Medicare Enrolled
Dr. Avram Smukler, M.D.
Hematology · West Palm Beach, 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. Smukler 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 →
Are you Dr. Smukler?
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What this data tells you about Dr. Smukler
Dr. Avram Smukler is a hematology specialist in West Palm Beach, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Smukler performed 42,870 Medicare services across 2,996 unique beneficiaries.
Between the years covered by Open Payments, Dr. Smukler received a total of $15,092 from 93 pharmaceutical and/or device companies across 885 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. Smukler 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
▲ 42,870 Medicare services
$15,092 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 | 89978 | 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 ↗42,870
Medicare services
Bottom 34% in FL for hematology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
2,996
Unique beneficiaries
$16
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~2,144 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 |
|---|---|---|---|
| Iron sucrose injection (Venofer) An injection of iron sucrose used to replenish iron levels in the body. |
10,800 | $0 | $5 |
| 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. |
5,165 | $0 | $1 |
| Anti-nausea injection (aprepitant) | 4,940 | $1 | $5 |
| Denosumab injection (Prolia/Xgeva) | 4,800 | $19 | $51 |
| Immune globulin infusion (Gammagard) An injection of immune globulin (Gammagard Liquid) to provide antibodies. The dose specified is 500 mg. |
3,480 | $36 | $108 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
2,070 | $0 | $3 |
| 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. |
2,061 | $6 | $23 |
| 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. |
1,674 | $8 | $29 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,607 | $8 | $9 |
| 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. |
1,133 | $68 | $239 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
935 | $64 | $197 |
| Anti-nausea injection (Aloxi/palonosetron) | 630 | $1 | $28 |
| Anti-nausea injection (ondansetron/Zofran) | 448 | $0 | $9 |
| 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. |
413 | $100 | $339 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
293 | $104 | $378 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
254 | $138 | $556 |
| 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. |
237 | $11 | $69 |
| 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. |
220 | $23 | $84 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
180 | $12 | $61 |
| 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. |
152 | $50 | $189 |
| Diphenhydramine injection, up to 50 mg An injection of diphenhydramine hydrochloride, an antihistamine medication, administered in a dose of up to 50 milligrams. |
142 | $1 | $3 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
137 | $58 | $206 |
| Additional hour of intravenous infusion This code represents each additional hour of intravenous infusion beyond the initial hour for therapy, prevention, or diagnosis. |
92 | $16 | $56 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
89 | $22 | $79 |
| 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. |
88 | $10 | $42 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 83 | $135 | $562 |
| Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 75 | $401 | $680 |
| 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. |
72 | $119 | $453 |
| Nuclear medicine scan from skull base to mid-thigh with CT A nuclear medicine imaging study covering the area from the base of the skull to the middle of the thighs, performed alongside a CT scan. |
69 | $1,156 | $3,706 |
| 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. |
66 | $52 | $178 |
| Methylprednisolone injection, up to 40 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, administered in a dose of up to 40 mg. |
65 | $3 | $11 |
| 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. |
62 | $2 | $7 |
| CT scan of chest with contrast A computed tomography scan of the chest using a contrast dye to enhance the visibility of internal structures. |
49 | $50 | $344 |
| CT scan of abdomen and pelvis with contrast A CT scan that uses dye to create detailed images of the abdomen and pelvis. This imaging test helps doctors examine internal organs and structures in these areas. |
49 | $174 | $550 |
| 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. |
42 | $25 | $156 |
| 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. |
35 | $25 | $89 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
35 | $42 | $115 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
34 | $95 | $285 |
| 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. |
27 | $132 | $474 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
20 | $44 | $147 |
| Automated red blood cell count An automated laboratory test that measures the number of red blood cells in a blood sample. |
18 | $4 | $10 |
| Automated red blood cell count with calculations A blood test that automatically counts red blood cells and performs additional calculations to assess blood health. |
15 | $5 | $20 |
| CT scan of chest, without contrast A computed tomography scan of the chest area that uses X-rays to create detailed images without the use of contrast dye. |
14 | $49 | $350 |
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.
10.3% high complexity
74.6% medium
15.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$15,092
Total received (2018-2024)
Avg $2,156/year across 7 years
Top 33% in FL for hematology
93
Companies
885
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
$12,757 (84.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,585 (10.5%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$750 (5.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,357
2023
$2,774
2022
$1,651
2021
$1,878
2020
$1,610
2019
$1,779
2018
$2,043
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
GENZYME CORPORATION
$1,486
PFIZER INC.
$1,177
Celgene Corporation
$924
Novartis Pharmaceuticals Corporation
$738
Janssen Pharmaceuticals, Inc
$707
Janssen Biotech, Inc.
$691
AstraZeneca Pharmaceuticals LP
$558
BeiGene USA, Inc.
$452
E.R. Squibb & Sons, L.L.C.
$448
GlaxoSmithKline, LLC.
$408
Covis Pharma GmBH
$400
Incyte Corporation
$397
Seattle Genetics, Inc.
$342
Takeda Pharmaceuticals U.S.A., Inc.
$312
Blueprint Medicines Corporation
$312
Amgen Inc.
$291
EMD Serono, Inc.
$288
Merck Sharp & Dohme LLC
$283
Merck Sharp & Dohme Corporation
$242
Daiichi Sankyo Inc.
$241
Bayer Healthcare Pharmaceuticals Inc.
$240
Pharmacyclics LLC, An AbbVie Company
$200
ABBVIE INC.
$189
Astellas Pharma US Inc
$187
Athenex Pharmaceutical Division, LLC
$175
Alexion Pharmaceuticals, Inc.
$162
Genentech USA, Inc.
$158
Pharmacyclics LLC, an AbbVie Company
$154
NanoString Technologies, Inc.
$131
Adaptive Biotechnologies Corporation
$127
Ipsen Biopharmaceuticals, Inc
$125
Exelixis Inc.
$118
Eisai Inc.
$115
ARRAY BIOPHARMA INC
$114
Seagen Inc.
$112
Aurobindo Pharma USA, Inc.
$109
Kite Pharma, Inc.
$108
Lilly USA, LLC
$104
Bayer HealthCare Pharmaceuticals Inc.
$102
Boehringer Ingelheim Pharmaceuticals, Inc.
$75
Tempus AI, Inc
$70
Kyowa Kirin, Inc.
$70
SOBI, INC
$67
AbbVie Inc.
$66
TerSera Therapeutics LLC
$64
PharmaEssentia USA Corporation
$61
Heron Therapeutics, Inc.
$58
Regeneron Healthcare Solutions, Inc.
$57
Spectrum Pharmaceuticals Inc.
$52
Dova Pharmaceuticals
$45
JAZZ PHARMACEUTICALS INC.
$44
EISAI INC.
$43
Genmab U.S., Inc.
$42
Shire North American Group Inc
$41
Deciphera Pharmaceuticals Inc.
$40
TOLMAR Pharmaceuticals, Inc.
$38
MEDIVATION FIELD SOLUTIONS LLC
$36
AbbVie, Inc.
$30
Fennec Pharmaceuticals, Inc.
$30
Puma Biotechnology, Inc.
$29
Sumitomo Pharma America, Inc.
$28
Napo Pharmaceuticals Inc
$28
Agios Pharmaceuticals, Inc.
$27
Janssen Scientific Affairs, LLC
$25
Shield Therapeutics Inc
$25
SERVIER PHARMACEUTICALS LLC
$25
EUSA Pharma (US) LLC
$25
Pharmacosmos Therapeutics Inc.
$24
Rigel Pharmaceuticals, Inc.
$24
Acceleron Pharma, Inc.
$23
Ferring Pharmaceuticals Inc.
$22
Sun Pharmaceutical Industries Inc.
$21
Sirtex Medical Inc
$21
TESARO, Inc.
$19
CTI BioPharma Corp.
$19
Mirati Therapeutics, Inc.
$19
AVEO Pharmaceuticals, Inc.
$18
Taiho Oncology, Inc.
$17
Octapharma USA, Inc.
$17
TG THERAPEUTICS, INC.
$17
RECORDATI_RARE_DISEASES_INC.
$17
SpringWorks Therapeutics, Inc.
$17
Global Blood Therapeutics, Inc.
$16
SHIELD THERAPEUTICS INC
$15
Karyopharm Therapeutics Inc.
$15
Stemline Therapeutics Inc.
$15
Acrotech Biopharma LLC
$14
PUMA BIOTECHNOLOGY, INC.
$14
Innate Pharma, Inc
$14
Teva Pharmaceuticals USA, Inc.
$11
Clovis Oncology, Inc.
$10
Secura Bio, Inc.
$8
Veracyte, Inc.
$1
Top 3 companies account for 23.8% of total payments
Associated products mentioned in payments ›
ACCRUFER · ADCETRIS · AFINITOR · ALUNBRIG · AYVAKIT · Abraxane · Alecensa · Aliqopa · BAVENCIO · BELEODAQ · BENDEKA · BESREMI · BLENREP · BOSULIF · BRAFTOVI · BRUKINSA · Bavencio · Blincyto · CABLIVI · CABOMETYX · CALQUENCE · CAMZYOS · CARVYKTI · CHANTIX · COSELA · CYRAMZA · Cabometyx · DARZALEX · DOPTELET · Doptelet · ELAHERE · ELIGARD · ELIQUIS · ELITEK · ELOCTATE · EMPLICITI · ENHERTU · ENJAYMO · EPKINLY · ERLEADA · Enhertu · Epkinly · FIRMAGON · FOTIVDA · Fabhalta · Farydak · Folotyn · GAVRETO · GELCLAIR CONCENTRATED ORAL GEL · GILOTRIF · HYQVIA · IBRANCE · ICLUSIG · IDHIFA · IMBRUVICA · IMFINZI · IMLYGIC · INJECTAFER · INLYTA · Imbruvica · JADENU · JAKAFI · JEMPERLI · JEVTANA · KEYTRUDA · KISQALI · KRAZATI · Kyprolis · LIBTAYO · LUPRON DEPOT · LUTATHERA · LYNPARZA · Lenvima · Lonsurf · Lumoxiti · MEKINIST · MONJUVI · MYLOTARG · NERLYNX · NINLARO · NO PRODUCT DISCUSSED · Nexavar · Nplate · Nubeqa · OGSIVEO · OJJAARA · ONUREG · OPDIVO · OPDUALAG · ORGOVYX · OXBRYTA · Onivyde · Orserdu · PADCEV · PEMAZYRE · PIQRAY · PLUVICTO · POTELIGEO · PROMACTA · PROSIGNA ASSAY · Padcev · Pedmark · Phesgo · Pomalyst · Prolia · QINLOCK · REBLOZYL · RYBREVANT · Reblozyl · Revlimid · Rezlidhia · Rubraca · SANDOSTATIN · SANDOSTATIN LAR · SARCLISA · SCEMBLIX · SIR-Spheres Microspheres · SOMATULINE DEPOT · SUSTOL · SUTENT · SYLVANT · Stivarga · Sylvant · TABRECTA · TAGRISSO · TASIGNA · TECENTRIQ · TECVAYLI · TEPMETKO · TEVIMBRA · TIBSOVO · TIVDAK · TUKYSA · Tazverik · UKONIQ · ULTOMIRIS · Ultomiris · VENCLEXTA · VERZENIO · VONJO · VPRIV · Venclexta · Vitrakvi · Vonjo · WILATE · XALKORI · XARELTO · XOSPATA · XPOVIO · XT CDX · XTANDI · Xospata · Xtandi · YONSA · Yescarta · ZEJULA · ZEPZELCA · Zevalin · Zoladex · clonoSEQ
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 (84%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $35 per 100 Medicare services performed
Geographic Context
Hematologists within 10 mi
10
Per 100K population
0.7
County median income
$81,115
Nearest hospital
GOOD SAMARITAN MEDICAL CENTER
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. Smukler is a mixed practice specialist, with moderate Medicare volume, with low-engagement industry engagement, 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. Smukler experienced with iron sucrose injection (venofer)?
Based on Medicare claims data, Dr. Smukler performed 10,800 iron sucrose injection (venofer) 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. Smukler receive payments from pharmaceutical companies?
Yes. Dr. Smukler received a total of $15,092 from 93 companies across 885 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. Smukler's costs compare to other hematologists in West Palm Beach?
Dr. Smukler's average Medicare payment per service is $16. 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. Smukler) 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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