Medicare Enrolled

Dr. Ricardo Nieves Ramos, M.D.

Pain Medicine · Altamonte Springs, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
659 DOUGLAS AVE, Altamonte Springs, FL 32714
4072875240
In practice since 2007 (18 years)
NPI: 1639370398 verify on NPPES ↗
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. Nieves Ramos 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. Nieves Ramos? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Nieves Ramos

Dr. Ricardo Nieves Ramos is a pain medicine in Altamonte Springs, FL, with 18 years in practice. Based on federal Medicare data, Dr. Nieves Ramos performed 316 Medicare services across 283 unique beneficiaries.

Between the years covered by Open Payments, Dr. Nieves Ramos received a total of $21,032 from 52 pharmaceutical and/or device companies across 491 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Nieves Ramos is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years in practice▲ 316 Medicare services$ $21,032 industry payments

Medicare Practice Summary

Medicare Utilization ↗
316
Medicare services
Bottom 28% in FL for pain medicine
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
283
Unique beneficiaries
$91
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~18 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)91$98$1,001
Office visit, established patient (20-29 min)62$70$727
Drug screening test47$61$464
New patient office visit (30-44 min)40$86$906
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms39$112$400
New patient office visit (45-59 min)37$127$1,332
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$21,032
Total received (2018-2024)
Avg $3,005/year across 7 years
Top 7% in FL for pain medicine
52
Companies
491
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.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$20,879 (99.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$153 (0.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,582
2023
$695
2022
$4,454
2021
$250
2020
$2,980
2019
$7,328
2018
$3,743

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Nevro Corp.
$8,149
MML US, Inc.
$3,067
BIONESS INC
$1,363
Vertiflex, Inc.
$1,181
Abbott Laboratories
$922
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$787
Nalu Medical, Inc.
$472
Vertos Medical, Inc.
$416
Collegium Pharmaceutical, Inc.
$396
Boston Scientific Corporation
$390
Piramal Critical Care
$379
Zyla Life Sciences, Inc.
$327
ABBVIE INC.
$249
Spinal Simplicity, LLC
$247
Stimwave Technologies Incorporated
$244
Stryker Corporation
$213
Medtronic, Inc.
$183
Scilex Pharmaceuticals Inc.
$170
Daiichi Sankyo Inc.
$165
Curonix LLC
$153
Zyla Life Sciences
$151
SCILEX PHARMACEUTICALS INC.
$133
Egalet US Inc
$110
Lilly USA, LLC
$100
Allergan Inc.
$92
Medtronic USA, Inc.
$74
Galderma Laboratories, L.P.
$72
ARBOR PHARMACEUTICALS, INC.
$64
Pernix Therapeutics Holdings, Inc.
$57
BOSTON SCIENTIFIC CORPORATION
$52
Novartis Pharmaceuticals Corporation
$52
Electronic Waveform Lab, Inc.
$45
PROTEGA PHARMACEUTIALS INC
$45
Jazz Pharmaceuticals Inc.
$44
Teva Pharmaceuticals USA, Inc.
$42
Flexion Therapeutics, Inc.
$42
Assertio Therapeutics, Inc.
$41
SPR Therapeutics, Inc
$37
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$34
Shionogi Inc
$33
ASSERTIO THERAPEUTICS, Inc.
$30
Purdue Pharma L.P.
$27
GRT US Holding, Inc.
$25
Allergan, Inc.
$24
Flowonix Medical Incorporated
$20
BioDelivery Sciences International, Inc.
$20
Relievant Medsystems, Inc.
$20
PFIZER INC.
$18
ConvaTec Inc.
$16
Amgen Inc.
$16
AstraZeneca Pharmaceuticals LP
$12
Arbor Pharmaceuticals, Inc.
$12
Top 3 companies account for 59.8% of total payments
Associated products mentioned in payments ›
ACCURIAN · AIMOVIG · AJOVY · AQUACEL AG+ EXTRA · ARYMO ER · AXIUM · Aimovig · BELBUCA · BOTOX · BOTOX THERAPEUTIC · BUNAVAIL 2.1 mg 30-count box · Belbuca · CFNS StimQ Peripheral Nerve StimulatorSystem · EMGALITY · ETERNA · GABLOFEN 1 mL in 1 SYRINGE · GENERAL PAIN MANAGEMENT · GLASS · GRALISE · Gralise · HA MINUTEMAN G3-R · Horizant · INTELLIS · INTELLIS ADAPTIVESTIM · Intracept · LUCEMYRA · LYRICA · MOVANTIK · Minuteman · Morphabond ER · Nalu Neurostimulation System · Nucynta · OZARK CERVICAL PLATE SYSTEM · Omnia · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCLAIM · Prialt · Proclaim Family of SCS IPGs · Prometra II · QULIPTA · Qutenza · RELISTOR · RELISTOR ORAL · RESTORE · ROXYBOND · ReActiv8 · SPECTRA WAVEWRITER · SPINEJACK · SPRINT PNS System · SPRIX · SUPERION · SYMPROIC · Senza · Senza Spinal Cord Stimulation System · StimQ Peripheral Nerve StimulatorSystem · StimQ Receiver Stimulator Kit Channel A US w Receiver · StimQ Receiver Stimulator Kit Channel A US w/Receiver · StimRouter for pain · Stimrouter for pain · Superion ISS · Symproic · UBRELVY · VERTIFLEX SUPERION · VRAYLAR · WaveWriter Alpha Prime 16 · XTAMPZA · XTAMPZAER · Xtampza ER · ZIPSOR · ZOHYDRO ER · ZORVOLEX · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · Zipsor · mild Device Kit
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 →

Most payments (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 7% for pain medicine in FL.

Equivalent to $6,656 per 100 Medicare services performed
Looking for a pain medicine in Altamonte Springs?
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Geographic Context

Pain Medicines within 10 mi
23
Per 100K population
4.8
County median income
$83,030
Nearest hospital
ASPIRE HEALTH PARTNERS
6.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Nieves Ramos is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (low-engagement, top 7%), with 18 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Nieves Ramos experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Nieves Ramos performed 91 office visit, established patient (30-39 min) 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. Nieves Ramos receive payments from pharmaceutical companies?
Yes. Dr. Nieves Ramos received a total of $21,032 from 52 companies across 491 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. Nieves Ramos's costs compare to other pain medicines in Altamonte Springs?
Dr. Nieves Ramos's average Medicare payment per service is $91. 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. Nieves Ramos) 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 →
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. The Transparency Score measures 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →