Nathaniel Ruttig, MD
Ophthalmology · Niceville, FLNPI 1295710127
Payments from drug & device makers
Across 140 payments — averaging $25.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$818
- Amgen$517
- Kala Pharmaceuticals, Inc.$487
- Novartis$378
- Sun Pharmaceutical Industries Inc.$294
- Harrow Eye, LLC$220
- plus $857 from 15 others
What the payments were for
- Food & beverage$3,53399%
- Education$180%
- Gifts$191%
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 |
|---|---|---|
| Alcon | 38 | $818 |
| Amgen(2 entities) | 25 | $517 |
| Kala Pharmaceuticals, Inc. | 7 | $487 |
| Novartis | 16 | $378 |
| Sun Pharmaceutical Industries Inc. | 10 | $294 |
| Harrow Eye, LLC | 2 | $220 |
| AbbVie(2 entities) | 6 | $143 |
| Bausch & Lomb Americas Inc. | 6 | $115 |
| Rayner Intraocular Lenses Limited | 4 | $89 |
| Aerie Pharmaceuticals, Inc. | 6 | $89 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 4 | $82 |
| Dompe US, Inc. | 3 | $69 |
| Tarsus Pharmaceuticals, Inc. | 2 | $59 |
| ANI Pharmaceuticals, Inc. | 2 | $46 |
| Astellas Pharma US Inc | 2 | $39 |
| NEW World Medical,inc. | 2 | $32 |
| Sight Sciences, Inc. | 1 | $24 |
| Biotissue Holdings Inc. | 1 | $20 |
| Carl Zeiss Meditec AG | 1 | $19 |
| Merz North America, Inc. | 1 | $17 |
| Eyevance Pharmaceuticals LLC | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$3,570 in reported general payments places this provider in the 60th percentile of 1,405 ophthalmology 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 |
|---|---|---|
| RestasisCyclosporine | 50 | $53,813 |
| XiidraLifitegrast | 32 | $39,182 |
| LumiganBimatoprost | 60 | $34,212 |
| Prednisolone Acetate | 788 | $25,293 |
| RhopressaNetarsudil Mesylate | 31 | $13,727 |
| Timolol MaleateTimolol Maleate/Pf | 40 | $12,492 |
| MoxifloxacinMoxifloxacin Hcl | 528 | $12,054 |
| Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol | 54 | $11,281 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 430 | $10,960 |
| CombiganBrimonidine Tartrate/Timolol | 18 | $10,052 |
| CequaCyclosporine | 12 | $9,594 |
| Ketorolac Tromethamine | 430 | $8,742 |
| Latanoprost | 568 | $8,224 |
| Timolol Maleate | 328 | $6,162 |
| ValacyclovirValacyclovir Hcl | 62 | $5,865 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AbbVieRestasis, Lumigan, Combigan | $143 | $98,077128 claims |
| Bausch & Lomb Americas Inc.Xiidra, Vyzulta | $115 | $43,91046 claims |
| Aerie Pharmaceuticals, Inc.Rhopressa | $89 | $13,72731 claims |
| Sun Pharmaceutical Industries Inc.Cequa | $294 | $9,59412 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 60th percentile of 1,405 ophthalmology providers in Florida.
Other ophthalmology in Niceville
- David EichenbaumSt Petersburg$34.4M
- Robert RadenDelray Beach$7.8M
- Carl DanzigPompano Beach$5.3M
- Bruce SegalDelray Beach$4.7M
- Cathleen McCabeBradenton$4.6M
- Ivan SunerTampa$3.7M
- Sunir JoshiFt Lauderdale$3.7M
- Harold BrooksTallahassee$3.5M
- Matthew CunninghamOrlando$2.9M
- Benjamin ThomasJacksonville$2.8M
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.