Joseph Ruggiero, MD
Otolaryngology · Orange Park, FLNPI 1346221348
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.7% of the total across 26 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 10 manufacturers reported payments, led by Medtronic at 38.3% of the total. Reporting peaked in 2019 at $202 and has fallen 69.4% since, to $62 in 2025. That places this record below the midpoint for otolaryngology clinicians in FL, where the typical reported total is $1,552.
Across 26 payments — averaging $25.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$255
- Aerin Medical Inc.$86
- Sanofi$81
- Stryker$53
- Optinose US, Inc.$51
- Novartis$39
- plus $100 from 4 others
What the payments were for
- Travel & lodging$223%
- Food & beverage$64497%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Medtronic | 7 | $255 |
| Aerin Medical Inc. | 3 | $86 |
| Sanofi | 3 | $81 |
| Stryker | 3 | $53 |
| Optinose US, Inc. | 3 | $51 |
| Novartis | 2 | $39 |
| GSK | 2 | $35 |
| Regeneron Healthcare Solutions, Inc. | 1 | $31 |
| Acclarent, Inc | 1 | $17 |
| Intersect ENT, Inc. | 1 | $17 |
How this compares
$666 in reported general payments places this provider in the 30th percentile of 586 otolaryngology providers in Florida.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ipratropium Bromide | 127 | $3,358 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 13 | $1,464 |
| Pilocarpine Hcl | 50 | $996 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 29 | $715 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 27 | $267 |
| Doxycycline Hyclate | 21 | $238 |
| Amoxicillin | 32 | $142 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Orange Park
- Nicholas HerreroOrange Park$27K
- Raja SawhneyOrange Park$19K
- Cecelia DamaskOrlando$707K
- Ralph TufanoSarasota$469K
- Franklin RimellFort Myers$314K
- David BrodnerBoynton Beach$209K
- Maria SuurnaMiami$189K
- Jane DillonOrmond Beach$180K
- Jeb JusticeGainesville$142K
- Indranil DebnathWinter Park$109K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.