Paul Ruff
Plastic Surgery · Washington, DCNPI 1235102682
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (53.0%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Galderma Laboratories, L.p. at 41.1% of the total. Reporting peaked in 2019 at $179,803 and has fallen 86.7% since, to $23,905 in 2025. Among plastic surgery clinicians in DC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 283 payments — averaging $1408.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Galderma Laboratories, L.p.$164K
- Apyx Medical Corporation$153K
- AbbVie$65K
- Solta Medical, A Division Of Bausch Health US, LLC$13K
- Pacira Pharmaceuticals Incorporated$3K
- Merz North America, Inc.$500
- plus $582 from 6 others
What the payments were for
- Consulting fees$134,31034%
- Speaking & faculty fees$211,15053%
- Travel & lodging$38,02210%
- Food & beverage$15,1004%
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 |
|---|---|---|
| Galderma Laboratories, L.p. | 147 | $163,672 |
| Apyx Medical Corporation | 29 | $152,511 |
| AbbVie(2 entities) | 76 | $65,407 |
| Solta Medical, A Division Of Bausch Health US, LLC | 7 | $13,344 |
| Pacira Pharmaceuticals Incorporated | 6 | $2,566 |
| Merz North America, Inc. | 4 | $500 |
| Mentor Worldwide LLC | 6 | $233 |
| Baxter Healthcare | 3 | $215 |
| Integra Lifesciences Corporation | 2 | $47 |
| Motiva USA, LLC | 1 | $41 |
| Bard Peripheral Vascular, Inc. | 1 | $29 |
| Smith+Nephew | 1 | $16 |
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.
- BOTOX$20,903
- NATRELLE SALINE-FILLED BREAST IMPLANTS$6,900
- Iovera$1,840
- EXPAREL$699
- XEOMIN$464
- ARTISS$140
- MENTOR MemoryGel Resterilizable Gel Sizer$135
- ARTOURA Breast Tissue Expander$135
How this compares
$398,581 in reported general payments places this provider in the 95th percentile of 34 plastic surgery providers in District of Columbia.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Mupirocin | 16 | $93 |
| Cefadroxil | 14 | $74 |
| Ondansetron OdtOndansetron | 13 | $52 |
| Oxycodone Hcl | 11 | $50 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery in Washington
- Kelly BoldenWashington$160K
- Rajiv ParikhWashington$54K
- Kenneth FanWashington$53K
- Wendy ChenWashington$43K
- Bharat RanganathWashington$26K
- Vikisha FrippWashington$21K
- Jessica WangWashington$7K
- Catherine HannanWashington$7K
- Ximena PinellWashington$7K
- Rex HungWashington$6K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.