Ryan Tuttle, MD
Family Medicine · Spartanburg, SCNPI 1730471681
Payments from drug & device makers
Across 41 payments — averaging $17.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Relievant Medsystems, Inc.$116
- Novo Nordisk$107
- AbbVie$69
- Astellas Pharma US Inc$64
- Exact Sciences$51
- Pfizer$48
- plus $268 from 13 others
What the payments were for
- Food & beverage$723100%
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 |
|---|---|---|
| Relievant Medsystems, Inc. | 1 | $116 |
| Novo Nordisk | 8 | $107 |
| AbbVie | 4 | $69 |
| Astellas Pharma US Inc | 4 | $64 |
| Exact Sciences | 3 | $51 |
| Pfizer | 4 | $48 |
| E.r. Squibb & Sons, L.L.C. | 2 | $37 |
| Dexcom, Inc. | 2 | $30 |
| GSK | 2 | $29 |
| Amgen | 2 | $28 |
| Supernus Pharmaceuticals, Inc. | 1 | $22 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $20 |
| Novartis | 1 | $17 |
| Boehringer Ingelheim | 1 | $16 |
| Genentech USA, Inc. | 1 | $15 |
| Lilly USA, LLC | 1 | $15 |
| Abbott | 1 | $15 |
| Amarin Pharma, Inc. | 1 | $12 |
| AstraZeneca | 1 | $12 |
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.
- Intracept$233
How this compares
$723 in reported general payments places this provider in the 55th percentile of 2,153 family medicine providers in South Carolina.
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 |
|---|---|---|
| EliquisApixaban | 152 | $186,742 |
| OzempicSemaglutide | 109 | $172,062 |
| FarxigaDapagliflozin Propanediol | 60 | $72,877 |
| JardianceEmpagliflozin | 37 | $55,366 |
| JanuviaSitagliptin Phosphate | 45 | $44,570 |
| EntrestoSacubitril/Valsartan | 34 | $35,771 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 36 | $25,215 |
| InvokanaCanagliflozin | 31 | $24,594 |
| LinzessLinaclotide | 28 | $21,666 |
| XareltoRivaroxaban | 17 | $18,267 |
| LatudaLurasidone Hcl | 12 | $14,723 |
| MyrbetriqMirabegron | 11 | $14,270 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 61 | $10,876 |
| Spiriva RespimatTiotropium Bromide | 14 | $10,517 |
| Breo ElliptaFluticasone/Vilanterol | 19 | $10,409 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis, Premarin | $48 | $196,347172 claims |
| Novo NordiskOzempic | $107 | $172,062109 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort | $12 | $86,69387 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat | $16 | $65,88351 claims |
| NovartisEntresto | $17 | $35,77134 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $29 | $35,62555 claims |
| AbbVieLinzess, Synthroid | $69 | $24,28469 claims |
| Astellas Pharma US IncMyrbetriq | $64 | $14,27011 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 55th percentile of 2,153 family medicine providers in South Carolina.
Other family medicine in Spartanburg
- Latasha SelibySpartanburg$24K
- George BailesSpartanburg$22K
- Cayce TangemanGoose Creek$8.4M
- Jeremy AckermannMoncks Corner$7.6M
- Kelly MoralesNorth Charleston$6.5M
- William ByarsGreer$4.8M
- James FranklinGreenville$3.5M
- Stephen GrubbLittle River$3.4M
- Jeffrey HarrisGreenville$3.4M
- Shannon ConradN Charleston$3.3M
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.