Gabriel Guerrero, MD
Endocrinology, Diabetes & Metabolism · Port Saint Lucie, FLNPI 1285738831
Payments from drug & device makers
Across 178 payments — averaging $372.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Dexcom, Inc.$27K
- Novo Nordisk$27K
- AstraZeneca$7K
- Merck$4K
- Sanofi-aventis U.S. LLC$535
- Medtronic$128
- plus $532 from 15 others
What the payments were for
- Consulting fees$2,2983%
- Speaking & faculty fees$52,15479%
- Travel & lodging$7,94812%
- Food & beverage$3,8776%
- Education$190%
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 |
|---|---|---|
| Dexcom, Inc. | 34 | $27,276 |
| Novo Nordisk | 75 | $26,518 |
| AstraZeneca | 14 | $7,491 |
| Merck | 5 | $3,815 |
| Sanofi-aventis U.S. LLC | 16 | $535 |
| Medtronic(2 entities) | 7 | $128 |
| Lilly USA, LLC | 6 | $124 |
| Abbott | 5 | $86 |
| Amarin Pharma, Inc. | 3 | $54 |
| Tandem Diabetes Care, Inc. | 2 | $39 |
| Roche Diabetes Care, Inc. | 1 | $36 |
| BETA Bionics, Inc. | 1 | $30 |
| Insulet Corporation | 1 | $24 |
| Corcept Therapeutics | 1 | $22 |
| Vivus LLC | 1 | $22 |
| Pacira Pharmaceuticals Incorporated | 1 | $19 |
| Boehringer Ingelheim | 1 | $19 |
| Shire North American Group Inc | 1 | $18 |
| Bayer | 1 | $18 |
| Xeris Pharmaceuticals, Inc. | 1 | $16 |
| Johnson & Johnson | 1 | $6 |
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.
- Tresiba$14,725
- DEXCOM G6 TRANSMITTER$14,218
- FARXIGA$7,374
- DEXCOM CGM$6,396
- DEXCOM G6 CGM SYSTEM$6,252
- STEGLATRO$3,765
- Xultophy 100/3.6$3,025
- Ozempic$2,730
- TZIELD$128
How this compares
$66,295 in reported general payments places this provider in the 85th percentile of 586 endocrinology, diabetes & metabolism providers in Florida.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| OzempicSemaglutide | 276 | $446,302 |
| JardianceEmpagliflozin | 131 | $174,124 |
| TrulicityDulaglutide | 92 | $173,796 |
| JanuviaSitagliptin Phosphate | 85 | $128,311 |
| FarxigaDapagliflozin Propanediol | 67 | $97,908 |
| RybelsusSemaglutide | 38 | $77,559 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 41 | $66,455 |
| Novolog FlexpenInsulin Aspart | 142 | $60,891 |
| Tresiba Flextouch U-200Insulin Degludec | 55 | $57,782 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 29 | $54,413 |
| Tresiba Flextouch U-100Insulin Degludec | 81 | $51,963 |
| Bydureon BciseExenatide Microspheres | 26 | $47,860 |
| Humalog Kwikpen U-100Insulin Lispro | 103 | $47,147 |
| MounjaroTirzepatide | 31 | $44,485 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 60 | $39,236 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus, Novolog | $26,518 | $536,371345 claims |
| Lilly USA, LLCTrulicity, Mounjaro, Humalog | $124 | $223,794136 claims |
| Boehringer IngelheimJardiance, Tradjenta | $19 | $189,106143 claims |
| MerckJanuvia, Janumet | $3,815 | $143,999100 claims |
| AstraZenecaFarxiga | $7,491 | $97,90867 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $535 | $32,93620 claims |
| Johnson & JohnsonInvokana | $6 | $14,97112 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 85th percentile of 586 endocrinology, diabetes & metabolism providers in Florida.
Other endocrinology, diabetes & metabolism in Port Saint Lucie
- Richard PratleyOrlando$9.2M
- Jose MandryOcoee$9.1M
- Steven SmithOrlando$7.9M
- Barry HorowitzWest Palm Beach$7.1M
- Tina ThethiOrlando$3.8M
- David SuttonJacksonville$3.1M
- Lorena Lewy-AlterbaumHollywood$3.1M
- Mae Sheikh AliJacksonville$2.9M
- James MageeJacksonville$2.7M
- Rodolfo GalindoMiami$2.5M
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.