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

RUBEN GERARD ALEXANDER

Allopathic & Osteopathic Physicians Anesthesiology Pain Medicine

NPI
1790078848
CMS profile
613565
Location
LAS VEGAS, NV

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

$4,745.72

210 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 $4,048.21 207
Travel and Lodging $697.51 3

By paying entity

PY2019 · entire year · sorted by reported total

Page 3 of 5; records 101–150 of 210 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

RUBEN GERARD ALEXANDER

NPI 1790078848 · CMS profile ID 613565

Allopathic & Osteopathic Physicians / Anesthesiology / Pain Medicine

LAS VEGAS, NV

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.

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.

General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 3 of 5; records 101–150 of 210 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1790078848?year=2019&recipient=provider&page=3#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
RUBEN GERARD ALEXANDER, NPI 1790078848, CMS profile ID 613565. General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 3 of 5; records 101–150 of 210 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1790078848?year=2019&recipient=provider&page=3#records-h. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e.
APA 7
IndustryPayments. (2026). RUBEN GERARD ALEXANDER, NPI 1790078848, CMS profile ID 613565. General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 3 of 5; records 101–150 of 210 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1790078848?year=2019&recipient=provider&page=3#records-h. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e.
Bluebook
RUBEN GERARD ALEXANDER, NPI 1790078848, CMS profile ID 613565, IndustryPayments, General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 3 of 5; records 101–150 of 210 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e. https://industrypayments.org/provider/npi-1790078848?year=2019&recipient=provider&page=3#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

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

210 matching records · $4,745.72 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 210 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 101–150 of 210.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Nevro Corp. $12.1806/17/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 679658555 CMS
Vertical Pharmaceuticals, LLC $18.4206/17/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 675493147 CMS
Medtronic USA, Inc. $15.2006/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 667631377 CMS
Zyla Life Sciences $6.4906/11/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 704850579 CMS
Medtronic USA, Inc. $24.2006/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 667643789 CMS
Zyla Life Sciences $7.8006/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 704860693 CMS
Collegium Pharmaceutical, Inc. $13.4606/06/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655153901 CMS
Zyla Life Sciences $6.9606/06/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 704830517 CMS
Daiichi Sankyo Inc. $11.6906/03/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 695348163 CMS
Zyla Life Sciences $15.4106/03/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 704830479 CMS
Zyla Life Sciences $10.4505/31/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 704860703 CMS
Sentynl Therapeutics, Inc. $15.3205/29/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 696001047 CMS
PFIZER INC. $20.0805/28/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 672975027 CMS
Zyla Life Sciences $9.6705/24/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 704864817 CMS
Medtronic USA, Inc. $8.0805/22/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 667623041 CMS
Amgen Inc. $13.4105/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 662977699 CMS
Medtronic USA, Inc. $17.2805/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 667623091 CMS
Zyla Life Sciences $2.9705/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 704854657 CMS
Medtronic USA, Inc. $14.1805/20/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 667623079 CMS
Scilex Pharmaceuticals Inc. $12.0205/14/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 689472869 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $12.3605/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 684618793 CMS
Daiichi Sankyo Inc. $8.3305/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 695339427 CMS
Nevro Corp. $14.2205/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 679658389 CMS
Zyla Life Sciences $3.7905/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 704835931 CMS
Medtronic USA, Inc. $17.7705/06/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 667612317 CMS
Medtronic USA, Inc. $30.2705/06/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 667643531 CMS
Vertiflex, Inc. $168.2305/04/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 669450285 CMS
Daiichi Sankyo Inc. $19.3104/30/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 695400727 CMS
Medtronic USA, Inc. $10.5204/29/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 667612298 CMS
Zyla Life Sciences $7.8004/29/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 704859439 CMS
Daiichi Sankyo Inc. $9.0904/26/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 695346343 CMS
Vertiflex, Inc. $18.9904/26/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 669449879 CMS
Vertiflex, Inc. $57.2604/23/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 669449769 CMS
Medtronic USA, Inc. $9.5204/22/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 667602255 CMS
Sentynl Therapeutics, Inc. $13.0004/22/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 696006247 CMS
Zyla Life Sciences $17.9204/20/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 704844477 CMS
Daiichi Sankyo Inc. $16.4804/17/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 695396598 CMS
Daiichi Sankyo Inc. $0.6604/16/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 695318312 CMS
Zyla Life Sciences $3.9204/16/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 704829285 CMS
Amgen Inc. $12.1204/09/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 662977695 CMS
Sentynl Therapeutics, Inc. $13.6604/09/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 696004571 CMS
Scilex Pharmaceuticals Inc. $12.9904/08/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 689468713 CMS
Zyla Life Sciences $2.9904/08/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 704829379 CMS
Daiichi Sankyo Inc. $8.5804/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 695318457 CMS
Medtronic USA, Inc. $10.7904/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 667589631 CMS
Vertical Pharmaceuticals, LLC $13.0004/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 675493145 CMS
Zyla Life Sciences $6.4104/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 704864655 CMS
Zyla Life Sciences $11.6004/02/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 704849789 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $13.6604/01/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 684618783 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $11.1404/01/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 684618789 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $4,745.72 210
PY2020 $323.52 7
PY2021 $293.94 10
PY2022 $897.86 28
PY2023 $1,118.03 52
PY2024 $1,150.28 58
PY2025 $990.85 49

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.