Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Covered recipient · General Payments record

RALPH GEORGE MENARD JR.

Allopathic & Osteopathic Physicians Pain Medicine Interventional Pain Medicine

NPI
1407876014
CMS profile
336337
Location
FREDERICKSBURG, TX

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2019 · Entire year

$1,555.96

67 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2019 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,522.36 66
Travel and Lodging $33.60 1

By paying entity

PY2019 · entire year · sorted by reported total

Payment records · PY2019

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2019 · Physicians and non-physician practitioners · CMS publication 2026-06-30

67 matching records · $1,555.96 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 67 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 67.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Vertiflex, Inc. $33.6012/15/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026669443557 CMS
Vertiflex, Inc. $87.3512/14/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026669444073 CMS
Vertiflex, Inc. $140.9012/14/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026669457969 CMS
Vertiflex, Inc. $122.9012/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026669457973 CMS
Boston Scientific Corporation $8.3112/06/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322467 CMS
Boston Scientific Corporation $14.6612/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322543 CMS
Vertiflex, Inc. $20.4411/26/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026669457971 CMS
Boston Scientific Corporation $8.1111/18/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322463 CMS
Boston Scientific Corporation $30.2511/18/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322595 CMS
Boston Scientific Corporation $35.6011/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322606 CMS
Endo Pharmaceuticals Inc. $16.0911/12/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026685075829 CMS
Boston Scientific Corporation $2.5611/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322425 CMS
Boston Scientific Corporation $104.8510/25/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322616 CMS
SI-BONE, Inc. $24.3610/22/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026689402251 CMS
Amgen Inc. $20.6610/15/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026662896893 CMS
Boston Scientific Corporation $3.0010/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322429 CMS
Boston Scientific Corporation $7.6810/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322457 CMS
Boston Scientific Corporation $11.1009/27/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322515 CMS
Boston Scientific Corporation $14.8909/26/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322551 CMS
Boston Scientific Corporation $16.9509/26/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322569 CMS
Boston Scientific Corporation $6.9609/23/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322449 CMS
Stryker Corporation $29.2309/12/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692843749 CMS
Boston Scientific Corporation $1.7309/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322419 CMS
Vertiflex, Inc. $16.2909/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026669457967 CMS
Retrophin, Inc. $17.7309/03/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026701821705 CMS
Boston Scientific Corporation $25.6508/30/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322589 CMS
Boston Scientific Corporation $68.9208/30/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322611 CMS
Boston Scientific Corporation $11.1508/26/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322519 CMS
Boston Scientific Corporation $15.8808/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322565 CMS
Boston Scientific Corporation $15.1108/19/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322557 CMS
Medtronic USA, Inc. $11.1308/09/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026667681021 CMS
Boston Scientific Corporation $9.7308/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322505 CMS
Boston Scientific Corporation $5.6807/29/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322437 CMS
Boston Scientific Corporation $17.7907/25/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322575 CMS
Boston Scientific Corporation $12.6307/22/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322529 CMS
Boston Scientific Corporation $15.5807/17/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322561 CMS
Janssen Biotech, Inc. $15.0707/17/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026658592233 CMS
Boston Scientific Corporation $10.4106/24/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322509 CMS
Boston Scientific Corporation $32.1406/19/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322601 CMS
Boston Scientific Corporation $13.5106/14/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322539 CMS
Boston Scientific Corporation $4.2206/11/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322435 CMS
Boston Scientific Corporation $24.2006/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322585 CMS
Medtronic USA, Inc. $9.5806/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026667662635 CMS
Boston Scientific Corporation $14.7006/04/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322547 CMS
Boston Scientific Corporation $13.3705/28/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322533 CMS
Boston Scientific Corporation $6.3205/23/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322443 CMS
Boston Scientific Corporation $9.5805/20/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322499 CMS
Medtronic USA, Inc. $103.6705/09/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026667621801 CMS
Radius Health, Inc. $21.0005/09/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026683949725 CMS
Boston Scientific Corporation $9.2405/06/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026663322489 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $1,555.96 67
PY2020 $413.13 34
PY2021 $461.96 27
PY2022 $381.62 22
PY2023 $709.61 37
PY2024 $1,131.12 26
PY2025 $1,079.30 36

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files and profile matching
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.

Cite this record.

Plain
RALPH GEORGE MENARD JR., NPI 1407876014. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1407876014.
APA 7
IndustryPayments. (2026). RALPH GEORGE MENARD JR., NPI 1407876014 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1407876014
Bluebook
RALPH GEORGE MENARD JR., NPI 1407876014, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1407876014.

Source: Centers for Medicare & Medicaid Services, Open Payments.