Healthcare provider profile · identity verified

Rustico A Ramos, M.D.

Family Practice · FARMINGTON, MO · NPI 1730166505

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	719	192
Levothyroxine Sodium	Levothyroxine Sodium	397	82
Metformin Hcl	Metformin Hcl	372	98
Omeprazole	Omeprazole	343	88
Tramadol Hcl	Tramadol Hcl	340	83
Losartan Potassium	Losartan Potassium	323	78
Amlodipine Besylate	Amlodipine Besylate	318	77
Lisinopril	Lisinopril	270	74
Metoprolol Succinate	Metoprolol Succinate	239	62
Losartan-Hydrochlorothiazide	Losartan/Hydrochlorothiazide	230	67
Gabapentin	Gabapentin	223	40
Duloxetine Hcl	Duloxetine Hcl	210	38
Montelukast Sodium	Montelukast Sodium	192	49
Jardiance	Empagliflozin	176	39
Pregabalin	Pregabalin	172	36
Carvedilol	Carvedilol	171	43
Buspirone Hcl	Buspirone Hcl	163	22
Pantoprazole Sodium	Pantoprazole Sodium	161	34
Albuterol Sulfate Hfa	Albuterol Sulfate	158	48
Tamsulosin Hcl	Tamsulosin Hcl	157	36
Trulicity	Dulaglutide	155	31
Furosemide	Furosemide	154	43
Meloxicam	Meloxicam	154	39
Famotidine	Famotidine	149	34
Fluticasone Propionate	Fluticasone Propionate	146	54
Rosuvastatin Calcium	Rosuvastatin Calcium	135	26
Hydrochlorothiazide	Hydrochlorothiazide	134	38
Allopurinol	Allopurinol	133	32
Mirtazapine	Mirtazapine	133	29
Metoprolol Tartrate	Metoprolol Tartrate	132	39
Clopidogrel	Clopidogrel Bisulfate	121	22
Finasteride	Finasteride	114	33
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	107	40
Sertraline Hcl	Sertraline Hcl	107	24
Potassium Chloride	Potassium Chloride	103	21
Fluoxetine Hcl	Fluoxetine Hcl	101	24
Mounjaro	Tirzepatide	90	21
Azithromycin	Azithromycin	86	67
Trazodone Hcl	Trazodone Hcl	86	21
Eliquis	Apixaban	85	20
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	82	23
Pravastatin Sodium	Pravastatin Sodium	82	20
Tizanidine Hcl	Tizanidine Hcl	79	19
Zolpidem Tartrate	Zolpidem Tartrate	79	21
Ropinirole Hcl	Ropinirole Hcl	73	14
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	66	19
Amitriptyline Hcl	Amitriptyline Hcl	65	15
Lisinopril-Hydrochlorothiazide	Lisinopril/Hydrochlorothiazide	65	20
Ventolin Hfa	Albuterol Sulfate	60	16
Azelastine Hcl	Azelastine Hcl	59	20
Donepezil Hcl	Donepezil Hcl	57	14
Buprenorphine-Naloxone	Buprenorphine Hcl/Naloxone Hcl	55	suppressed
Escitalopram Oxalate	Escitalopram Oxalate	55	11
Simvastatin	Simvastatin	55	14
Alprazolam	Alprazolam	54	suppressed
Warfarin Sodium	Warfarin Sodium	54	suppressed
Alendronate Sodium	Alendronate Sodium	52	15
Ibuprofen	Ibuprofen	50	suppressed
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	48	11
Isosorbide Mononitrate Er	Isosorbide Mononitrate	48	15
Venlafaxine Hcl Er	Venlafaxine Hcl	48	suppressed
Clonazepam	Clonazepam	47	11
Spironolactone	Spironolactone	46	suppressed
Prednisone	Prednisone	45	17
Ondansetron Hcl	Ondansetron Hcl	41	15
Creon	Lipase/Protease/Amylase	38	suppressed
Memantine Hcl	Memantine Hcl	37	suppressed
Lorazepam	Lorazepam	36	suppressed
Ozempic	Semaglutide	36	suppressed
Naproxen	Naproxen	35	13
Hydroxyzine Hcl	Hydroxyzine Hcl	34	suppressed
Quetiapine Fumarate	Quetiapine Fumarate	34	suppressed
Spiriva Handihaler	Tiotropium Bromide	34	suppressed
Bupropion Hcl Sr	Bupropion Hcl	33	suppressed
Fenofibrate	Fenofibrate Nanocrystallized	33	suppressed
Breo Ellipta	Fluticasone/Vilanterol	32	suppressed
Ezetimibe	Ezetimibe	32	suppressed
Xarelto	Rivaroxaban	32	suppressed
Citalopram Hbr	Citalopram Hydrobromide	31	suppressed
Enalapril Maleate	Enalapril Maleate	31	suppressed
Glimepiride	Glimepiride	31	suppressed
Nortriptyline Hcl	Nortriptyline Hcl	31	suppressed
Topiramate	Topiramate	31	11
Triamterene-Hydrochlorothiazid	Triamterene/Hydrochlorothiazid	29	suppressed
Dicyclomine Hcl	Dicyclomine Hcl	28	suppressed
Farxiga	Dapagliflozin Propanediol	28	suppressed
Irbesartan	Irbesartan	28	suppressed
Toujeo Solostar	Insulin Glargine,hum.Rec.Anlog	28	suppressed
Celecoxib	Celecoxib	27	suppressed
Triamcinolone Acetonide	Triamcinolone Acetonide	27	18
Zolpidem Tartrate Er	Zolpidem Tartrate	27	suppressed
Bupropion Hcl	Bupropion Hcl	25	suppressed
Methylprednisolone	Methylprednisolone	25	23
Atenolol	Atenolol	24	suppressed
Baclofen	Baclofen	24	suppressed
Fluticasone-Salmeterol	Fluticasone Propion/Salmeterol	24	suppressed
Nitrofurantoin Mono-Macro	Nitrofurantoin Monohyd/M-Cryst	24	20
Nitroglycerin	Nitroglycerin	24	16
Diltiazem 24hr Er (Cd)	Diltiazem Hcl	23	suppressed
Soliqua 100-33	Insulin Glargine/Lixisenatide	23	suppressed
Clonidine Hcl	Clonidine Hcl	22	suppressed
Hydralazine Hcl	Hydralazine Hcl	22	suppressed
Ondansetron Odt	Ondansetron	22	suppressed
Levetiracetam	Levetiracetam	21	suppressed
Metformin Hcl Er	Metformin Hcl	21	suppressed
Esomeprazole Magnesium	Esomeprazole Magnesium	20	suppressed
Humalog Kwikpen U-100	Insulin Lispro	20	suppressed
Mupirocin	Mupirocin	20	17
Symbicort	Budesonide/Formoterol Fumarate	20	suppressed
Ciprofloxacin Hcl	Ciprofloxacin Hcl	19	14
Metronidazole	Metronidazole	19	12
Amiodarone Hcl	Amiodarone Hcl	18	suppressed
Bupropion Xl	Bupropion Hcl	18	suppressed
Hydroxyzine Pamoate	Hydroxyzine Pamoate	18	suppressed
Solifenacin Succinate	Solifenacin Succinate	18	suppressed
Terbinafine Hcl	Terbinafine Hcl	18	suppressed
Advair Hfa	Fluticasone Propion/Salmeterol	17	suppressed
Anoro Ellipta	Umeclidinium Brm/Vilanterol Tr	17	suppressed
Fesoterodine Fumarate Er	Fesoterodine Fumarate	17	suppressed
Paroxetine Hcl	Paroxetine Hcl	17	suppressed
Pioglitazone Hcl	Pioglitazone Hcl	17	suppressed
Benazepril-Hydrochlorothiazide	Benazepril/Hydrochlorothiazide	16	suppressed
Carbidopa-Levodopa	Carbidopa/Levodopa	16	suppressed
Nystatin	Nystatin	16	15
Olanzapine	Olanzapine	16	suppressed
Primidone	Primidone	16	suppressed
Torsemide	Torsemide	16	suppressed
Zonisamide	Zonisamide	16	suppressed
Atrovent Hfa	Ipratropium Bromide	15	suppressed
Meclizine Hcl	Meclizine Hcl	15	suppressed
Myrbetriq	Mirabegron	15	suppressed
Abrysvo	Rsv Vacc, Pref A And Pref B/Pf	14	14
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	14	14
Chlorthalidone	Chlorthalidone	14	suppressed
Galantamine Er	Galantamine Hbr	14	suppressed
Invokana	Canagliflozin	14	suppressed
Premarin	Estrogens, Conjugated	14	suppressed
Arexvy	Rsvpref3 Antigen/As01e/Pf	13	13
Diclofenac Sodium	Diclofenac Sodium	13	suppressed
Eszopiclone	Eszopiclone	13	suppressed
Methimazole	Methimazole	13	suppressed
Midodrine Hcl	Midodrine Hcl	13	suppressed
Rybelsus	Semaglutide	13	suppressed
Synthroid	Levothyroxine Sodium	13	suppressed
Telmisartan	Telmisartan	13	suppressed
Valsartan-Hydrochlorothiazide	Valsartan/Hydrochlorothiazide	13	suppressed
Amoxicillin	Amoxicillin	12	11
Asa-Butalb-Caffeine-Codeine	Codeine/Butalbital/Asa/Caffein	12	suppressed
Lantus	Insulin Glargine,hum.Rec.Anlog	12	suppressed
Minocycline Hcl	Minocycline Hcl	12	12
Repatha Syringe	Evolocumab	12	suppressed
Sulfamethoxazole-Trimethoprim	Sulfamethoxazole/Trimethoprim	12	11
Sumatriptan Succinate	Sumatriptan Succinate	12	suppressed
Ultra-Fine Short Pen Needle	Pen Needle, Diabetic	12	suppressed
Valacyclovir	Valacyclovir Hcl	12	suppressed
Acyclovir	Acyclovir	11	suppressed
Lansoprazole	Lansoprazole	11	suppressed
Oxybutynin Chloride	Oxybutynin Chloride	11	suppressed
Oxybutynin Chloride Er	Oxybutynin Chloride	11	suppressed
Ultra-Fine Mini Pen Needle	Pen Needle, Diabetic	11	suppressed
Vascepa	Icosapent Ethyl	11	suppressed
Vyvanse	Lisdexamfetamine Dimesylate	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