Rami Rustum, MD
Interventional Pain Medicine · Methuen, MANPI 1881694180
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,288 of the $5,830 with a category attached, or 73.5%. 30 manufacturers reported payments, led by Boston Scientific at 56.7% of the total. Reporting peaked in 2022 at $2,521 and has fallen 84.0% since, to $404 in 2025.
Across 136 payments — averaging $42.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$3K
- Medtronic$444
- Painteq LLC$271
- Stryker$214
- Novo Nordisk$202
- SPR Therapeutics, Inc$182
- plus $1K from 24 others
What the payments were for
- Travel & lodging$1,54226%
- Food & beverage$4,28874%
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 |
|---|---|---|
| Boston Scientific | 52 | $3,304 |
| Medtronic(2 entities) | 16 | $444 |
| Painteq LLC | 6 | $271 |
| Stryker | 2 | $214 |
| Novo Nordisk | 10 | $202 |
| SPR Therapeutics, Inc | 2 | $182 |
| AbbVie | 5 | $145 |
| Spinefrontier, Inc. | 1 | $130 |
| Nevro Corp. | 6 | $113 |
| Amgen | 3 | $76 |
| Teva Pharmaceuticals USA, Inc. | 5 | $70 |
| Lilly USA, LLC | 3 | $70 |
| Pfizer | 3 | $68 |
| Exact Sciences | 3 | $67 |
| GRT US Holding, Inc. | 2 | $56 |
| Curonix LLC | 2 | $53 |
| Vertos Medical, Inc. | 1 | $38 |
| Biodelivery Sciences International, Inc. | 2 | $37 |
| Flowonix Medical Incorporated | 1 | $34 |
| Saluda Medical Americas, Inc. | 1 | $32 |
| Stimwave Technologies Incorporated | 1 | $25 |
| Biohaven Pharmaceuticals, Inc. | 1 | $25 |
| Redhill Biopharma Inc. | 1 | $25 |
| Antares Pharma, Inc. | 1 | $24 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $23 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $22 |
| Scilex Pharmaceuticals Inc. | 1 | $22 |
| Fidia Pharma USA Inc. | 1 | $20 |
| Jazz Pharmaceuticals Inc. | 1 | $20 |
| Abbott | 1 | $19 |
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.
- Superion Indirect Decompression System$1,715
- WaveWriter Alpha Prime 16$268
- SPINEJACK$174
- InSpan$130
- Sacrix$130
- SPRINT PNS System$116
How this compares
$5,830 in reported general payments places this provider in the 70th percentile of 22 interventional pain medicine providers in Massachusetts.
See all interventional pain medicine providers in Massachusetts →
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 |
|---|---|---|
| Gabapentin | 93 | $2,148 |
| Baclofen | 111 | $2,052 |
| Oxycodone Hcl | 150 | $2,017 |
| Fentanyl | 18 | $1,530 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 116 | $1,515 |
| Morphine Sulfate ErMorphine Sulfate | 33 | $1,312 |
| Methadone Hcl | 81 | $1,250 |
| Pregabalin | 37 | $919 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 41 | $841 |
| Hydromorphone Hcl | 29 | $330 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 19 | $237 |
| Topiramate | 22 | $228 |
| Tramadol Hcl | 35 | $198 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in Methuen
- Warren Mackie-JenkinsBoston$65K
- Mark JonesBoston$48K
- Frederic GergesBoston$21K
- David DibenedettoWaltham$17K
- Anil KumarStoneham$8K
- Omar QureshiFitchburg$7K
- Janet PearlFramingham$5K
- Yuri KhibkinHolyoke$5K
- Erica BialBurlington$5K
- Elvis GuzmanBoston$4K
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.