Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Natalya Rukhman

Endocrinology, Diabetes & Metabolism Saint Louis, MO Medical Doctor

NPI 1063616506 CMS profile 393420

621 S New Ballas Rd, Suite 460A, Saint Louis, MO 63141

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General payments

$7,066

447 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Natalya Rukhman of Saint Louis, MO is reported in the CMS Open Payments database as having received $7,066 across 447 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 73rd percentile of Endocrinology, Diabetes & Metabolism profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $1,954 98
2024 General $1,470 87
2023 General $888 51
2022 General $553 45
2021 General $1,008 86
2020 General $404 37
2019 General $788 43

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Natalya Rukhman
  • Endocrinology, Diabetes & Metabolism median
  • Middle half of Endocrinology, Diabetes & Metabolism
  • National median

In program year 2025, general payments to Natalya Rukhman were reported at $1,954. Among 5,868 Endocrinology, Diabetes & Metabolism profiles paid that year, the median was $507 and the middle half received between $135 and $1,838.

Show as a table
Year Natalya Rukhman Endocrinology, Diabetes & Metabolism median Middle half National median
2019 $788 $494 $123–$2,253 $163
2020 $404 $335 $85–$1,841 $114
2021 $1,008 $398 $88–$1,981 $132
2022 $553 $364 $88–$1,568 $149
2023 $888 $420 $113–$1,614 $160
2024 $1,470 $440 $121–$1,646 $164
2025 $1,954 $507 $135–$1,838 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Abbott Laboratories $1,131 124 payments
  2. Novo Nordisk Inc $743 48 payments
  3. Dexcom, Inc. $689 45 payments
  4. Lilly USA, LLC $421 19 payments
  5. Sequel Med Tech, LLC $343 19 payments
  6. Amgen Inc. $296 17 payments
  7. Medtronic MiniMed, Inc. $281 12 payments
  8. Novartis Pharmaceuticals Corporation $229 12 payments
  9. Sanofi-Aventis U.S. LLC $226 12 payments
  10. Xeris Pharmaceuticals, Inc. $219 11 payments
  11. Other $2,488 128 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $7,038 445 payments
  2. Education $27 2 payments
Products named General payments · program years 2019–2025
  1. Ozempic $667 44 payments
  2. Dexcom G6 Transmitter $559 37 payments
  3. RYBELSUS $516 36 payments
  4. FreeStyle Libre 3 $478 41 payments
  5. TWIIST $343 19 payments
  6. FreeStyle Lite system $263 43 payments
  7. Minimed 670G System $255 10 payments
  8. LEQVIO $229 12 payments
  9. JARDIANCE $199 8 payments
  10. FreeStyle Libre 2 $196 15 payments
  11. Other $4,656 271 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 61 drugs

Part D claims

3,628

Median for Endocrinology: 1,959

Drug cost

$1,730,951

Median for Endocrinology: $890,201

Branded share of claims

63.1%

Median for Endocrinology: 57%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Ozempic Semaglutide Brand 239 $317,375
Jardiance Empagliflozin Brand 136 $165,696
Trulicity Dulaglutide Brand 90 $148,817
Mounjaro Tirzepatide Brand 114 $139,795
Forteo Teriparatide Brand 23 $114,802
Tresiba Flextouch U-200 Insulin Degludec Brand 74 $96,546
Humalog Kwikpen U-200 Insulin Lispro Brand 35 $95,896
Omnipod 5 Dexg7g6 Pods (Gen 5) Insulin Pump Cart,auto,bt,g6/7 Brand 50 $68,601
Farxiga Dapagliflozin Propanediol Brand 79 $66,503
Tresiba Flextouch U-100 Insulin Degludec Brand 95 $59,895

The 10 drugs with the highest cost, of 61 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 6,527 Part D prescribers listed as Endocrinology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 12 billing codes

Paid by Medicare

$41,630

Medicare's payments for the services billed

Medicare patients

290

Average age 72

Services billed

645

188 women, 102 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 73%
Diabetes 51%
Arthritis 45%
Chronic kidney disease 43%
Depression 33%
Osteoporosis 32%
Ischemic heart disease 28%
Cancer 19%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 27 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
LEQVIO
  • Novartis Pharmaceuticals Corporation $97
$97 — —
JARDIANCE
  • Lilly USA, LLC $63
  • Boehringer Ingelheim Pharmaceuticals, Inc. $34
$97 136 —
STRENSIQ
  • Alexion Pharmaceuticals, Inc. $65
$65 — —
Qutenza
  • Averitas Pharma Inc. $61
$61 — —
RYBELSUS
  • Novo Nordisk Inc $60
$60 11 —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See more in the dashboard: 25 with a free account, all 27 with Patron

Records

447 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Endocrinology, Diabetes & Metabolism in Missouri

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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