Medicare Enrolled
Dr. Paul Engel, M.D.
Family Medicine · Cape Coral, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Engel from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Engel
Dr. Paul Engel is a family medicine specialist in Cape Coral, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Engel performed 15,919 Medicare services across 9,003 unique beneficiaries.
Between the years covered by Open Payments, Dr. Engel received a total of $5,850 from 40 pharmaceutical and/or device companies across 399 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Engel is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 1% volume in FL
$5,850 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 84030 | Clear | January 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary
Medicare Utilization ↗15,919
Medicare services
Top 1% in FL for family medicine
9,003
Unique beneficiaries
$18
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~796 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
2,703 | $49 | $224 |
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
2,600 | $0 | $0 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,823 | $8 | $10 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
1,216 | $13 | $29 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
949 | $10 | $23 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
596 | $9 | $21 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
596 | $16 | $36 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
478 | $8 | $17 |
| PSA test (prostate cancer screening) | 326 | $18 | $39 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
294 | $3 | $7 |
| Albumin level test A blood test that measures the amount of albumin, a protein made by the liver, in your body. |
240 | $5 | $9 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
239 | $5 | $11 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
239 | $5 | $11 |
| Liver enzyme (SGOT) level test A blood test that measures the level of the liver enzyme SGOT to help assess liver health. |
239 | $5 | $11 |
| Liver enzyme (SGPT) level test A blood test that measures the level of the liver enzyme SGPT to assess liver function. |
239 | $5 | $11 |
| Blood urea nitrogen test A blood test that measures the amount of urea nitrogen to assess kidney function. |
239 | $4 | $8 |
| Total bilirubin level test A blood test that measures the total amount of bilirubin, a waste product from the breakdown of red blood cells, in your body. |
238 | $5 | $11 |
| Total protein blood test A blood test that measures the total amount of protein in your blood. This test helps evaluate your overall health and nutritional status. |
238 | $4 | $8 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
221 | $4 | $8 |
| LDL cholesterol level test A blood test that measures the amount of low-density lipoprotein (LDL) cholesterol in your blood. LDL is often referred to as "bad" cholesterol. |
211 | $10 | $20 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
204 | $32 | $38 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
197 | $71 | $80 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
175 | $9 | $19 |
| Annual depression screening | 145 | $18 | $38 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
142 | $58 | $222 |
| Free PSA test A blood test that measures the amount of unbound prostate-specific antigen in the blood. |
87 | $18 | $39 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
81 | $5 | $11 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
75 | $15 | $32 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
72 | $6 | $11 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
69 | $19 | $39 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
65 | $15 | $63 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
61 | $68 | $346 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
50 | $41 | $150 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
49 | $82 | $488 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
48 | $2 | $5 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
47 | $4 | $14 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
38 | $25 | $55 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
34 | $85 | $348 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
32 | $27 | $142 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
31 | $55 | $285 |
| Sed rate test (inflammation marker) This automated test measures how quickly red blood cells settle in a tube to detect inflammation in the body. |
29 | $3 | $6 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
26 | $37 | $128 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
25 | $32 | $38 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
24 | $281 | $350 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
22 | $76 | $337 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
21 | $41 | $152 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
20 | $11 | $52 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
18 | $22 | $90 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
18 | $40 | $88 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
17 | $26 | $86 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
17 | $19 | $89 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
16 | $17 | $85 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
15 | $34 | $116 |
| CT scan of abdomen and pelvis with contrast A CT scan of the abdomen and pelvis using contrast dye before and after administration to visualize internal structures. |
13 | $203 | $900 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
12 | $73 | $253 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$5,850
Total received (2018-2024)
Avg $836/year across 7 years
Top 9% in FL for family medicine
40
Companies
399
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,706 (97.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$144 (2.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$858
2023
$1,435
2022
$548
2021
$12
2020
$179
2019
$1,365
2018
$1,454
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$1,135
PFIZER INC.
$477
GlaxoSmithKline, LLC.
$474
ABBVIE INC.
$396
Lilly USA, LLC
$392
Astellas Pharma US Inc
$374
Janssen Pharmaceuticals, Inc
$350
Dexcom, Inc.
$185
Amgen Inc.
$178
Alnylam Pharmaceuticals Inc.
$152
Teva Pharmaceuticals USA, Inc.
$147
Novartis Pharmaceuticals Corporation
$139
Exact Sciences Corporation
$138
Merck Sharp & Dohme Corporation
$131
AstraZeneca Pharmaceuticals LP
$126
SANOFI-AVENTIS U.S. LLC
$117
E.R. Squibb & Sons, L.L.C.
$102
Kowa Pharmaceuticals America, Inc.
$97
Abbott Laboratories
$88
Merck Sharp & Dohme LLC
$86
Boehringer Ingelheim Pharmaceuticals, Inc.
$80
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$58
Philips Electronics North America Corporation
$55
Bayer HealthCare Pharmaceuticals Inc.
$46
Takeda Pharmaceuticals U.S.A., Inc.
$41
Horizon Therapeutics plc
$38
Almatica Pharma LLC
$31
Amarin Pharma Inc.
$29
Bayer Healthcare Pharmaceuticals Inc.
$21
Otsuka America Pharmaceutical, Inc.
$19
Sunovion Pharmaceuticals Inc.
$19
Genentech USA, Inc.
$18
Azurity Pharmaceuticals, Inc.
$18
IDORSIA PHARMACEUTICALS US INC
$17
ARBOR PHARMACEUTICALS, INC.
$14
Noden Pharma USA Inc
$14
Ironwood Pharmaceuticals, Inc
$13
Horizon Pharma plc
$13
AbbVie, Inc.
$11
Avanir Pharmaceuticals, Inc.
$11
Top 3 companies account for 35.7% of total payments
Associated products mentioned in payments ›
AJOVY · ANORO · Aimovig · BREO · BREZTRI · CHANTIX · Cologuard Collection Kit · DUZALLO · Dexcom G6 Transmitter · EDARBI · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbyclor · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GARDASIL 9 · GEMTESA · GRALISE · INVOKANA · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · LEQVIO · LOREEV XR · LYRICA · Livalo · MOUNJARO · MYRBETRIQ · Myrbetriq · NUEDEXTA · NURTEC ODT · ONPATTRO · Ozempic · PENNSAID · PNEUMOVAX 23 · PRALUENT · PREVNAR - 13 · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · REXULTI · Respiratoriy Care Undiv · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SYNTHROID · Synthroid · TEKTURNA · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tresiba · Trintellix · UBRELVY · VESICARE · VRAYLAR · Vascepa · Veozah · Victoza · Wellcentive Undiv · XARELTO · XIFAXAN · Xofluza
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for family medicine in FL.
Equivalent to $37 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
371
Per 100K population
46.8
County median income
$73,099
Nearest hospital
CAPE CORAL HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Engel is a clinical cardiology specialist, with above-average Medicare volume (top 1% in FL), with low-engagement industry engagement in the top 9% of FL peers, with 20 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Engel experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Engel performed 2,703 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Engel receive payments from pharmaceutical companies?
Yes. Dr. Engel received a total of $5,850 from 40 companies across 399 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Engel's costs compare to other family medicine physicians in Cape Coral?
Dr. Engel's average Medicare payment per service is $18. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Engel) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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