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

Tyler Ptacek

Interventional Pain Medicine Rapid City, SD Medical Doctor

NPI 1225324791 CMS profile 1138665

101 E Minnesota St Ste 200, Rapid City, SD 57701

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General payments

$124,614

505 records reported · program years 2019–2025

Research payments

$2,015

Paid to them · 4 records reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Tyler Ptacek of Rapid City, SD is reported in the CMS Open Payments database as having received $124,614 across 505 general payments and $2,015 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 96th percentile of Interventional Pain Medicine profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

8 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $22,406 84
2024 General $36,269 133
2023 General $37,369 125
2023 Research $2,015 4
2022 General $13,991 61
2021 General $9,416 44
2020 General $1,343 18
2019 General $3,821 40

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Tyler Ptacek
  • Interventional Pain Medicine median
  • Middle half of Interventional Pain Medicine
  • National median

In program year 2025, general payments to Tyler Ptacek were reported at $22,406. Among 1,891 Interventional Pain Medicine profiles paid that year, the median was $657 and the middle half received between $184 and $1,753.

Show as a table
Year Tyler Ptacek Interventional Pain Medicine median Middle half National median
2019 $3,821 $684 $216–$2,079 $163
2020 $1,343 $382 $122–$1,109 $114
2021 $9,416 $552 $167–$1,554 $132
2022 $13,991 $605 $187–$1,924 $149
2023 $37,369 $671 $195–$1,915 $160
2024 $36,269 $684 $206–$1,837 $164
2025 $22,406 $657 $184–$1,753 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Genesys Orthopedics Systems, L.L.C. $70,328 69 payments
  2. Nevro Corp. $22,882 102 payments
  3. Relievant Medsystems, Inc. $9,728 28 payments
  4. Medtronic, Inc. $5,509 83 payments
  5. Abbott Laboratories $5,476 26 payments
  6. Vertos Medical, Inc. $1,952 21 payments
  7. Spinal Simplicity, LLC $1,570 9 payments
  8. Saluda Medical Americas, Inc. $1,241 12 payments
  9. Vertiflex, Inc. $1,088 6 payments
  10. AbbVie, Inc. $860 50 payments
  11. Other $3,982 99 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Consulting Fee $66,060 20 payments
  2. Travel and Lodging $29,580 93 payments
  3. Food and Beverage $17,984 381 payments
  4. Compensation for serving as faculty or as a speaker for a medical education program $7,210 5 payments
  5. Gift $3,679 4 payments
  6. Education $101 2 payments
Products named General payments · program years 2019–2025
  1. Sacroiliac Joint Fusion System Sacroiliac $69,291 67 payments
  2. SACROILIAC JOINT FUSION SYSTEM Sacroiliac $43,248 44 payments
  3. Senza Spinal Cord Stimulator $14,698 14 payments
  4. Intracept Pain $6,843 11 payments
  5. Intracept Pain $6,843 11 payments
  6. PROCLAIM $5,321 22 payments
  7. Omnia $4,789 39 payments
  8. SYNCHROMEDII $3,148 43 payments
  9. Senza Spinal Cord Stimulator $2,514 43 payments
  10. Intracept Pain $2,132 14 payments
  11. Other $19,670 305 payments

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

Research payments came from Research payments · program years 2019–2025
  1. Genesys Orthopedics Systems, L.L.C. $2,015 4 payments

Prescribing to Medicare patients

Part D · data year 2024 · 22 drugs

Part D claims

1,155

Median for Pain Management: 951

Drug cost

$39,169

Median for Pain Management: $26,034

Branded share of claims

22.6%

Median for Pain Management: 29.9%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Belbuca Buprenorphine Hcl Brand 12 $10,465
Buprenorphine Generic 32 $9,564
Movantik Naloxegol Oxalate Brand 17 $6,685
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 201 $2,775
Gabapentin Generic 154 $1,890
Pregabalin Generic 73 $1,609
Baclofen Generic 93 $1,196
Morphine Sulfate Generic 24 $813
Tizanidine Hcl Generic 108 $700
Tramadol Hcl Generic 85 $588

The 10 drugs with the highest cost, of 22 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 2,732 Part D prescribers listed as Pain Management; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 152 billing codes

Paid by Medicare

$502,437

Of which drugs: $85,424

Medicare patients

567

Average age 73

Services billed

23,853

355 women, 212 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
Arthritis 75%
High blood pressure 72%
Osteoporosis 29%
Depression 27%
Diabetes 25%
Ischemic heart disease 22%
Chronic kidney disease 19%
COPD 16%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, onabotulinumtoxina, 1 unit J0585 Office 21 6,500 $31,329
Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329 Office 31 3,950 $22,069
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301 Office 149 971 $725
Injection, dexamethasone sodium phosphate, 1 mg J1100 Office 295 4,530 $403

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 7 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
BOTOX
  • AbbVie, Inc. $160
$160 — 6,500
Prialt
  • TerSera Therapeutics LLC $123
$123 — —
UBRELVY
  • AbbVie, Inc. $68
$68 — —
QULIPTA
  • AbbVie, Inc. $52
$52 — —
Tymlos
  • Radius Health, Inc. $16
$16 — —

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.

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Records

509 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.

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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