Healthcare provider profile · identity verified

Ryan Nightingale, MD

Family Practice · WELLSVILLE, NY · NPI 1659937985

Profile state: partd only 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

We did not find matching Open Payments records for this doctor in 2025.

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

Payment overview · 2025

General Payments

We did not find matching Open Payments records for this doctor in the selected program year.

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.

Analysis 1 · Payment-linked products

Products named in Open Payments records

No payment-linked product analysis is available because no matching General Payment records were found for the selected year.

Public prescribing for products named in payments

There is no explicit payment-product set available for a Part D comparison.

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.

There is no payer-company set available for this comparison.

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

Brand	Generic	Claims	Beneficiaries
Atorvastatin Calcium	Atorvastatin Calcium	501	169
Omeprazole	Omeprazole	387	139
Lisinopril	Lisinopril	368	133
Levothyroxine Sodium	Levothyroxine Sodium	354	123
Rosuvastatin Calcium	Rosuvastatin Calcium	348	110
Amlodipine Besylate	Amlodipine Besylate	318	110
Metoprolol Succinate	Metoprolol Succinate	306	97
Gabapentin	Gabapentin	275	83
Albuterol Sulfate Hfa	Albuterol Sulfate	236	77
Pantoprazole Sodium	Pantoprazole Sodium	229	56
Tamsulosin Hcl	Tamsulosin Hcl	208	74
Simvastatin	Simvastatin	182	58
Metformin Hcl	Metformin Hcl	176	65
Alendronate Sodium	Alendronate Sodium	174	51
Losartan Potassium	Losartan Potassium	170	52
Furosemide	Furosemide	160	59
Eliquis	Apixaban	136	48
Duloxetine Hcl	Duloxetine Hcl	133	45
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	128	30
Pregabalin	Pregabalin	126	30
Sertraline Hcl	Sertraline Hcl	119	40
Famotidine	Famotidine	112	25
Lisinopril-Hydrochlorothiazide	Lisinopril/Hydrochlorothiazide	111	35
Hydrochlorothiazide	Hydrochlorothiazide	107	41
Tramadol Hcl	Tramadol Hcl	107	33
Trazodone Hcl	Trazodone Hcl	106	34
Metoprolol Tartrate	Metoprolol Tartrate	103	38
Ozempic	Semaglutide	103	28
Fluticasone Propionate	Fluticasone Propionate	101	52
Metformin Hcl Er	Metformin Hcl	97	34
Montelukast Sodium	Montelukast Sodium	96	33
Jardiance	Empagliflozin	91	29
Meloxicam	Meloxicam	90	30
Alprazolam	Alprazolam	88	31
Hydroxyzine Hcl	Hydroxyzine Hcl	87	34
Potassium Chloride	Potassium Chloride	87	36
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	80	37
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	80	30
Oxycodone Hcl	Oxycodone Hcl	80	20
Zolpidem Tartrate	Zolpidem Tartrate	79	18
Venlafaxine Hcl Er	Venlafaxine Hcl	72	22
Escitalopram Oxalate	Escitalopram Oxalate	69	27
Trulicity	Dulaglutide	69	16
Warfarin Sodium	Warfarin Sodium	67	18
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	66	17
Clopidogrel	Clopidogrel Bisulfate	63	22
Fluoxetine Hcl	Fluoxetine Hcl	61	21
Ezetimibe	Ezetimibe	59	21
Diclofenac Sodium	Diclofenac Sodium	56	32
Prednisone	Prednisone	55	32
Allopurinol	Allopurinol	52	19
Finasteride	Finasteride	50	14
Pravastatin Sodium	Pravastatin Sodium	48	18
Glimepiride	Glimepiride	47	19
Hydralazine Hcl	Hydralazine Hcl	47	suppressed
Spironolactone	Spironolactone	47	17
Amlodipine Besylate-Benazepril	Amlodipine Besylate/Benazepril	46	16
Ropinirole Hcl	Ropinirole Hcl	45	16
Buspirone Hcl	Buspirone Hcl	42	suppressed
Myrbetriq	Mirabegron	42	suppressed
Anoro Ellipta	Umeclidinium Brm/Vilanterol Tr	40	13
Levocetirizine Dihydrochloride	Levocetirizine Dihydrochloride	40	11
Lorazepam	Lorazepam	40	suppressed
Celecoxib	Celecoxib	37	12
Xarelto	Rivaroxaban	37	11
Amitriptyline Hcl	Amitriptyline Hcl	36	suppressed
Bupropion Hcl Sr	Bupropion Hcl	36	suppressed
Triamcinolone Acetonide	Triamcinolone Acetonide	36	29
Carvedilol	Carvedilol	35	11
Isosorbide Mononitrate Er	Isosorbide Mononitrate	35	11
Mirtazapine	Mirtazapine	35	16
Quetiapine Fumarate	Quetiapine Fumarate	34	15
Chlorthalidone	Chlorthalidone	33	12
Clonazepam	Clonazepam	33	suppressed
Ondansetron Odt	Ondansetron	33	12
Topiramate	Topiramate	33	11
Diltiazem 24hr Er (Cd)	Diltiazem Hcl	32	12
Mounjaro	Tirzepatide	31	suppressed
Azithromycin	Azithromycin	30	26
Clonidine Hcl	Clonidine Hcl	30	suppressed
Propranolol Hcl	Propranolol Hcl	30	suppressed
Baclofen	Baclofen	29	suppressed
Doxazosin Mesylate	Doxazosin Mesylate	28	suppressed
Torsemide	Torsemide	28	14
Januvia	Sitagliptin Phosphate	27	suppressed
Mometasone Furoate	Mometasone Furoate	27	15
Ventolin Hfa	Albuterol Sulfate	27	suppressed
Tizanidine Hcl	Tizanidine Hcl	26	suppressed
Breztri Aerosphere	Budesonide/Glycopyr/Formoterol	25	suppressed
Cephalexin	Cephalexin	25	21
Ipratropium Bromide	Ipratropium Bromide	25	12
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	24	21
Fluticasone-Salmeterol	Fluticasone Propion/Salmeterol	24	13
Doxycycline Hyclate	Doxycycline Hyclate	23	19
Gemfibrozil	Gemfibrozil	23	suppressed
Naproxen	Naproxen	23	14
Olmesartan-Hydrochlorothiazide	Olmesartan/Hydrochlorothiazide	23	suppressed
Labetalol Hcl	Labetalol Hcl	22	suppressed
Lactulose	Lactulose	22	suppressed
Lansoprazole	Lansoprazole	22	suppressed
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	22	suppressed
Propranolol Hcl Er	Propranolol Hcl	22	suppressed
Atenolol	Atenolol	21	suppressed
Benazepril Hcl	Benazepril Hcl	21	suppressed
Bupropion Xl	Bupropion Hcl	21	suppressed
Citalopram Hbr	Citalopram Hydrobromide	21	suppressed
Donepezil Hcl	Donepezil Hcl	21	suppressed
Oxybutynin Chloride Er	Oxybutynin Chloride	21	suppressed
Tradjenta	Linagliptin	21	suppressed
Breo Ellipta	Fluticasone/Vilanterol	20	suppressed
Humalog Kwikpen U-100	Insulin Lispro	20	suppressed
Olmesartan Medoxomil	Olmesartan Medoxomil	20	suppressed
Ramelteon	Ramelteon	20	suppressed
Valsartan	Valsartan	20	suppressed
Cilostazol	Cilostazol	19	suppressed
Esomeprazole Magnesium	Esomeprazole Magnesium	19	suppressed
Irbesartan	Irbesartan	19	suppressed
Losartan-Hydrochlorothiazide	Losartan/Hydrochlorothiazide	19	suppressed
Methotrexate	Methotrexate Sodium	19	suppressed
Paroxetine Hcl	Paroxetine Hcl	19	suppressed
Rybelsus	Semaglutide	19	suppressed
Synthroid	Levothyroxine Sodium	19	suppressed
Combivent Respimat	Ipratropium/Albuterol Sulfate	18	suppressed
Nitrofurantoin Mono-Macro	Nitrofurantoin Monohyd/M-Cryst	18	15
Ondansetron Hcl	Ondansetron Hcl	18	suppressed
Hydroxychloroquine Sulfate	Hydroxychloroquine Sulfate	17	suppressed
Wixela Inhub	Fluticasone Propion/Salmeterol	17	suppressed
Alfuzosin Hcl Er	Alfuzosin Hcl	16	suppressed
Fluconazole	Fluconazole	16	suppressed
Sucralfate	Sucralfate	16	suppressed
Synjardy	Empagliflozin/Metformin Hcl	16	suppressed
Testosterone Cypionate	Testosterone Cypionate	16	suppressed
Triamterene-Hydrochlorothiazid	Triamterene/Hydrochlorothiazid	16	suppressed
Basaglar Kwikpen U-100	Insulin Glargine,hum.Rec.Anlog	15	suppressed
Colesevelam Hcl	Colesevelam Hcl	15	suppressed
Diazepam	Diazepam	15	suppressed
Novolog Flexpen	Insulin Aspart	15	suppressed
Repatha Sureclick	Evolocumab	15	suppressed
Sumatriptan Succinate	Sumatriptan Succinate	15	11
Ultra-Fine Mini Pen Needle	Pen Needle, Diabetic	15	suppressed
Fenofibrate	Fenofibrate Nanocrystallized	14	suppressed
Ibandronate Sodium	Ibandronate Sodium	14	suppressed
Invokana	Canagliflozin	14	suppressed
Lovastatin	Lovastatin	14	suppressed
Methocarbamol	Methocarbamol	14	suppressed
Pioglitazone Hcl	Pioglitazone Hcl	14	suppressed
Spiriva Handihaler	Tiotropium Bromide	14	suppressed
Spiriva Respimat	Tiotropium Bromide	14	suppressed
Creon	Lipase/Protease/Amylase	13	suppressed
Insulin Lispro Kwikpen U-100	Insulin Lispro	13	suppressed
Sulfamethoxazole-Trimethoprim	Sulfamethoxazole/Trimethoprim	13	11
Tiotropium Bromide	Tiotropium Bromide	13	suppressed
Tolterodine Tartrate Er	Tolterodine Tartrate	13	suppressed
Amoxicillin	Amoxicillin	12	suppressed
Carbidopa-Levodopa	Carbidopa/Levodopa	12	suppressed
Clobetasol Propionate	Clobetasol Propionate	12	suppressed
Desvenlafaxine Succinate Er	Desvenlafaxine Succinate	12	suppressed
Digoxin	Digoxin	12	suppressed
Ibuprofen	Ibuprofen	12	suppressed
Nitroglycerin	Nitroglycerin	12	suppressed
Promethazine Hcl	Promethazine Hcl	12	suppressed
Ramipril	Ramipril	12	suppressed
Risedronate Sodium	Risedronate Sodium	12	suppressed
Roflumilast	Roflumilast	12	suppressed
Temazepam	Temazepam	12	suppressed
Xifaxan	Rifaximin	12	suppressed
Estradiol	Estradiol	11	suppressed
Fenofibrate	Fenofibrate	11	suppressed
Fentanyl	Fentanyl	11	suppressed
Folic Acid	Folic Acid	11	suppressed
Repaglinide	Repaglinide	11	suppressed
Tresiba Flextouch U-200	Insulin Degludec	11	suppressed
Valsartan-Hydrochlorothiazide	Valsartan/Hydrochlorothiazide	11	suppressed
Xtampza Er	Oxycodone Myristate	11	suppressed

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.

Year	General Payments	Main payer	Explicit products	Company overlaps	Part D coverage
2025	—	—	—	—	—
2024	—	—	—	—	Complete

Questions to ask

Questions you could discuss with your doctor

Are there reasonable alternatives I should understand when we discuss treatment options?
How should I interpret the industry-payment records shown here in the context of my care?

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

Sources and limitations

How to read this page

Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.

Loaded source releases

Dataset	Year	Publication	Source
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