone10070
Buspirone HclBuspirone Hcl9741
Duloxetine HclDuloxetine Hcl9541
GlimepirideGlimepiride8932
JardianceEmpagliflozin8933
Dicyclomine HclDicyclomine Hcl7928
AlprazolamAlprazolam7823
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide7725
Tramadol HclTramadol Hcl7726
Citalopram HbrCitalopram Hydrobromide7528
FarxigaDapagliflozin Propanediol7527
Ibandronate SodiumIbandronate Sodium7430
Metformin Hcl ErMetformin Hcl7331
EliquisApixaban7228
LevofloxacinLevofloxacin7163
AllopurinolAllopurinol7020
IbuprofenIbuprofen6921
Clonidine HclClonidine Hcl6623
Azelastine HclAzelastine Hcl6331
GlipizideGlipizide6324
Pravastatin SodiumPravastatin Sodium6026
Sertraline HclSertraline Hcl6024
LantusInsulin Glargine,hum.Rec.Anlog5715
BaclofenBaclofen5327
AtenololAtenolol5218
Hydroxyzine HclHydroxyzine Hcl5219
CelecoxibCelecoxib5020
SucralfateSucralfate5016
Hydralazine HclHydralazine Hcl4821
FinasterideFinasteride4719
LovastatinLovastatin4721
OzempicSemaglutide4712
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst4642
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip4530
ClonazepamClonazepam4415
Potassium ChloridePotassium Chloride4418
CiclopiroxCiclopirox4328
Escitalopram OxalateEscitalopram Oxalate4215
Lantus SolostarInsulin Glargine,hum.Rec.Anlog4114
Benazepril HclBenazepril Hcl3914
Donepezil HclDonepezil Hcl3917
Breztri AerosphereBudesonide/Glycopyr/Formoterol38suppressed
Fluoxetine HclFluoxetine Hcl3815
TelmisartanTelmisartan3816
Fluticasone PropionateFluticasone Propionate3721
Meclizine HclMeclizine Hcl3718
Metoclopramide HclMetoclopramide Hcl3716
TemazepamTemazepam3612
Fluticasone-SalmeterolFluticasone Propion/Salmeterol35suppressed
Folic AcidFolic Acid3512
Glipizide ErGlipizide3514
Amitriptyline HclAmitriptyline Hcl3415
Venlafaxine Hcl ErVenlafaxine Hcl3411
SpironolactoneSpironolactone3312
Paroxetine HclParoxetine Hcl3214
MethocarbamolMethocarbamol3117
Nifedipine ErNifedipine31suppressed
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen31suppressed
Sildenafil CitrateSildenafil Citrate31suppressed
Enalapril MaleateEnalapril Maleate30suppressed
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide30suppressed
ValsartanValsartan3012
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav2925
Isosorbide Mononitrate ErIsosorbide Mononitrate2912
LactuloseLactulose2917
Oxybutynin ChlorideOxybutynin Chloride29suppressed
Bupropion Hcl SrBupropion Hcl2811
MirtazapineMirtazapine27suppressed
Ondansetron HclOndansetron Hcl2611
Insulin SyringeSyringe And Needle,insulin,1ml25suppressed
JanuviaSitagliptin Phosphate2511
MupirocinMupirocin2515
Sumatriptan SuccinateSumatriptan Succinate25suppressed
NitroglycerinNitroglycerin2411
Memantine HclMemantine Hcl23suppressed
Cyclobenzaprine HclCyclobenzaprine Hcl22suppressed
Doxazosin MesylateDoxazosin Mesylate22suppressed
Humulin 70-30Insulin Nph Hum/Reg Insulin Hm22suppressed
Oxybutynin Chloride ErOxybutynin Chloride22suppressed
PregabalinPregabalin22suppressed
Tramadol Hcl-AcetaminophenTramadol Hcl/Acetaminophen2213
Ammonium LactateAmmonium Lactate21suppressed
Levocetirizine DihydrochlorideLevocetirizine Dihydrochloride2112
NaproxenNaproxen21suppressed
Nurtec OdtRimegepant Sulfate21suppressed
Doxepin HclDoxepin Hcl2011
FenofibrateFenofibrate,micronized20suppressed
FluconazoleFluconazole2016
TopiramateTopiramate20suppressed
Trelegy ElliptaFluticasone/Umeclidin/Vilanter20suppressed
GemfibrozilGemfibrozil19suppressed
HydrocortisoneHydrocortisone19suppressed
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim1916
TadalafilTadalafil19suppressed
Wixela InhubFluticasone Propion/Salmeterol19suppressed
Zolpidem TartrateZolpidem Tartrate19suppressed
Amlodipine Besylate-BenazeprilAmlodipine Besylate/Benazepril18suppressed
Betamethasone ValerateBetamethasone Valerate1811
LatanoprostLatanoprost18suppressed
AmoxicillinAmoxicillin1714
Doxycycline MonohydrateDoxycycline Monohydrate1716
MounjaroTirzepatide17suppressed
Pramipexole DihydrochloridePramipexole Di-Hcl17suppressed
Ropinirole HclRopinirole Hcl17suppressed
XareltoRivaroxaban17suppressed
Humulin RInsulin Regular, Human16suppressed
ColchicineColchicine15suppressed
Novolin 70-30Insulin Nph Hum/Reg Insulin Hm15suppressed
Soliqua 100-33Insulin Glargine/Lixisenatide15suppressed
Verapamil ErVerapamil Hcl15suppressed
CholestyramineCholestyramine (With Sugar)14suppressed
Insulin SyringeSyring-Needl,disp,insul,0.3 Ml14suppressed
Labetalol HclLabetalol Hcl14suppressed
NitrofurantoinNitrofurantoin Macrocrystal1413
PentoxifyllinePentoxifylline14suppressed
RisperidoneRisperidone14suppressed
Bupropion XlBupropion Hcl13suppressed
ChlorthalidoneChlorthalidone13suppressed
Glipizide XlGlipizide13suppressed
Insulin Lispro Kwikpen U-100Insulin Lispro13suppressed
MyrbetriqMirabegron13suppressed
Triamcinolone AcetonideTriamcinolone Acetonide13suppressed
TrulicityDulaglutide13suppressed
Ultra-Fine Short Pen NeedlePen Needle, Diabetic13suppressed
Butalbital-Acetaminophen-CaffeButalb/Acetaminophen/Caffeine12suppressed
EntrestoSacubitril/Valsartan12suppressed
Irbesartan-HydrochlorothiazideIrbesartan/Hydrochlorothiazide12suppressed
LidocaineLidocaine12suppressed
Quetiapine FumarateQuetiapine Fumarate12suppressed
Terazosin HclTerazosin Hcl12suppressed
TorsemideTorsemide12suppressed
Brimonidine TartrateBrimonidine Tartrate11suppressed
Cromolyn SodiumCromolyn Sodium11suppressed
Diltiazem HclDiltiazem Hcl11suppressed
LansoprazoleLansoprazole11suppressed
Nano 2nd Gen Pen NeedlePen Needle, Diabetic11suppressed
Neomycin-Polymyxin-HcNeomycin/Polymyxin B/Hydrocort11suppressed
OlanzapineOlanzapine11suppressed
PrimidonePrimidone11suppressed
SulfasalazineSulfasalazine11suppressed
Timolol MaleateTimolol Maleate11suppressed
TradjentaLinagliptin11suppressed
Warfarin SodiumWarfarin Sodium11suppressed

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 $682.87 · 37 records AstraZeneca Pharmaceuticals LP ACCRUFER, AIRSUPRA, FARXIGA, JARDIANCE, Kerendia, MOUNJARO, OTEZLA, Ozempic, RELISTOR, REPATHA, Rybelsus, TRELEGY ELLIPTA, 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