Medicare Enrolled
Dr. Elizabeth Guancial, MD
Hematology · Sarasota, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Guancial 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. Guancial
Dr. Elizabeth Guancial is a hematology specialist in Sarasota, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Guancial performed 182,498 Medicare services across 4,319 unique beneficiaries.
Between the years covered by Open Payments, Dr. Guancial received a total of $6,906 from 42 pharmaceutical and/or device companies across 206 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in hematology. 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. Guancial 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.
✓ 19 years in practice
▲ Top 27% volume in FL
$6,906 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 | 135035 | 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 ↗182,498
Medicare services
Top 27% in FL for hematology
4,319
Unique beneficiaries
$15
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~9,605 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 |
|---|---|---|---|
| Paclitaxel chemotherapy injection | 33,572 | $0 | $2 |
| Nivolumab injection (Opdivo) | 32,040 | $24 | $72 |
| Pembrolizumab injection (Keytruda) | 27,000 | $43 | $137 |
| Iron infusion (Feraheme) An injection of ferumoxytol used to treat iron deficiency anemia in patients not on dialysis. |
24,990 | $0 | $4 |
| Anti-nausea injection (aprepitant) | 22,620 | $1 | $5 |
| Denosumab injection (Prolia/Xgeva) | 6,840 | $18 | $51 |
| Epoetin alfa injection (Procrit) for anemia An injection of epoetin alfa containing 1000 units for use in patients not on end-stage renal disease (ESRD) dialysis. |
6,010 | $6 | $23 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
5,485 | $0 | $3 |
| Anti-nausea injection (Aloxi/palonosetron) | 3,140 | $1 | $28 |
| Eflapegrastim injection, 0.1 mg An injection of eflapegrastim-xnst administered at a dose of 0.1 mg. |
2,904 | $26 | $116 |
| Immune globulin infusion (Gammagard) An injection of immune globulin (Gammagard Liquid) to provide antibodies. The dose specified is 500 mg. |
2,760 | $36 | $108 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,957 | $8 | $9 |
| 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. |
1,936 | $8 | $29 |
| Anti-nausea injection (ondansetron/Zofran) | 1,656 | $0 | $9 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
1,279 | $12 | $61 |
| 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. |
1,212 | $94 | $339 |
| Carboplatin chemotherapy injection, 50 mg Administration of a 50 mg dose of carboplatin, a chemotherapy medication, via injection. |
983 | $2 | $41 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
857 | $96 | $378 |
| 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. |
449 | $10 | $69 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 433 | $136 | $562 |
| Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg | 416 | $3 | $205 |
| Zoledronic acid injection, 1 mg An injection of zoledronic acid administered at a dose of 1 mg. |
383 | $7 | $69 |
| 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. |
373 | $65 | $239 |
| Diphenhydramine injection, up to 50 mg An injection of diphenhydramine hydrochloride, an antihistamine medication, administered in a dose of up to 50 milligrams. |
362 | $1 | $3 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
306 | $21 | $79 |
| Intravenous infusion of new drug or substance, 1 hour or less This procedure involves administering a new medication or substance directly into a vein through an existing access site. The infusion is completed within one hour or less. |
299 | $49 | $178 |
| Additional sequential IV infusion, 1 hour or less This code represents an additional intravenous infusion administered sequentially to a primary infusion. It covers the administration time of one hour or less. |
248 | $22 | $84 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
226 | $46 | $189 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
216 | $133 | $474 |
| Additional hour of intravenous hydration This code represents each additional hour of intravenous fluid administration beyond the initial hour. It is used to bill for extended hydration therapy. |
204 | $10 | $42 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
176 | $24 | $89 |
| Injection, leuprolide acetate for depot suspension (cipla), 7.5 mg | 135 | $305 | $1,210 |
| Normal saline infusion, 1000 cc Administration of 1000 cc of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater solution. |
125 | $2 | $7 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
119 | $16 | $59 |
| 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. |
116 | $2 | $8 |
| New patient office visit, complex (60-74 min) | 105 | $156 | $585 |
| Additional hour of intravenous infusion This code represents each additional hour of intravenous infusion beyond the initial hour for therapy, prevention, or diagnosis. |
96 | $15 | $56 |
| Intravenous drug injection A procedure involving the administration of a medication or substance directly into a vein. |
81 | $27 | $156 |
| Methylprednisolone injection, up to 40 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, administered in a dose of up to 40 mg. |
80 | $3 | $11 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
60 | $52 | $206 |
| Automated red blood cell count with calculations A blood test that automatically counts red blood cells and performs additional calculations to assess blood health. |
47 | $5 | $20 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
47 | $1 | $6 |
| Normal saline infusion, 500 ml Administration of sterile normal saline solution through an intravenous line. This procedure involves the infusion of a 500 ml unit of the solution. |
35 | $1 | $7 |
| Intravenous push injection of new drug or substance A healthcare provider injects a new medication or substance directly into a vein using a push technique. |
33 | $42 | $170 |
| Injection, lorazepam, 2 mg | 31 | $1 | $2 |
| Intravenous hydration infusion, 31-60 minutes Administration of fluids into a vein to maintain hydration. This procedure involves an infusion lasting between 31 and 60 minutes. |
23 | $25 | $156 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
18 | $88 | $298 |
| 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. |
15 | $94 | $453 |
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.
16.3% high complexity
80.0% medium
3.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$6,906
Total received (2018-2024)
Avg $1,151/year across 6 years
Bottom 48% in FL for hematology
42
Companies
206
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
$3,727 (54.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$3,179 (46.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$471
2023
$724
2022
$332
2020
$271
2019
$1,242
2018
$3,865
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Genentech USA, Inc.
$3,198
Merck Sharp & Dohme Corporation
$428
E.R. Squibb & Sons, L.L.C.
$307
Novartis Pharmaceuticals Corporation
$246
GENZYME CORPORATION
$198
AstraZeneca Pharmaceuticals LP
$193
Gilead Sciences, Inc.
$171
PFIZER INC.
$152
Regeneron Healthcare Solutions, Inc.
$139
Celgene Corporation
$130
Incyte Corporation
$111
Lilly USA, LLC
$108
Daiichi Sankyo Inc.
$101
Amgen Inc.
$94
Astellas Pharma US Inc
$92
Dendreon Pharmaceuticals LLC
$89
TAIHO ONCOLOGY, INC.
$84
Janssen Scientific Affairs, LLC
$81
Pharmacyclics LLC, An AbbVie Company
$80
Rigel Pharmaceuticals, Inc.
$77
Exelixis Inc.
$74
Bayer HealthCare Pharmaceuticals Inc.
$73
Janssen Biotech, Inc.
$72
Puma Biotechnology, Inc.
$70
Foundation Medicine, Inc.
$67
Boehringer Ingelheim Pharmaceuticals, Inc.
$64
ABBVIE INC.
$52
Merck Sharp & Dohme LLC
$42
TerSera Therapeutics LLC
$36
Helsinn Therapeutics (U.S.), Inc.
$33
Mirati Therapeutics, Inc.
$33
Array BioPharma Inc.
$31
ARRAY BIOPHARMA INC
$31
EMD Serono, Inc.
$28
Agios Pharmaceuticals, Inc.
$25
G1 Therapeutics, Inc.
$18
CTI BioPharma Corp.
$18
Eisai Inc.
$16
EISAI INC.
$13
ADC Therapeutics America, Inc.
$13
NanoString Technologies, Inc.
$12
Veracyte, Inc.
$5
Top 3 companies account for 57.0% of total payments
Associated products mentioned in payments ›
AKYNZEO · ALIMTA · Alecensa · Aliqopa · BOSULIF · Balversa · Bavencio · Braftovi · CABOMETYX · CALQUENCE · COSELA · CYRAMZA · Cabometyx · DARZALEX · ELITEK · EMPLICITI · EPKINLY · ERLEADA · Enhertu · Erleada · FOUNDATIONONE · GILOTRIF · Halaven · IBRANCE · IMBRUVICA · JAKAFI · JEVTANA · KEYTRUDA · KRAZATI · Kyprolis · LENVIMA · LIBTAYO · LIBTAYO CEMIPLIMAB-RWLC INJECTION · LONSURF · LORBRENA · LYNPARZA · Lenvima · MEKINIST · MONJUVI · Nerlynx · Neulasta · Nplate · ONUREG · OPDIVO · OPDUALAG · PADCEV · PIQRAY · PLUVICTO · PROMACTA · PROSIGNA ASSAY · PROVENGE · Padcev · Perjeta · REBLOZYL · RETACRIT · Rezlidhia · TASIGNA · TECENTRIQ · TIBSOVO · TIVDAK · Tavalisse · Trodelvy · VENCLEXTA · VERZENIO · VOTRIENT · Vonjo · XALKORI · XOSPATA · XTANDI · Xofigo · ZOLADEX
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 (54%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $4 per 100 Medicare services performed
Geographic Context
Hematologists within 10 mi
20
Per 100K population
4.5
County median income
$80,633
Nearest hospital
SARASOTA MEMORIAL HOSPITAL
2.6 mi
2.6 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. Guancial is a mixed practice specialist, with above-average Medicare volume (top 27% in FL), with low-engagement industry engagement, with 19 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. Guancial experienced with paclitaxel chemotherapy injection?
Based on Medicare claims data, Dr. Guancial performed 33,572 paclitaxel chemotherapy injection 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. Guancial receive payments from pharmaceutical companies?
Yes. Dr. Guancial received a total of $6,906 from 42 companies across 206 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. Guancial's costs compare to other hematologists in Sarasota?
Dr. Guancial's average Medicare payment per service is $15. 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. Guancial) 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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