Prepare for your visit
Ryan Castoro
Neuromuscular Medicine (Physical Medicine & Rehabilitation) · Columbia, MO · NPI 1427437789
One page to bring to your appointment. Every figure is as reported to CMS by drug and device makers. Payments are legal and often routine; this is context for a conversation, not a verdict.
What was reported
$7,117.83
in general payments reported to CMS, 2019-2025 · $45.16 in 2025
The $45.16 reported for 2025 was less than what a typical Neuromuscular Medicine (Physical Medicine & Rehabilitation) provider received nationally (typical 2025 total: $128).
Who reported paying
General payments only, top 6 by amount.
- Theratechnologies INC. $7,000.00
- Genzyme Corporation $45.16
- Tg Therapeutics, INC. $21.02
- Ultragenyx Pharmaceutical INC. $18.99
- Jazz Pharmaceuticals INC. $17.25
- Ucb, INC. $15.41
Drugs and devices associated with these payments
Briumvi Epidiolex
Association is not allocation: a product listed here means a payment was associated with it, not that money was paid to promote it. Detail covers 2023-2025.
Questions you might ask
- I saw Ryan Castoro 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.
Notes
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.
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