Has Ramiro Nieves, MD received payments from drug or device companies?

Yes. Drug and device makers reported $37,507 in general payments to Ramiro Nieves, MD across 63 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Ramiro Nieves, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Ramiro Nieves, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Ramiro Nieves, MD

Orthopaedic Surgery · Miami, FLNPI 1992760037

Payments from drug & device makers

$37,507in general payments, 2019–2025

Across 63 payments — averaging $595.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Regeneron$29K
Arthrex$5K
Southern Edge Orthopaedics, Inc.$1K
Encore Medical, LP$861
Depuy Synthes Products, Inc.$675
Stryker$475
plus $226 from 3 others

What the payments were for

Consulting fees$6758%
Travel & lodging$1,25516%
Food & beverage$1,23715%
Education$4,89061%

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
Regeneron	6	$29,450
Arthrex	21	$4,620
Southern Edge Orthopaedics, Inc.	1	$1,200
Encore Medical, LP	9	$861
Depuy Synthes Products, Inc.	1	$675
Stryker	19	$475
Johnson & Johnson(2 entities)	2	$105
Medical Device Business Services, Inc.	3	$96
Covidien LP	1	$25

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

$37,507 in reported general payments places this provider in the 80th percentile of 1,263 orthopaedic surgery providers in Florida.

See all orthopaedic surgery providers in Florida →

Medicare billing

Part B allowed, 2024

$13,414

Medicare patients

Services billed

297

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
Enoxaparin Sodium	28	$2,490
Methylprednisolone	17	$124
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	30	$96
Meloxicam	15	$33

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Miami

Charles LawrieMiami$1.7M
Rolando GarciaMiami$1M
Charles JordanMiami$817K
Francis HornicekMiami$790K
Aldo RiesgoMiami$709K
Andrew CooperClearwater$102M
Richard HynesMelbourne$35M
Mark FrankleTemple Terrace$31.4M
David WatsonTemple Terrace$21M
Roy SandersTemple Terrace$19.6M

See the full list for Florida →

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.

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