Ruben A Perez Ramirez , M, D
General Practice • Guayama, PR
Ave.pedro Albizu Campos, Urb. La Hacienda
Guayama, PR 00784
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Ruben Perez Ramirez is listed in NPPES under General Practice.
-
NPI assigned on July 25, 2006; this date does not establish years in practice.
-
Published CMS data list 22 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Published rows only; this is not a quality measure.
-
Published Part B service records, 2023:
- 99283 — Emergency department visit with low level of medical decision making: 22 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See the full table · Guide: How to read Medicare Part B data
-
Published CMS data list 404 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Gabapentin — 60 prescription fills, including refills.
- Baclofen — 47 prescription fills, including refills.
- Acetaminophen-Codeine (Acetaminophen With Codeine) — 40 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 20 records in the table · Guide: How to read Medicare Part D prescriber data
-
Close to the middle for Part D prescriptions among clinicians listed under General Practice in Guayama, PR (2024, 49 clinicians with data). Median for this group: 599. Middle half: 240 to 4,138.
Fewer Part D prescriptions than 65% of clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: 1,253. Middle half: 239 to 5,097.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 66 in 2018 to 22 in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018–2023.
Practice Location & Contact Primary Location
Ave.pedro Albizu Campos
Urb. La Hacienda
Guayama, PR 00784
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $1,280 in 2023
The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023.
Paid by Medicare
About $973 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023.
30-day fills
407 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$24,040 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2023
All general payments: $198.81 across 4 records.
By nature of payment
- Food and Beverage: $198.81 across 4 records.
Reporting-company totals
- Janssen Pharmaceuticals, Inc: $185.00 across 3 records.
- Pfizer Inc.: $13.81 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Ruben Perez Ramirez has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Ruben Perez Ramirez as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Guayama and Puerto Rico
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Close to the middle for clinicians listed under General Practice in Guayama, PR (2024, 49 clinicians with data). Median for this group: 599. Middle half: 240 to 4,138.
Fewer Part D prescriptions than 65% of clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: 1,253. Middle half: 239 to 5,097.
Part D drug cost
Close to the middle for clinicians listed under General Practice in Guayama, PR (2024, 49 clinicians with data). Median for this group: $9,534. Middle half: $1,681 to $143,343.
Close to the middle for clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: $34,007. Middle half: $2,958 to $213,188.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Ruben Perez Ramirez are from 2023.
70 active clinicians are listed under General Practice with a practice address in Guayama, PR (4,196 in Puerto Rico).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Guayama
0% of these 70 clinicians have the CMS telehealth indicator.
21.4% of these 70 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services decreased 67% from 66 in 2018 to 22 in 2023.
- 2018: 66
- 2019: 51
- 2020: 30
- 2021: 17
- 2023: 22
-
Medicare-allowed amount
Medicare-allowed amount decreased 60% from $3,189 in 2018 to $1,280 in 2023.
- 2018: $3,189
- 2019: $2,066
- 2020: $1,772
- 2021: $1,895
- 2023: $1,280
-
Paid by Medicare
Paid by Medicare decreased 61% from $2,489 in 2018 to $973 in 2023.
- 2018: $2,489
- 2019: $1,588
- 2020: $1,416
- 2021: $1,516
- 2023: $973
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 64% from 246 in 2020 to 404 in 2024.
- 2020: 246
- 2021: 354
- 2022: 361
- 2023: 466
- 2024: 404
-
30-day fills
30-day fills increased 65% from 246 in 2020 to 407 in 2024.
- 2020: 246
- 2021: 354
- 2022: 361
- 2023: 467
- 2024: 407
-
Part D drug cost
Part D drug cost increased 1094% from $2,014 in 2020 to $24,040 in 2024.
- 2020: $2,014
- 2021: $3,404
- 2022: $2,967
- 2023: $18,849
- 2024: $24,040
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $31.47 in 2019 to $198.81 in 2023.
- 2019: $31.47
- 2021: $62.35
- 2022: $55.62
- 2023: $198.81
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $198.81.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
XARELTO | General | $80.00 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
XARELTO | General | $80.00 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
XARELTO | General | $25.00 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
ELIQUIS | General | $13.81 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99283
Emergency department visit with low level of medical decision making
|
22 | 19 | $59.11 | $58.20 |
Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 60 | 763 | $278.26 | 57 |
| Baclofen | Baclofen | 47 | 508 | $266.28 | 45 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 40 | 201 | $479.98 | 40 |
| Etodolac | Etodolac | 31 | 365 | $503.16 | 29 |
| Famotidine | Famotidine | 21 | 417 | $117.76 | 21 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 18 | 157 | $307.04 | 18 |
| Azithromycin | Azithromycin | 17 | 72 | $152.76 | 17 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 17 | 140 | $137.16 | 17 |
| Levofloxacin | Levofloxacin | 14 | 146 | $170.28 | 13 |
| Cephalexin | Cephalexin | 14 | 110 | $101.50 | 14 |
| Meclizine Hcl | Meclizine Hcl | 14 | 117 | $75.33 | 13 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 14 | 420 | $88.54 | — |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 14 | 420 | $9,691.95 | — |
| Montelukast Sodium | Montelukast Sodium | 13 | 380 | $65.74 | — |
| Carvedilol | Carvedilol | 12 | 360 | $76.20 | — |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 12 | 360 | $123.24 | — |
| Tramadol Hcl-Acetaminophen | Tramadol Hcl/Acetaminophen | 12 | 69 | $108.79 | 12 |
| Farxiga | Dapagliflozin Propanediol | 12 | 360 | $7,404.24 | — |
| Naproxen Sodium | Naproxen Sodium | 11 | 111 | $168.23 | 11 |
| Humalog Mix 75-25 Kwikpen | Insulin Lispro Protamin/Lispro | 11 | 395 | $3,723.39 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL PRACTICE
I20120824000645
PR
6608023734
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Pharmacist
General Practice
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Personal Emergency Response Attendant
Doctor of Medicine (M.D.)
General Practice
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated July 25, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other General Practices in Guayama
- Dr. Jose Rivera Irizarry, MD
- Dr. Karla Mercado Pagan, MD
- Dr. Jose Rodriguez Martinez, MD
- Dr. Lysander Borrero, MD
- Dr. Ruben Perez, MD
- Dr. James Ojago, MD
Mailing Address
Po Box 2075
Guayama, PR 007852075
Phone: 7878645846