Douglas Paone, MD
Internal Medicine · Naples, FLNPI 1336245190
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 51 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 13 manufacturers, the largest accounting for just 22.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $258 and has fallen 82.2% since, to $46 in 2025.
Across 51 payments — averaging $16.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$197
- Kowa Pharmaceuticals America, Inc.$114
- Boehringer Ingelheim$111
- GSK$69
- Medtronic$64
- Novo Nordisk$56
- plus $252 from 7 others
Across 17 payments — averaging $19,218 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Pfizer$327K
What the payments were for
- Food & beverage$863100%
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.
| Company | Payments | Total |
|---|---|---|
| AstraZeneca | 11 | $197 |
| Kowa Pharmaceuticals America, Inc. | 7 | $114 |
| Boehringer Ingelheim | 7 | $111 |
| GSK | 5 | $69 |
| Medtronic | 1 | $64 |
| Novo Nordisk | 3 | $56 |
| Amgen | 3 | $47 |
| Johnson & Johnson | 2 | $42 |
| Novartis | 3 | $42 |
| Sumitomo Pharma America, Inc. | 2 | $38 |
| AbbVie(2 entities) | 2 | $33 |
| Lilly USA, LLC | 2 | $31 |
| Pfizer | 3 | $19 |
How this compares
$863 in reported general payments places this provider in the 65th percentile of 8,530 internal medicine 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 |
|---|---|---|
| EliquisApixaban | 134 | $169,487 |
| JardianceEmpagliflozin | 64 | $86,892 |
| OzempicSemaglutide | 49 | $65,284 |
| EntrestoSacubitril/Valsartan | 35 | $38,522 |
| MyrbetriqMirabegron | 33 | $36,509 |
| XareltoRivaroxaban | 19 | $30,083 |
| FarxigaDapagliflozin Propanediol | 11 | $16,598 |
| Breo ElliptaFluticasone/Vilanterol | 14 | $15,794 |
| MounjaroTirzepatide | 13 | $13,711 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 18 | $13,026 |
| TradjentaLinagliptin | 11 | $9,976 |
| Dexlansoprazole DrDexlansoprazole | 22 | $8,196 |
| Memantine Hcl ErMemantine Hcl | 14 | $4,419 |
| AlvescoCiclesonide | 12 | $3,425 |
| SynthroidLevothyroxine Sodium | 38 | $2,750 |
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 |
|---|---|---|
| PfizerEliquis | $19 | $169,487134 claims |
| Boehringer IngelheimJardiance, Tradjenta | $111 | $96,86875 claims |
| Novo NordiskOzempic | $56 | $65,28449 claims |
| NovartisEntresto | $42 | $38,52235 claims |
| Johnson & JohnsonXarelto | $42 | $30,08319 claims |
| GSKBreo Ellipta, Trelegy Ellipta | $69 | $28,81932 claims |
| AstraZenecaFarxiga | $197 | $16,59811 claims |
| Lilly USA, LLCMounjaro | $31 | $13,71113 claims |
| AbbVieSynthroid | $33 | $2,75038 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 65th percentile of 8,530 internal medicine providers in Florida.
Other internal medicine in Naples
- Eric SalataNaples$71K
- Alejandro Blanco-FrancoNaples$64K
- Haytham ElgammalMiami$2.2M
- Keith RubinFort Lauderdale$2M
- Michael SensionFort Lauderdale$1M
- Quang NguyenOcala$434K
- Luis Correa LunaSanford$412K
- Michael OleksykFort Myers$365K
- Andrew KuykendallTampa$322K
- Howard FederoffCoconut Grove$302K
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.