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DR. PAUL W. GONTER M.D.
NPI 1295726933
Internal Medicine - Medical Oncology in Venice, FL

Active since November 02, 2005PECOS Enrolled
836 SUNSET LAKE BLVD, SUITE 101, VENICE, FL 34292(941) 408-0500(941) 496-8558 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 3, 2022, Nov 10, 2021 (2 updates tracked since 2021).

About Dr. Paul W. Gonter M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL W. GONTER M.D. (NPI 1295726933) is an individual medical oncology provider in Venice, Florida, licensed in Florida (ME85932) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295726933
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. PAUL W. GONTERCredential: M.D.
Location Address836 SUNSET LAKE BLVD, SUITE 101Venice, FL 34292-7554
Mailing AddressPo Box 102222, Attn: Credential DepartmentAtlanta, GA 30368-2222 · (239) 274-8200 · Fax (239) 278-3350
Phone(941) 408-0500
Fax(941) 496-8558
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateMay 3, 20222 updates tracked since enumeration
NPPES CertifiedMay 3, 2022
✔ NPI 1295726933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in FL · ME85932
Definition
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.
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License ME85932 (FL)
836 SUNSET LAKE BLVD, Venice, FL 34292
Open in Google Maps ↗

Other Identifiers 1

Medicaid252556900FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul W. Gonter M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Paul Gonter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Cancer Specialists & Research Institute, LLC
43 mi
Medical Oncology
1708 CAPE CORAL PKWY W, #10
Cape Coral, FL 33914
  • Reassigned Medicare billing, Florida enrollment
  • 880 clinicians in this Medicare group
NPI 1760590962 (239) 541-4633

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34292 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
89%1,138 patients4/55-star benchmark: 100%
Health Information Exchange
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…
73%26 patients4/55-star benchmark: 96%
Medication Reconciliation
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.
87%453 patients4/55-star benchmark: 100%
Patient-Specific Education
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.
57%1,481 patients3/55-star benchmark: 99%
Provide Patient Access
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…
89%1,481 patients4/55-star benchmark: 100%
Secure Messaging
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…
2%1,481 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier14 claims14 services$12.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TIMI JEAN BARLETTA PT
Physical Therapist
836 SUNSET LAKE BLVD, SUITE 201
VENICE, FL 34292
Sarasota County (941) 497-1737
DR. STEPHEN V. ORMAN MD
Internal Medicine (Medical Oncology)
836 SUNSET LAKE BLVD, SUITE #101
VENICE, FL 34292
Sarasota County (941) 408-0500
MR. ANTHONY JOHN FUS JR. PT
Physical Therapist
836 SUNSET LAKE BLVD, SUITE 201
VENICE, FL 34292
Sarasota County (941) 497-1737
MRS. AMY LOUISE LADEHOFF PT
Physical Therapist
836 SUNSET LAKE BLVD, SUITE 201
VENICE, FL 34292
Sarasota County (941) 497-1737
DR. KATHIE SUE ALLEN DDS
Dentist (General Practice)
836 SUNSET LAKE BLVD, SUITE #204
VENICE, FL 34292
Sarasota County (941) 492-3211
WILLIAM JEFFREY FIELDS D.D.S.
Dentist (General Practice)
836 SUNSET LAKE BLVD, SUITE 202
VENICE, FL 34292
Sarasota County (941) 492-2967
JOHN PAUL VIDOLIN M D P A
Orthopaedic Surgery
836 SUNSET LAKE BLVD, STE 102
VENICE, FL 34292
Sarasota County (941) 497-1771
DR. WILLIAM KARL URSCHEL D.M.D.
Dentist (General Practice)
836 SUNSET LAKE BLVD, SUITE 202
VENICE, FL 34292
Sarasota County (941) 492-2967

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Gonter's NPI number?

The NPI number for Paul Gonter is 1295726933. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Paul Gonter located?

Paul Gonter practices at 836 Sunset Lake Blvd Suite 101, Venice, FL 34292. The listed phone number is (941) 408-0500.

What is Paul Gonter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Paul Gonter enrolled in Medicare?

Yes. Paul Gonter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Gonter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Gonter reassigns Medicare benefits to Florida Cancer Specialists & Research Institute, LLC (Cape Coral, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Gonter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paul Gonter was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.