Avram Smukler, MD
Medical Oncology · West Palm Beach, FLNPI 1225034309
Payments from drug & device makers
Across 932 payments — averaging $18.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$2K
- Sanofi$2K
- Pfizer$1K
- Bristol Myers Squibb$1K
- AstraZeneca$865
- Novartis$742
- plus $10K from 54 others
What the payments were for
- Consulting fees$7504%
- Speaking & faculty fees$1,3058%
- Food & beverage$14,57087%
- Education$1281%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- NO PRODUCT DISCUSSED$375
- ELOCTATE$375
- ALPROLIX$375
- BRUKINSA$350
- GAVRETO$250
How this compares
$16,825 in reported general payments places this provider in the 45th percentile of 507 medical oncology providers in Florida.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| ImbruvicaIbrutinib | 63 | $983,977 |
| BrukinsaZanubrutinib | 48 | $663,901 |
| CalquenceAcalabrutinib Maleate | 39 | $598,130 |
| RevlimidLenalidomide | 31 | $540,785 |
| IclusigPonatinib Hcl | 22 | $475,103 |
| PromactaEltrombopag Olamine | 11 | $424,111 |
| TagrissoOsimertinib Mesylate | 12 | $206,969 |
| Imatinib Mesylate | 44 | $70,885 |
| EliquisApixaban | 73 | $56,186 |
| VenclextaVenetoclax | 13 | $53,173 |
| XareltoRivaroxaban | 49 | $42,216 |
| CreonLipase/Protease/Amylase | 12 | $35,764 |
| Bexarotene | 13 | $17,565 |
| Abiraterone Acetate | 16 | $12,683 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 12 | $7,860 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Pharmacyclics LLC, An Abbvie CompanyImbruvica | $334 | $983,97763 claims |
| AstraZenecaCalquence, Tagrisso | $865 | $805,09951 claims |
| Beigene USA, Inc.Brukinsa | $479 | $663,90148 claims |
| Bristol Myers SquibbRevlimid | $1,004 | $540,78531 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Iclusig | $293 | $475,10322 claims |
| NovartisPromacta | $742 | $424,11111 claims |
| AbbVieVenclexta, Creon | $546 | $88,93725 claims |
| PfizerEliquis | $1,199 | $56,18673 claims |
| Johnson & JohnsonXarelto | $1,564 | $42,21649 claims |
| Janssen Scientific Affairs, LLCAbiraterone Acetate | $25 | $12,68316 claims |
| GSKTrelegy Ellipta | $583 | $7,86012 claims |
| Boehringer IngelheimCombivent Respimat | $68 | $5,82212 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 45th percentile of 507 medical oncology providers in Florida.
Other medical oncology in West Palm Beach
- Daniel SpitzWest Palm Beach$2.2M
- Zeynep ErogluTampa$30.9M
- Manish PatelSarasota$29.7M
- Jad ChahoudTampa$21.8M
- Maen HusseinTavares$18.4M
- Patrick HwuTampa$18M
- Gail WrightHudson$13.8M
- Adil DaudTampa$13.3M
- Lowell HartFort Myers$10.1M
- Judy WangSarasota$9.8M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.