DR. PAUL W. GONTER M.D.
NPI 1295726933
Internal Medicine - Medical Oncology in Venice, FL
NPI Status: Active since November 02, 2005
Contact Information
836 SUNSET LAKE BLVD
SUITE 101
VENICE, FL
ZIP 34292
Phone: (941) 408-0500
Fax: (941) 496-8558
- Individual
- Male
- Internal Medicine
- Medical Oncology
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About PAUL GONTER
This page provides the complete NPI Profile along with additional information for Paul Gonter, an internist established in Venice, Florida with a medical specialization in Internal Medicine, focusing in medical oncology . The healthcare provider is registered in the NPI registry with number 1295726933 assigned on November 2005. The practitioner's primary taxonomy code is 207RX0202X with license number ME85932 (FL). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1295726933
- Provider Name
- DR. PAUL W. GONTER M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 836 SUNSET LAKE BLVD SUITE 101 VENICE, FL 34292
- Location Phone
- (941) 408-0500
- Location Fax
- (941) 496-8558
- Mailing Address
- PO BOX 102222 ATTN: CREDENTIAL DEPARTMENT ATLANTA, GA 30368
- Mailing Phone
- (239) 274-8200
- Mailing Fax
- (941) 496-8558
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-02-2005
- Last Update Date
- 05-03-2022
- Code Navigator
An internist like Paul Gonter is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Medical Oncology
- Taxonomy Code
- 207RX0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME85932
- License State
- FL
- Taxonomy Description
- An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207RH0000X | Allopathic & Osteopathic Physicians | Internal Medicine | ME85932 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze 0 Indiv Med Deductible - EPO
- Connect Bronze 5500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold 800 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3600 Indiv Med Deductible - EPO
- Connect Silver 4300 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
252556900 | MEDICAID (05) | FL |
Medicare Participation & PECOS Enrollment Status
Paul Gonter is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Unknown
Treatment-Chemotherapy (RH012N)
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period (HCPCS:Q0512)
1 DME suppliers used 14 Medicare Claims 14 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of additional new drug or substance into vein using push technique
Administration of additional new drug or substance into vein, 1 hour or less
Administration of chemotherapy into vein, 1 hour or less
Administration of chemotherapy into vein, each additional hour
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle
Beta-2 microglobulin (protein) level
Blood test, basic group of blood chemicals (calcium, total)
Blood test, comprehensive group of blood chemicals
Blood test, thyroid stimulating hormone (tsh)
Carcinoembryonic antigen (cea) protein level
Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted l
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
Ct scan of abdomen and pelvis before and after contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis without contrast
Ct scan of chest with contrast
Ct scan of chest without contrast
Ct scan of soft tissue of neck with contrast
Cyanocobalamin (vitamin b-12) level
Drawing of blood for a medical problem
Erythropoietin (protein) level
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Ferritin (blood protein) level
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
Folic acid level, serum
Follow-up hospital inpatient care per day, typically 25 minutes
Gammaglobulin (immune system protein) measurement
Haptoglobin (serum protein) level
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3
Immunologic analysis technique on serum (immunofixation)
Infusion into a vein for hydration, each additional hour
Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour
Infusion, normal saline solution , 1000 cc
Infusion, normal saline solution, sterile (500 ml = 1 unit)
Initial hospital inpatient care per day, typically 70 minutes
Injection of additional new drug or substance into vein
Injection of drug or substance into vein
Injection of drug or substance under skin or into muscle
Injection, aprepitant, 1 mg
Injection, carboplatin, 50 mg
Injection, daratumumab, 10 mg and hyaluronidase-fihj
Injection, denosumab, 1 mg
Injection, dexamethasone sodium phosphate, 1 mg
Injection, diphenhydramine hcl, up to 50 mg
Injection, epoetin alfa, (for non-esrd use), 1000 units
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)
Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram
Injection, fluorouracil, 500 mg
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg
Injection, leucovorin calcium, per 50 mg
Injection, methylprednisolone sodium succinate, up to 125 mg
Injection, methylprednisolone sodium succinate, up to 40 mg
Injection, ondansetron hydrochloride, per 1 mg
Injection, palonosetron hcl, 25 mcg
Injection, rituximab, 10 mg
Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
Injection, zoledronic acid, 1 mg
Insertion of needle into vein for collection of blood sample
Iron binding capacity
Iron level
Lactate dehydrogenase (enzyme) level
Leuprolide acetate (for depot suspension), 7.5 mg
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
Magnesium level
Measurement of immunoglobulin light chains
New patient office or other outpatient visit, 45-59 minutes
New patient office or other outpatient visit, 60-74 minutes
Nuclear medicine study from skull base to mid-thigh with ct scan
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a
Protein measurement, serum
Psa (prostate specific antigen) measurement, total
Transferrin (iron binding protein) level
Uric acid level, blood
Urinalysis, manual test
This procedure involves injecting a new medication or substance directly into your vein using a method called the 'push' technique. It's a quick way to deliver medication into your bloodstream for fast-acting relief or treatment.
This service was performed 79 times for 17 patientsThis procedure involves introducing a new drug or substance into your vein, typically via an IV drip. It lasts for an hour or less. This method allows the substance to quickly reach your bloodstream, ensuring rapid and effective treatment.
This service was performed 68 times for 22 patientsChemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
This service was performed 434 times for 133 patientsChemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.
This service was performed 188 times for 51 patientsThis procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.
This service was performed 88 times for 28 patientsThis procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
This service was performed 256 times for 94 patientsThe Beta-2 microglobulin level test measures the amount of this protein in your blood. It's often used to check kidney function or monitor certain cancers. High levels may indicate a health issue. The test involves a simple blood draw.
This service was performed 14 times for 14 patientsA basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
This service was performed 21 times for 13 patientsA comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
This service was performed 991 times for 626 patientsA TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
This service was performed 69 times for 38 patientsCarcinoembryonic Antigen (CEA) protein level is a blood test often used in cancer care. It measures the amount of CEA protein in your blood, which can increase in cases of certain types of cancer. It's used to monitor treatment progress and check for cancer recurrence.
This service was performed 100 times for 81 patientsChemotherapy is a treatment method that uses drugs to destroy cancer cells. In the office, a pump is used to start an intravenous infusion of these drugs. The infusion can then be continued at home or another setting, like a rest home.
This service was performed 62 times for 13 patientsA Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
This service was performed 2,047 times for 837 patientsA CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.
This service was performed 12 times for 12 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 89 times for 81 patientsA CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
This service was performed 21 times for 20 patientsA CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
This service was performed 141 times for 130 patientsA CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
This service was performed 27 times for 26 patientsA CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.
This service was performed 18 times for 18 patientsA Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.
This service was performed 162 times for 151 patientsDrawing blood is a simple procedure where a needle is inserted into a vein, usually in your arm, to collect a small sample. This sample helps in diagnosing any medical issues you may have. You might feel a small prick, but overall, it's a quick and safe process.
This service was performed 21 times for 11 patientsErythropoietin level is a blood test that measures the amount of erythropoietin (a protein) in your body. This protein helps in the production of red blood cells. The test aids in diagnosing conditions related to red blood cells, like anemia or polycythemia.
This service was performed 26 times for 25 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 58 times for 58 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 1,018 times for 570 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 22 times for 21 patientsA Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.
This service was performed 365 times for 293 patientsFluorodeoxyglucose F-18 FDG is a radioactive drug used in PET scans. It helps doctors see how your tissues and organs are functioning. The drug is given in a specific dose, up to 45 millicuries, depending on your body size and the type of scan.
This service was performed 60 times for 59 patientsA Folic Acid Level, Serum test measures the amount of folic acid, a type of B vitamin, in your blood. This vitamin is important for cell growth and development. It's crucial for your body to function well. If your levels are low, it may indicate a deficiency, which can lead to health issues.
This service was performed 122 times for 115 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 55 times for 27 patientsGammaglobulin measurement is a blood test that checks the levels of certain proteins (gammaglobulins) that the body uses to fight infections. High or low levels can indicate various health conditions. It's a simple, quick procedure with minimal discomfort.
This service was performed 540 times for 159 patientsThe Haptoglobin level test measures the amount of haptoglobin, a protein made by the liver, in your blood. This test is often used to check for conditions that cause the breakdown of red blood cells. Lower levels may indicate hemolytic anemia, while higher levels can suggest inflammation.
This service was performed 80 times for 67 patientsThis is a blood test that measures the level of CA 15-3, a protein often higher in individuals with certain types of cancer. It helps monitor response to treatment and check for cancer recurrence. It's not a standalone diagnostic test but used alongside other evaluations.
This service was performed 38 times for 28 patientsImmunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.
This service was performed 121 times for 97 patientsThis procedure involves delivering fluids directly into your vein to keep your body hydrated. It is typically done when oral hydration is insufficient. Each additional hour means more fluid is infused to ensure adequate hydration.
This service was performed 27 times for 12 patientsAn infusion into a vein is a method of delivering medication, nutrients, or fluids directly into your bloodstream. If it's concurrent with another infusion, it means two different solutions are given at the same time. This can be for treatment, prevention, or diagnostic purposes.
This service was performed 50 times for 11 patientsThis is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
This service was performed 330 times for 144 patientsThis procedure involves injecting fluids or medication directly into your vein. It's used for treatment, prevention, or diagnosis. An additional sequential infusion may be given within an hour if needed. This helps to ensure the medicine is distributed effectively in your body.
This service was performed 305 times for 101 patientsThis procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.
This service was performed 173 times for 36 patientsAn infusion of normal saline solution, 1000 cc, is a common medical procedure. It involves introducing a saltwater solution into your bloodstream via an intravenous (IV) line. This helps to hydrate your body, correct electrolyte imbalances, and deliver medications if needed.
This service was performed 21 times for 15 patientsAn infusion of a normal saline solution is a common medical procedure. Sterile saline (salt water) is administered into your bloodstream via a drip. This helps to maintain fluid balance in your body, especially when you're unable to drink enough liquids.
This service was performed 12 times for 12 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 31 times for 29 patientsThis procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.
This service was performed 405 times for 90 patientsThis procedure involves introducing a medication or substance directly into your vein using a syringe. It's a quick and efficient way to deliver treatment throughout your body. You might feel a small prick when the needle enters. It's generally safe and effective.
This service was performed 65 times for 42 patientsThis procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
This service was performed 692 times for 243 patientsAprepitant injection is a medication used to prevent nausea and vomiting caused by chemotherapy. It works by blocking certain substances in the brain that trigger these symptoms. The dosage is based on your medical condition and response to treatment.
This service was performed 10,270 times for 22 patientsCarboplatin is a chemotherapy drug used to treat various types of cancer by slowing or stopping the growth of cancer cells. The 50 mg injection is administered into a vein by a healthcare professional. Side effects may occur.
This service was performed 252 times for 11 patientsDaratumumab and hyaluronidase-fihj is an injection administered to treat certain types of blood cancer. The medication works by targeting and killing specific cancer cells. It's often given under the skin to reduce side effects and improve patient comfort.
This service was performed 10,620 times for 12 patientsDenosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
This service was performed 10,260 times for 93 patientsDexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
This service was performed 2,007 times for 66 patientsDiphenhydramine HCL injection is a medicine given to alleviate symptoms of allergies, colds, or hay fever. It can also help with motion sickness and certain symptoms of Parkinson's disease. Up to 50 mg may be administered depending on your condition.
This service was performed 194 times for 74 patientsEpoetin alfa is a medication injected to help your body produce more red blood cells, improving energy levels and reducing tiredness. It's often used for patients with certain types of anemia. Each injection contains 1000 units of the medicine.
This service was performed 12,530 times for 67 patientsFerumoxytol injection is a treatment for iron deficiency anemia, a condition where your body lacks enough iron. It is injected into your vein to increase iron levels, aiding in the production of healthy red blood cells. This treatment is not for ESRD patients.
This service was performed 51,000 times for 64 patientsFilgrastim-sndz, also known as Zarxio, is a biosimilar medicine administered via injection. It's designed to stimulate the growth of white blood cells, which play a crucial role in your body's defense against infections. This can be particularly beneficial if your white blood cell count is low due to certain treatments or conditions.
This service was performed 18,240 times for 19 patientsFluorouracil is a chemotherapy drug, given as an injection to treat various types of cancer. The 500 mg dose helps to stop cancer cells from growing and multiplying. You might feel some side effects, but these are typically manageable.
This service was performed 655 times for 12 patientsThe Gammagard Liquid injection is a type of immune globulin therapy. It's used to boost your body's immune system, helping it fight off infections. The therapy involves injecting a liquid form of proteins, collected from healthy donors, into your body. This is a 500mg dose.
This service was performed 6,780 times for 21 patientsLeucovorin calcium is an injection given to enhance the effectiveness of certain cancer treatments or to reduce the harmful effects of some medications. The dose is determined by your doctor and is typically administered in a healthcare setting.
This service was performed 763 times for 12 patientsMethylprednisolone sodium succinate is a steroid medication injected into a muscle or vein. It helps reduce inflammation and immune response. It's used for various conditions like allergies, arthritis, breathing problems, or skin diseases. It's important to follow your doctor's instructions.
This service was performed 150 times for 12 patientsMethylprednisolone sodium succinate is a corticosteroid medication, administered via injection. It helps reduce inflammation and immune responses. It's often used to treat conditions like arthritis, allergies, or skin diseases. The dosage is up to 40 mg.
This service was performed 115 times for 52 patientsOndansetron hydrochloride is a medication given via injection to help prevent nausea and vomiting, often due to chemotherapy or surgery. It works by blocking certain chemicals in the body that trigger these symptoms.
This service was performed 376 times for 23 patientsPalonosetron HCL is an injection used to prevent nausea and vomiting caused by chemotherapy. It works by blocking a natural substance (serotonin) in the body that can cause vomiting. This helps improve your comfort during cancer treatment.
This service was performed 1,500 times for 37 patientsRituximab is a medication given via injection. It's used to treat certain types of cancer and autoimmune diseases. The 10 mg dosage refers to the amount of the drug in the injection. It works by targeting and destroying specific cells, helping your body's immune system.
This service was performed 1,950 times for 11 patientsRituximab-pvvr (Ruxience) is a biosimilar medication given via injection. It's used to treat certain types of cancer and autoimmune conditions. It works by targeting specific proteins on cells, helping your body's immune system to destroy them.
This service was performed 3,010 times for 16 patientsThis is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
This service was performed 163 times for 67 patientsZoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.
This service was performed 117 times for 18 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 1,933 times for 869 patientsIron binding capacity is a blood test that measures how well your body can bind and transport iron. This helps your healthcare provider assess if your body has too little or too much iron, which can indicate certain health conditions.
This service was performed 95 times for 82 patientsAn iron level test measures the amount of iron in your blood. Iron is crucial for producing hemoglobin, a protein in red blood cells that carries oxygen throughout your body. This test helps identify iron deficiencies or excesses, which can lead to conditions like anemia or hemochromatosis.
This service was performed 291 times for 235 patientsA Lactate Dehydrogenase level test measures the amount of this enzyme in your body. It's often done when tissue damage is suspected, as high levels can indicate issues like heart disease, lung disease, liver disease, or blood disorders. This test helps in diagnosing and monitoring these conditions.
This service was performed 208 times for 190 patientsLeuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
This service was performed 88 times for 21 patientsLow osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
This service was performed 15,626 times for 145 patientsA magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.
This service was performed 87 times for 41 patientsMeasurement of immunoglobulin light chains is a blood test that helps to detect and monitor certain disorders related to your immune system. It measures the levels of specific proteins, known as light chains, produced by your immune cells.
This service was performed 197 times for 92 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 27 times for 27 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 46 times for 46 patientsA nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
This service was performed 54 times for 53 patientsThis service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
This service was performed 171 times for 101 patientsThe Oncology Care Model (OCM) Monthly Enhanced Oncology Services (MEOS) payment, denoted by G9678, is a compensation method for OCM practitioners. These payments are specifically for providing additional, or "enhanced", services to OCM beneficiaries, as outlined in the OCM participation agreement.
This service was performed 521 times for 171 patientsA serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
This service was performed 196 times for 149 patientsPSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
This service was performed 49 times for 34 patientsA transferrin level test measures the amount of transferrin, a protein that carries iron, in your blood. This can help determine if your body has an iron deficiency or overload. It's a simple blood test and can provide valuable information about your overall health.
This service was performed 197 times for 172 patientsA blood uric acid level test measures the amount of uric acid in your blood. Uric acid is a waste product that your body produces when it breaks down purines, substances found in your body and in certain foods. High levels may lead to gout or kidney stones.
This service was performed 23 times for 13 patientsA urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
This service was performed 22 times for 12 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 34292 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $171.84
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $42.96
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.16
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $24.79
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
e-Prescribing | 89% | 1138 |
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
Health Information Exchange | 73% | 26 |
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
Immunization Registry Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
Medication Reconciliation | 87% | 453 |
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
Patient-Specific Education | 57% | 1481 |
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
Provide Patient Access | 89% | 1481 |
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
Secure Messaging | 2% | 1481 |
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
Security Risk Analysis | Yes | N/A |
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Specialized Registry Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
Syndromic Surveillance Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement with a public health agency to submit syndromic surveillance data. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_2_MULTI. |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 9 | 5 | 7 | 2 | 6 | 9 | 3 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 18 | 5 | 14 | 2 | 12 | 9 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 8 + 5 + 1 + 4 + 2 + 1 + 2 + 9 + 6 + 24 = 67 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 67 = 3 | 3 |
The NPI number 1295726933 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1427039569 | JOHN PAUL VIDOLIN MD Individual | Orthopaedic Surgery (Sports Medicine) | 836 SUNSET LAKE BLVD SUITE 102 VENICE, FL 34292 (941) 497-1771 |
1336120484 | JOHN PAUL VIDOLIN M D P A Organization | Orthopaedic Surgery | 836 SUNSET LAKE BLVD STE 102 VENICE, FL 34292 (941) 497-1771 |
1144203928 | DR. STEPHEN V. ORMAN MD Individual | Internal Medicine (Medical Oncology) | 836 SUNSET LAKE BLVD SUITE #101 VENICE, FL 34292 (941) 408-0500 |
1427029586 | BRIAN T BRIGGS MD Individual | Orthopaedic Surgery | 836 SUNSET LAKE BLVD SUITE 102 VENICE, FL 34292 (941) 497-1771 |
1396759841 | DR. WILLIAM KARL URSCHEL D.M.D. Individual | Dentist (General Practice) | 836 SUNSET LAKE BLVD SUITE 202 VENICE, FL 34292 (941) 492-2967 |
1255344453 | DR. KATHIE SUE ALLEN DDS Individual | Dentist (General Practice) | 836 SUNSET LAKE BLVD SUITE #204 VENICE, FL 34292 (941) 492-3211 |
1154484830 | MR. ANTHONY JOHN FUS JR. PT Individual | Physical Therapist | 836 SUNSET LAKE BLVD SUITE 201 VENICE, FL 34292 (941) 497-1737 |
1003970385 | MRS. TIMI JEAN BARLETTA PT Individual | Physical Therapist | 836 SUNSET LAKE BLVD SUITE 201 VENICE, FL 34292 (941) 497-1737 |
1225192339 | MRS. AMY LOUISE LADEHOFF PT Individual | Physical Therapist | 836 SUNSET LAKE BLVD SUITE 201 VENICE, FL 34292 (941) 497-1737 |
1275707382 | WILLIAM JEFFREY FIELDS D.D.S. Individual | Dentist (General Practice) | 836 SUNSET LAKE BLVD SUITE 202 VENICE, FL 34292 (941) 492-2967 |
1992971717 | VENICE ORTHOPAEDICS, P.A. Organization | Orthopaedic Surgery (Sports Medicine) | 836 SUNSET LAKE BLVD SUITE 102 VENICE, FL 34292 (941) 497-1771 |
1174628556 | FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC Organization | Internal Medicine (Hematology & Oncology) | 836 SUNSET LAKE BLVD SUITE 101 VENICE, FL 34292 (941) 408-0500 |
1528269917 | DR. ANDRES O SORIANO M.D. Individual | Internal Medicine (Medical Oncology) | 836 SUNSET LAKE BLVD SUITE 101 VENICE, FL 34292 (941) 408-0500 |
1366933079 | JAMIE LYNN STEELE APRN Individual | Nurse Practitioner (Acute Care) | 836 SUNSET LAKE BLVD VENICE, FL 34292 (941) 408-0500 |
1730734914 | JENNIFER NICOLE MESSINA APRN Individual | Nurse Practitioner (Family) | 836 SUNSET LAKE BLVD VENICE, FL 34292 (941) 408-0500 |
1528015047 | PHYSIOWORKS INC Organization | Physical Therapist | 836 SUNSET LAKE BLVD SUITE 201 VENICE, FL 34292 (941) 497-1737 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295726933, enumerated in the NPI registry as an "individual" on November 02, 2005
The provider is located at 836 Sunset Lake Blvd Suite 101 Venice, Fl 34292 and the phone number is (941) 408-0500
The provider's speciality is Internal Medicine with taxonomy code 207RX0202X with a focus in Medical Oncology
The provider might be accepting Accepts: Cigna Healthcare, Oscar Insurance Company of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $171.84 with an average copayment of $42.96 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Administration of additional new drug or substance into vein using push technique, Administration of additional new drug or substance into vein, 1 hour or less, Administration of chemotherapy into vein, 1 hour or less, Administration of chemotherapy into vein, each additional hour, Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle, Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle, Beta-2 microglobulin (protein) level, Blood test, basic group of blood chemicals (calcium, total), Blood test, comprehensive group of blood chemicals, Blood test, thyroid stimulating hormone (tsh), Carcinoembryonic antigen (cea) protein level, Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted l, Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, Ct scan of abdomen and pelvis before and after contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis without contrast, Ct scan of chest with contrast, Ct scan of chest without contrast, Ct scan of soft tissue of neck with contrast, Cyanocobalamin (vitamin b-12) level, Drawing of blood for a medical problem, Erythropoietin (protein) level, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Ferritin (blood protein) level, Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries, Folic acid level, serum, Follow-up hospital inpatient care per day, typically 25 minutes, Gammaglobulin (immune system protein) measurement, Haptoglobin (serum protein) level, Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3, Immunologic analysis technique on serum (immunofixation), Infusion into a vein for hydration, each additional hour, Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion, Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less, Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less, Infusion into a vein for therapy, prevention, or diagnosis, each additional hour, Infusion, normal saline solution , 1000 cc, Infusion, normal saline solution, sterile (500 ml = 1 unit), Initial hospital inpatient care per day, typically 70 minutes, Injection of additional new drug or substance into vein, Injection of drug or substance into vein, Injection of drug or substance under skin or into muscle, Injection, aprepitant, 1 mg, Injection, carboplatin, 50 mg, Injection, daratumumab, 10 mg and hyaluronidase-fihj, Injection, denosumab, 1 mg, Injection, dexamethasone sodium phosphate, 1 mg, Injection, diphenhydramine hcl, up to 50 mg, Injection, epoetin alfa, (for non-esrd use), 1000 units, Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use), Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram, Injection, fluorouracil, 500 mg, Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg, Injection, leucovorin calcium, per 50 mg, Injection, methylprednisolone sodium succinate, up to 125 mg, Injection, methylprednisolone sodium succinate, up to 40 mg, Injection, ondansetron hydrochloride, per 1 mg, Injection, palonosetron hcl, 25 mcg, Injection, rituximab, 10 mg, Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg, Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg, Injection, zoledronic acid, 1 mg, Insertion of needle into vein for collection of blood sample, Iron binding capacity, Iron level, Lactate dehydrogenase (enzyme) level, Leuprolide acetate (for depot suspension), 7.5 mg, Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, Magnesium level, Measurement of immunoglobulin light chains, New patient office or other outpatient visit, 45-59 minutes, New patient office or other outpatient visit, 60-74 minutes, Nuclear medicine study from skull base to mid-thigh with ct scan, Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional, Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a, Protein measurement, serum, Psa (prostate specific antigen) measurement, total, Transferrin (iron binding protein) level, Uric acid level, blood and Urinalysis, manual test.
This NPI record was last updated on November 02, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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