Ralph Garramone
Plastic Surgery · Fort Myers, FLNPI 1396796405
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $8,341 of the $11,903 with a category attached, or 70.1%. AbbVie accounts for 67.7% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2019 at $5,426 and has fallen 75.9% since, to $1,305 in 2025.
Across 192 payments — averaging $62.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$8K
- Merz North America, Inc.$1K
- Motiva USA, LLC$683
- Sientra, Inc.$379
- Davol Inc.$375
- Revance Therapeutics, Inc.$282
- plus $958 from 6 others
What the payments were for
- Travel & lodging$250%
- Food & beverage$8,34170%
- Gifts$3,53730%
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 |
|---|---|---|
| AbbVie(2 entities) | 135 | $8,056 |
| Merz North America, Inc. | 8 | $1,169 |
| Motiva USA, LLC | 6 | $683 |
| Sientra, Inc. | 7 | $379 |
| Davol Inc. | 4 | $375 |
| Revance Therapeutics, Inc. | 8 | $282 |
| Dilon Technologies, Inc. | 5 | $260 |
| Galderma Laboratories, L.p. | 13 | $232 |
| Apyx Medical Corporation | 1 | $155 |
| Mentor Worldwide LLC | 2 | $148 |
| Vertex | 2 | $140 |
| Integra Lifesciences Corporation | 1 | $23 |
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
$11,903 in reported general payments places this provider in the 85th percentile of 456 plastic surgery providers in Florida.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Celecoxib | 30 | $470 |
| Ondansetron OdtOndansetron | 75 | $468 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 56 | $461 |
| Cephalexin | 77 | $341 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 22 | $327 |
| ValacyclovirValacyclovir Hcl | 30 | $265 |
| Montelukast Sodium | 14 | $171 |
| Gabapentin | 39 | $148 |
| Prednisone | 21 | $65 |
| Clonidine Hcl | 18 | $25 |
Paid to pharmacies, not to this prescriber.
Other plastic surgery in Fort Myers
- Robert RehnkeSt Petersburg$6.1M
- Anthony DardanoBoca Raton$586K
- Devinder SinghMiami$407K
- Brad HermanSouth Miami$293K
- Melanie Aya-AyTampa$283K
- Gloria YeeMiami$268K
- Daniel KappWest Palm Beach$252K
- Essie Kueberuwa YatesWeston$197K
- Michael MirmaneshPinellas Park$184K
- Martin NewmanWeston$178K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.