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

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. 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 ↗

Covered recipient · General Payments record

RALPH MICHAEL WURSTER

Allopathic & Osteopathic Physicians Family Medicine

NPI
1962535617
CMS profile
931746
Location
SAN ANGELO, 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.

General Payments · PY2019–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$1,698.02

110 records · 0 disputed

“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.
  • Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,698.02 110

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $32.07 2
PY2020 $153.50 9
PY2021 $189.37 11
PY2022 $233.22 13
PY2023 $1,111.32 65
PY2024 $1,086.92 61
PY2025 $1,698.02 110

Payment records · PY2025 (110)

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

Program year 2025 201920202021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Amgen Inc. $7.95 12/17/2025 Food and Beverage No dispute reported 06/30/2026 1227249794 CMS
Ardelyx, Inc. $25.28 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1247893784 CMS
ABBVIE INC. $6.55 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1204799744 CMS
ABBVIE INC. $23.10 12/09/2025 Food and Beverage No dispute reported 06/30/2026 1204799740 CMS
ABBVIE INC. $7.96 12/05/2025 Food and Beverage No dispute reported 06/30/2026 1204799737 CMS
Amgen Inc. $8.06 12/05/2025 Food and Beverage No dispute reported 06/30/2026 1227249802 CMS
Bayer Healthcare Pharmaceuticals Inc. $27.81 11/25/2025 Food and Beverage No dispute reported 06/30/2026 1225910988 CMS
AstraZeneca Pharmaceuticals LP $17.37 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1206239117 CMS
Novo Nordisk Inc $15.55 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1188966633 CMS
Amgen Inc. $7.52 11/19/2025 Food and Beverage No dispute reported 06/30/2026 1227249814 CMS
ABBVIE INC. $8.78 11/17/2025 Food and Beverage No dispute reported 06/30/2026 1204799733 CMS
ABBVIE INC. $11.41 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1204799728 CMS
Exact Sciences Corporation $22.23 11/07/2025 Food and Beverage No dispute reported 06/30/2026 1235692393 CMS
Novo Nordisk Inc $10.38 11/07/2025 Food and Beverage No dispute reported 06/30/2026 1188330874 CMS
ABBVIE INC. $23.65 11/04/2025 Food and Beverage No dispute reported 06/30/2026 1204799725 CMS
Amgen Inc. $6.38 11/04/2025 Food and Beverage No dispute reported 06/30/2026 1227249776 CMS
ABBVIE INC. $9.37 11/03/2025 Food and Beverage No dispute reported 06/30/2026 1204799721 CMS
AstraZeneca Pharmaceuticals LP $20.74 10/31/2025 Food and Beverage No dispute reported 06/30/2026 1206569269 CMS
ABBVIE INC. $17.55 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1204799717 CMS
Ardelyx, Inc. $13.93 10/27/2025 Food and Beverage No dispute reported 06/30/2026 1247893782 CMS
Amgen Inc. $7.48 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1227249810 CMS
ABBVIE INC. $16.57 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1204799714 CMS
Novo Nordisk Inc $2.41 10/20/2025 Food and Beverage No dispute reported 06/30/2026 1188802581 CMS
ABBVIE INC. $12.27 10/16/2025 Food and Beverage No dispute reported 06/30/2026 1204799710 CMS
Lilly USA, LLC $19.57 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1186871207 CMS
Amgen Inc. $6.31 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1227249782 CMS
Amgen Inc. $10.22 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1227249798 CMS
ABBVIE INC. $5.57 10/06/2025 Food and Beverage No dispute reported 06/30/2026 1204799705 CMS
Novo Nordisk Inc $22.48 10/02/2025 Food and Beverage No dispute reported 06/30/2026 1188434768 CMS
ABBVIE INC. $25.34 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1204799701 CMS
Amgen Inc. $6.47 09/25/2025 Food and Beverage No dispute reported 06/30/2026 1227249792 CMS
Verona Pharma, Inc. $30.23 09/25/2025 Food and Beverage No dispute reported 06/30/2026 1233802743 CMS
ABBVIE INC. $10.53 09/23/2025 Food and Beverage No dispute reported 06/30/2026 1204799697 CMS
AstraZeneca Pharmaceuticals LP $14.61 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1206525832 CMS
Bayer Healthcare Pharmaceuticals Inc. $26.47 09/18/2025 Food and Beverage No dispute reported 06/30/2026 1225910984 CMS
Amgen Inc. $5.49 09/12/2025 Food and Beverage No dispute reported 06/30/2026 1227249812 CMS
ABBVIE INC. $10.28 09/10/2025 Food and Beverage No dispute reported 06/30/2026 1204799693 CMS
ABBVIE INC. $8.03 09/09/2025 Food and Beverage No dispute reported 06/30/2026 1204799688 CMS
Ardelyx, Inc. $34.67 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1247893780 CMS
ABBVIE INC. $2.84 09/02/2025 Food and Beverage No dispute reported 06/30/2026 1204799684 CMS
Amgen Inc. $5.42 08/28/2025 Food and Beverage No dispute reported 06/30/2026 1227249790 CMS
Novo Nordisk Inc $17.93 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1188701662 CMS
ABBVIE INC. $6.06 08/25/2025 Food and Beverage No dispute reported 06/30/2026 1204799680 CMS
Verona Pharma, Inc. $30.51 08/21/2025 Food and Beverage No dispute reported 06/30/2026 1233802755 CMS
ABBVIE INC. $25.98 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1204799676 CMS
ABBVIE INC. $5.00 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1204799672 CMS
Novo Nordisk Inc $22.69 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1188956049 CMS
ABBVIE INC. $16.68 08/13/2025 Food and Beverage No dispute reported 06/30/2026 1204799668 CMS
Amgen Inc. $9.34 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1227249788 CMS
Novo Nordisk Inc $26.54 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1188862785 CMS
Otsuka America Pharmaceutical, Inc. $17.89 08/06/2025 Food and Beverage No dispute reported 06/30/2026 1227543533 CMS
Novo Nordisk Inc $9.19 08/01/2025 Food and Beverage No dispute reported 06/30/2026 1188720565 CMS
Lilly USA, LLC $18.61 07/31/2025 Food and Beverage No dispute reported 06/30/2026 1186931606 CMS
Amgen Inc. $4.54 07/30/2025 Food and Beverage No dispute reported 06/30/2026 1227249778 CMS
AstraZeneca Pharmaceuticals LP $14.58 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1206173630 CMS
Paratek Pharmaceuticals, Inc. $15.25 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1181770511 CMS
Lundbeck LLC $25.54 07/08/2025 Food and Beverage No dispute reported 06/30/2026 1251861103 CMS
Dexcom, Inc. $19.74 07/03/2025 Food and Beverage No dispute reported 06/30/2026 1250515711 CMS
ABBVIE INC. $17.37 07/01/2025 Food and Beverage No dispute reported 06/30/2026 1204799664 CMS
Phathom Pharmaceuticals, Inc. $12.30 06/27/2025 Food and Beverage No dispute reported 06/30/2026 1219391556 CMS
PFIZER INC. $23.40 06/24/2025 Food and Beverage No dispute reported 06/30/2026 1228801630 CMS
Novo Nordisk Inc $29.84 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1188576543 CMS
Amgen Inc. $5.19 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1227249796 CMS
ABBVIE INC. $22.18 06/16/2025 Food and Beverage No dispute reported 06/30/2026 1204799660 CMS
Novo Nordisk Inc $12.27 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1188488777 CMS
Otsuka America Pharmaceutical, Inc. $21.31 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1227543530 CMS
AstraZeneca Pharmaceuticals LP $15.47 06/09/2025 Food and Beverage No dispute reported 06/30/2026 1207234176 CMS
Amgen Inc. $9.28 06/04/2025 Food and Beverage No dispute reported 06/30/2026 1227249780 CMS
Novo Nordisk Inc $19.06 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1188464128 CMS
ABBVIE INC. $12.14 05/29/2025 Food and Beverage No dispute reported 06/30/2026 1204799656 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.42 05/28/2025 Food and Beverage No dispute reported 06/30/2026 1222985885 CMS
Amgen Inc. $8.10 05/27/2025 Food and Beverage No dispute reported 06/30/2026 1227249800 CMS
Lilly USA, LLC $15.73 05/21/2025 Food and Beverage No dispute reported 06/30/2026 1186896647 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.30 05/15/2025 Food and Beverage No dispute reported 06/30/2026 1225910980 CMS
Novo Nordisk Inc $24.32 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1188330293 CMS
Amgen Inc. $9.60 05/09/2025 Food and Beverage No dispute reported 06/30/2026 1227249808 CMS
Axsome Therapeutics, Inc. $16.95 05/07/2025 Food and Beverage No dispute reported 06/30/2026 1235737623 CMS
Novo Nordisk Inc $7.09 05/07/2025 Food and Beverage No dispute reported 06/30/2026 1188866497 CMS
ABBVIE INC. $22.11 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1204799652 CMS
ABBVIE INC. $5.00 04/25/2025 Food and Beverage No dispute reported 06/30/2026 1204799649 CMS
Lilly USA, LLC $23.63 04/25/2025 Food and Beverage No dispute reported 06/30/2026 1186871205 CMS
Novo Nordisk Inc $22.85 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1188615527 CMS
AstraZeneca Pharmaceuticals LP $14.33 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1206252970 CMS
Amgen Inc. $7.43 04/08/2025 Food and Beverage No dispute reported 06/30/2026 1227249806 CMS
ABBVIE INC. $9.17 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1204799645 CMS
Novo Nordisk Inc $24.23 04/02/2025 Food and Beverage No dispute reported 06/30/2026 1188943672 CMS
Novo Nordisk Inc $12.49 03/28/2025 Food and Beverage No dispute reported 06/30/2026 1188420449 CMS
Lilly USA, LLC $19.92 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1186871203 CMS
Amgen Inc. $10.81 03/12/2025 Food and Beverage No dispute reported 06/30/2026 1227249804 CMS
Novo Nordisk Inc $18.00 03/12/2025 Food and Beverage No dispute reported 06/30/2026 1188952466 CMS
ABBVIE INC. $23.97 03/05/2025 Food and Beverage No dispute reported 06/30/2026 1204799641 CMS
ABBVIE INC. $19.93 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1204799637 CMS
AstraZeneca Pharmaceuticals LP $15.72 03/03/2025 Food and Beverage No dispute reported 06/30/2026 1206638931 CMS
ABBVIE INC. $15.32 02/27/2025 Food and Beverage No dispute reported 06/30/2026 1204799633 CMS
Amgen Inc. $9.04 02/26/2025 Food and Beverage No dispute reported 06/30/2026 1227249774 CMS
PFIZER INC. $17.98 02/26/2025 Food and Beverage No dispute reported 06/30/2026 1231383735 CMS
Amgen Inc. $4.57 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1227249772 CMS
Mannkind Corporation $21.47 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1250885222 CMS
Otsuka America Pharmaceutical, Inc. $17.63 02/17/2025 Food and Beverage No dispute reported 06/30/2026 1227543526 CMS
Exact Sciences Corporation $24.63 02/13/2025 Food and Beverage No dispute reported 06/30/2026 1235692389 CMS
Novo Nordisk Inc $24.50 02/10/2025 Food and Beverage No dispute reported 06/30/2026 1188743946 CMS
Amgen Inc. $6.24 01/29/2025 Food and Beverage No dispute reported 06/30/2026 1227249786 CMS
Mannkind Corporation $18.83 01/29/2025 Food and Beverage No dispute reported 06/30/2026 1250885220 CMS
AstraZeneca Pharmaceuticals LP $17.75 01/27/2025 Food and Beverage No dispute reported 06/30/2026 1207263947 CMS
Exact Sciences Corporation $17.03 01/23/2025 Food and Beverage No dispute reported 06/30/2026 1235692384 CMS
Novo Nordisk Inc $26.48 01/21/2025 Food and Beverage No dispute reported 06/30/2026 1188619372 CMS
ABBVIE INC. $4.90 01/16/2025 Food and Beverage No dispute reported 06/30/2026 1204799625 CMS
ABBVIE INC. $16.42 01/16/2025 Food and Beverage No dispute reported 06/30/2026 1204799628 CMS
Amgen Inc. $7.24 01/14/2025 Food and Beverage No dispute reported 06/30/2026 1227249784 CMS
AstraZeneca Pharmaceuticals LP $17.18 01/13/2025 Food and Beverage No dispute reported 06/30/2026 1206273976 CMS

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
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
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 MICHAEL WURSTER, NPI 1962535617. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1962535617.
APA 7
IndustryPayments. (2026). RALPH MICHAEL WURSTER, NPI 1962535617 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1962535617
Bluebook
RALPH MICHAEL WURSTER, NPI 1962535617, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1962535617.

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