2026 NPPES data Hematology (Internal Medicine) Physician NPI 1295726933 M.D.
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PAUL GONTER, M.D.

Hematology (Internal Medicine) Physician in VENICE, Florida. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
92
Medicare Part D claims · 23 beneficiaries · Hematology (Internal Medicine) Physician avg: 693
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: PAUL GONTER, M.D. is a Hematology (Internal Medicine) Physician ([object Object]) practicing in VENICE, Florida with a Medicare Part D prescribing footprint of 92 claims across 23 beneficiaries — 22% brand-name prescribing .

What stands out: PAUL GONTER, M.D. filed 92 Medicare Part D claims in 2023 across VENICE, Florida. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

PAUL GONTER, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

PAUL GONTER, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 11/02/2005

NPI 1295726933

Primary specialty

Hematology (Internal Medicine) Physician

Niche

1,436 US NPIs in this specialty

Medicare Part D claims

92 87% vs specialty avg

2023 prescription claims

Specialty avg: 693

Specialty distribution in Florida

How Hematology (Internal Medicine) Physician compares to other specialties among Florida providers

Florida providers

Hematology (Internal Medicine) Physician share within Florida

1. Hematology (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology (Internal Medicine) Physician share within Florida

Specialty board-certification context

Estimated specialty board-certified rate — Hematology (Internal Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Hematology (Internal Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Hematology (Internal Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Hematology (Internal Medicine) Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

PAUL GONTER, M.D. is a Hematology (Internal Medicine) Physician provider practicing in VENICE, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1295726933. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

PAUL GONTER, M.D. appears in the CMS NPPES registry as a Hematology (Internal Medicine) Physician provider holding M.D. credentials at 836 SUNSET LAKE BLVD, VENICE, FL, 34292, with a listed phone of (941) 408-0500. NPI 1295726933 was issued on 11/02/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GONTER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 92 prescription claims written by this provider, covering 23 Medicare beneficiaries and totaling roughly $77K in drug spend, split 22% brand-name and 78% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Hematology (Internal Medicine) Physician is a narrow specialty nationwide, with 1,436 enrolled providers across 50 states and an average of 693 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

836 SUNSET LAKE BLVD
VENICE, FL 34292

Provider Details

NPI 1295726933
Specialty Hematology (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 11/02/2005

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to PAUL GONTER, M.D.. To verify PAUL GONTER, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

PAUL GONTER, M.D. — brand share 22.0%
Specialty average (est.)

22% brand-name claims vs 78% generic, on 92 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

92
Total Claims
$77K
Total Drug Cost
23
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
204
Total Day Supply
6,017
Brand vs Generic
22% brand / 78% generic
Brand Drug Cost
$74K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
75.9 years
Avg HCC Risk Score
1.88

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Anastrozole
14
Farxiga
Dapagliflozin Propanediol
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Hematology (Internal Medicine) Physician Overview

How PAUL GONTER, M.D. fits within the Hematology (Internal Medicine) Physician landscape nationally.

1,436
Hematology (Internal Medicine) Physician Providers in US
50
States with Hematology (Internal Medicine) Physician
693
Avg Claims per Provider

PAUL GONTER, M.D.'s 92 claims are below the specialty average of 693.

Nearby Hematology (Internal Medicine) Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as GONTER.

Compare Hematology (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAUL GONTER, M.D.'s specialty?
PAUL GONTER, M.D. specializes in Hematology (Internal Medicine) Physician and practices in VENICE, Florida. Credentials: M.D..
How much does PAUL GONTER, M.D. prescribe under Medicare Part D?
In 2023, PAUL GONTER, M.D. wrote 92 Medicare Part D claims totaling $77K in drug costs for 23 beneficiaries.
Where is PAUL GONTER, M.D. located?
PAUL GONTER, M.D. is located at 836 SUNSET LAKE BLVD, VENICE, FL, 34292. Phone: (941) 408-0500.
What is PAUL GONTER, M.D.'s NPI number?
PAUL GONTER, M.D.'s National Provider Identifier (NPI) is 1295726933, issued on 11/02/2005.
Does PAUL GONTER, M.D. prescribe more brand-name or generic drugs?
PAUL GONTER, M.D.'s prescribing is 22% brand-name and 78% generic drugs by claim count, with $74K in brand drug costs.
How many Hematology (Internal Medicine) Physician providers are there in the US?
There are 1,436 Hematology (Internal Medicine) Physician providers across 50 states in the US. The average Hematology (Internal Medicine) Physician provider writes 693 Medicare Part D claims per year.
What drugs does PAUL GONTER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PAUL GONTER, M.D.'s most frequently prescribed drugs include Anastrozole, Farxiga. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL GONTER, M.D. accept Medicare?
PAUL GONTER, M.D. appears in CMS Medicare data with 92 Part D claims and 23 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL GONTER, M.D.'s credentials?
PAUL GONTER, M.D.'s NPI is 1295726933 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology