Medicare Enrolled

Dr. Nathaniel Ruttig, M.D.

Ophthalmology · Niceville, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
1480 HICKORY ST, Niceville, FL 32578
8507600500
In practice since 2005 (20 years)
NPI: 1295710127 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. Ruttig 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 →
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What this data tells you about Dr. Ruttig

Dr. Nathaniel Ruttig is an ophthalmology in Niceville, FL, with 20 years in practice. Based on federal Medicare data, Dr. Ruttig performed 8,622 Medicare services across 6,671 unique beneficiaries.

Between the years covered by Open Payments, Dr. Ruttig received a total of $2,631 from 22 pharmaceutical and/or device companies across 113 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. 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. Ruttig 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.

✓ 20 years in practice▲ Top 14% volume in FL$ $2,631 industry payments

Medicare Practice Summary

Medicare Utilization ↗
8,622
Medicare services
Top 14% in FL for ophthalmology
6,671
Unique beneficiaries
$106
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~431 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)2,149$88$190
Retinal imaging (OCT scan)1,251$28$59
Removal of recurring cataract in lens capsule using a laser918$250$489
Comprehensive eye exam, established patient893$77$184
Corneal topography and eye depth measurement698$29$60
Cataract surgery with lens implant540$408$800
Office visit, established patient (20-29 min)533$65$134
New patient office visit (45-59 min)411$114$250
Retinal photography (fundus photo)356$26$55
Visual field test, extended285$43$91
Optic nerve imaging (OCT scan)226$24$54
Comprehensive eye exam, new patient152$97$219
Exam of visual field with limited testing53$21$49
Photography of content of eyes53$16$34
Laser repair to improve eye fluid flow20$185$362
Complex removal of cataract with insertion of prosthetic lens20$560$1,096
Removal of eyelashes using forceps20$14$29
New patient office visit (30-44 min)18$80$168
Repair of brow paralysis14$599$1,120
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm12$142$288
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.
6.3% high complexity
17.1% medium
76.6% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$2,631
Total received (2018-2024)
Avg $376/year across 7 years
Top 42% in FL for ophthalmology
22
Companies
113
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
$2,631 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$372
2023
$425
2022
$322
2021
$397
2020
$643
2019
$357
2018
$113

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Kala Pharmaceuticals, Inc.
$487
Novartis Pharmaceuticals Corporation
$378
Alcon Vision LLC
$364
Horizon Therapeutics plc
$343
Sun Pharmaceutical Industries Inc.
$288
Bausch & Lomb Americas Inc.
$98
Aerie Pharmaceuticals, Inc.
$89
Amgen Inc.
$85
Bausch & Lomb, a division of Bausch Health US, LLC
$82
Allergan Inc.
$64
Tarsus Pharmaceuticals, Inc.
$59
ABBVIE INC.
$50
Allergan, Inc.
$44
Astellas Pharma US Inc
$39
SUN PHARMACEUTICAL INDUSTRIES INC.
$34
Alcon Laboratories Inc
$24
Sight Sciences, Inc.
$24
Carl Zeiss Meditec AG
$19
Merz North America, Inc.
$17
Rayner Intraocular Lenses Limited
$17
Eyevance Pharmaceuticals LLC
$13
Shire North American Group Inc
$12
Top 3 companies account for 46.7% of total payments
Associated products mentioned in payments ›
ACTIVEFOCUS · ARGOS · AcrySof · AcrySof IQ PanOptix · BROMSITE · BromSite (bromfenac ophthalmic solution) 0.075% · CEQUA · Centurion · Cequa · Clareon · DUREZOL · INVELTYS · Izervay · LUMIGAN · Luxor · MIEBO · None Specified · Omidria · RESTASIS · Rhopressa · TEPEZZA · TearCare SmartLid · VUITY · VYZULTA · XDEMVY · XELPROS · XEOMIN · XIIDRA · Zerviate · rocklatan
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $31 per 100 Medicare services performed
Looking for a ophthalmology in Niceville?
Compare ophthalmologys in the Niceville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Ophthalmologys within 10 mi
18
Per 100K population
8.4
County median income
$79,097
Nearest hospital
HCA FLORIDA TWIN CITIES HOSPITAL
0.0 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. Ruttig is a clinical cardiology specialist, with above-average Medicare volume (top 14% in FL), and low-engagement industry engagement, with 20 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. Ruttig experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Ruttig performed 2,149 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. Ruttig receive payments from pharmaceutical companies?
Yes. Dr. Ruttig received a total of $2,631 from 22 companies across 113 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. Ruttig's costs compare to other ophthalmologys in Niceville?
Dr. Ruttig's average Medicare payment per service is $106. 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. Ruttig) 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 →