Ruben Guzman, MD
Obstetrics & Gynecology · Punta Gorda, FLNPI 1316051881
Payments from drug & device makers
Across 174 payments — averaging $116.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$11K
- Axonics, Inc.$4K
- Medtronic$2K
- Boston Scientific$1K
- Coloplast$1K
- AbbVie$289
- plus $1K from 24 others
What the payments were for
- Travel & lodging$10,72953%
- Food & beverage$5,36127%
- Education$4,11020%
- Gifts$280%
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 |
|---|---|---|
| Intuitive Surgical | 28 | $10,857 |
| Axonics, Inc. | 31 | $3,902 |
| Medtronic(2 entities) | 22 | $1,672 |
| Boston Scientific | 10 | $1,116 |
| Coloplast | 8 | $1,024 |
| AbbVie(2 entities) | 16 | $289 |
| Hologic Sales And Service, LLC | 7 | $195 |
| Astellas Pharma US Inc | 6 | $177 |
| Sumitomo Pharma America, Inc. | 6 | $132 |
| Exeltis, USA Inc. | 7 | $125 |
| Johnson & Johnson(2 entities) | 3 | $99 |
| Pfizer | 5 | $92 |
| Merz North America, Inc. | 3 | $73 |
| Bayer | 2 | $54 |
| Cvrx, Inc. | 1 | $52 |
| Avion Pharmaceuticals | 3 | $41 |
| Dexcom, Inc. | 1 | $32 |
| GE HealthCare | 1 | $31 |
| Mayne Pharma Commercial LLC | 2 | $30 |
| Impulse Dynamics (USA) Inc. | 1 | $28 |
| Laborie Medical Technologies Corp. | 2 | $27 |
| Lilly USA, LLC | 1 | $25 |
| Coopersurgical, Inc. | 1 | $24 |
| Bluewind Medical | 1 | $22 |
| Scynexis, Inc. | 1 | $22 |
| Organon | 1 | $19 |
| GSK | 1 | $17 |
| Myovant Sciences Inc. | 1 | $17 |
| Evofem Biosciences, Inc. | 1 | $17 |
| Dentsply IH AB | 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.
- Da Vinci Surgical System$10,555
- Axonics$3,907
- Bulkamid$2,572
- INTERSTIM$1,129
- Solyx SIS System$439
- ALTIS$204
- Fluent$107
- Omniscope$107
How this compares
$20,227 in reported general payments places this provider in the 90th percentile of 2,438 obstetrics & gynecology 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 |
|---|---|---|
| Estradiol | 137 | $12,526 |
| ElmironPentosan Polysulfate Sodium | 11 | $11,815 |
| YuvafemEstradiol | 54 | $5,836 |
| Solifenacin Succinate | 31 | $827 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 27 | $438 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 43 | $343 |
| Larin FeNorethindrone-E.Estradiol-Iron | 11 | $138 |
| Triamcinolone Acetonide | 13 | $118 |
| Ibuprofen | 19 | $76 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 17 | $45 |
| Metronidazole | 11 | $45 |
| Ondansetron Hcl | 11 | $26 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Punta Gorda
- Samuel LedermanLake Worth$13.4M
- Richard MyersJacksonville$2.7M
- Guillermo LievanoMiami$2.5M
- Steven McCarusCelebration$2.3M
- Samuel WolfPanama City$2.1M
- Rafael Garcia-OcasioHialeah$2M
- Douglas MoffettLeesburg$1.7M
- Harvey GlasserAventura$1.6M
- Jorge PandoMiami Lakes$1.5M
- Victoria BedellMiami$1.4M
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.