GlassScriptPhysician profile
Ralph A Wagner
NPI 1447231881
$12,150.52
in general payments reported to CMS, 2019-2025
17 companies · $90.10 in 2025
The $90.10 reported for 2025 was less than what a typical Family Medicine provider received nationally (typical 2025 total: $153).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $102 · 2020: $241 · 2021: $250 · 2022: $11K · 2023: $21.13 · 2024: $60.00 · 2025: $90.10.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $171.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $171.23 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Integrity Implants INC. | $11,221.47 | 2022 | |
| Janssen Pharmaceuticals, INC | $119.87 | 2019-2024 | Xarelto |
| Amarin Pharma, INC. | $78.32 | 2020-2022 | |
| Kowa Pharmaceuticals America, INC. | $75.90 | 2019-2024 | Livalo |
| Glaxosmithkline, LLC. | $74.67 | 2019-2021 | |
| Lilly USA, LLC | $72.96 | 2020-2025 | Mounjaro, Zepbound |
| Novartis Pharmaceuticals Corporation | $70.02 | 2019-2021 | |
| Viatris Specialty LLC | $69.38 | 2025 | Yupelri |
| Abbvie INC. | $57.49 | 2020-2021 | |
| Amgen INC. | $52.03 | 2020 | |
| E.R. Squibb & Sons, L.L.C. | $51.74 | 2019-2021 | |
| Biohaven Pharmaceutical Holding Company LTD. | $51.07 | 2022 | |
| Astellas Pharma US INC | $49.54 | 2021-2022 | |
| Pfizer INC. | $47.94 | 2019-2020 | |
| Braintree Laboratories, INC. | $24.08 | 2022 |
Show all 17 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Exact Sciences Corporation | $21.46 | 2024 | Cologuard Collection Kit |
| Philips North America LLC | $12.58 | 2022 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Ralph Wagner listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
Share this page
Keep an eye on this page
Get an email when the next June refresh changes this page. No account needed.
Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.