Physician profile

Randall Ruppel

Pediatric Critical Care Medicine · Roanoke, VA

NPI 1598749384

$2,783.39

in general payments reported to CMS, 2019-2025

18 companies · $412 in 2025

The $412 reported for 2025 was more than what 84% of Pediatric Critical Care Medicine providers received nationally (typical 2025 total: $71.68).

Payments by year

General payments by program year, as reported to CMS.

What the payments were for

Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.

View as a table
Payment typeAmount (2023-2025)
Food and Beverage$1,654.69
Education$111.45

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.

CompanyGeneral paymentsYearsTop products
Teva Pharmaceuticals USA, INC. $737.98 2021-2025 Austedo Xr, Austedo Xr, Austedo
Janssen Pharmaceuticals, INC $594.87 2019-2025 Spravato, Invega Sustenna, Invega Trinza
Neurocrine Biosciences, INC. $323.82 2022-2025 Ingrezza
Otsuka America Pharmaceutical, INC. $275.24 2022-2025 Rexulti, Abilify Maintena, Abilify Asimtufii
Iti, INC. (D/B/A Intra-Cellular Therapies, INC.) $218.77 2022-2025 Caplyta
Lundbeck LLC $152.38 2023-2025 Rexulti
Axsome Therapeutics, INC. $129.16 2023-2025 Auvelity
Vanda Pharmaceuticals INC. $71.31 2024 Fanapt, Hetlioz
Abbvie INC. $52.57 2023-2024 Vraylar
Idorsia Pharmaceuticals US INC $47.48 2023-2024 Quviviq
Corium, LLC $34.30 2023-2025 Azstarys
Ironshore Pharmaceuticals INC. $29.52 2022
E.R. Squibb & Sons, L.L.C. $21.90 2024 Cobenfy
Takeda Pharmaceuticals U.S.A., INC. $21.79 2024 Trintellix
Uswm, LLC $21.37 2024 Lucemyra
Show all 18 companies
CompanyGeneral paymentsYearsTop products
Collegium Pharmaceutical, INC. $17.94 2025 Jornay Pm
Alkermes, INC. $17.03 2025 Aristada, Lybalvi
Novo Nordisk INC $15.96 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:

These are normal questions. A good clinician will welcome them.

Share this page

Payment summary

Randall Ruppel

$2,783.39

in general payments reported 2019-2025

Years
2019-2025
Top company
Teva Pharmaceuticals USA, INC.
Context
The $412 reported for 2025 was more than what 84% of Pediatric Critical Care Medicine providers received nationally (typical 2025 total: $71.68).

https://glasscript.com/doctor/636353/randall-ruppel

Source: CMS Open Payments, program years 2019-2025. Payments are legal and often routine.

Keep an eye on this page

Get an email when the next June refresh changes this page. No account needed.

Watch this doctor

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.