Dr. Marc Joel Guttman , DO
Urology • Naples, FL
8625 Collier Blvd
Naples, FL 341143550
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 18, 2007; this date does not establish years in practice.
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Published CMS data list 16,606 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J9155 — Injection, degarelix, 1 mg: 8,000 service units.
- 51798 — Ultrasound measurement of bladder capacity after voiding: 2,034 service units.
- 99214 — Established patient outpatient office visit: 1,658 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 30 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,277 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Cephalexin — 214 prescription fills, including refills.
- Gemtesa (Vibegron) — 155 prescription fills, including refills.
- Tamsulosin Hcl — 107 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 23 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Urology in Naples, FL (2024, 17 clinicians with data). Median for this group: 4,896. Middle half: 3,480 to 7,202.
More Medicare Part B services than 90% of clinicians listed under Urology in Florida (2024, 682 clinicians with data). Median for this group: 1,437. Middle half: 569 to 4,607.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 22,310 in 2020 to 16,606 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
8625 Collier Blvd
Naples, FL 341143550
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Precision Healthcare Specialists, Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
New York College Of Osteo Medicine Of New York Institute Of Technology
2005
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
1,984 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $727,143 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $546,370 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
2,600 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$915,028 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,909.45 across 42 records.
By nature of payment
- Food and Beverage: $1,909.45 across 42 records.
Reporting-company totals (3 largest of 17)
- Janssen Pharmaceuticals, Inc: $352.96 across 6 records.
- Procept Biorobotics Corporation: $276.26 across 2 records.
- Teleflex LLC: $221.28 across 4 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
21 years (graduated 2005)
CMS Doctors and Clinicians data list 2005 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Guttman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Guttman as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Naples and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Urology in Naples, FL (2024, 17 clinicians with data). Median for this group: 4,896. Middle half: 3,480 to 7,202.
More Medicare Part B services than 90% of clinicians listed under Urology in Florida (2024, 682 clinicians with data). Median for this group: 1,437. Middle half: 569 to 4,607.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Urology in Naples, FL (2024, 17 clinicians with data). Median for this group: $459,554. Middle half: $274,149 to $593,891.
A higher Medicare-allowed amount than 95% of clinicians listed under Urology in Florida (2024, 682 clinicians with data). Median for this group: $126,394. Middle half: $52,949 to $270,891.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Urology in Naples, FL (2024, 17 clinicians with data). Median for this group: $348,427. Middle half: $210,293 to $454,037.
A higher Medicare payment amount than 95% of clinicians listed under Urology in Florida (2024, 682 clinicians with data). Median for this group: $92,960. Middle half: $39,365 to $204,092.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Urology in Naples, FL (2024, 18 clinicians with data). Median for this group: 1,496. Middle half: 748 to 2,175.
Close to the middle for clinicians listed under Urology in Florida (2024, 725 clinicians with data). Median for this group: 1,339. Middle half: 366 to 2,301.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Urology in Naples, FL (2024, 18 clinicians with data). Median for this group: $395,906. Middle half: $79,863 to $530,935.
A higher Part D drug cost than 85% of clinicians listed under Urology in Florida (2024, 725 clinicians with data). Median for this group: $137,247. Middle half: $24,439 to $468,865.
21 active clinicians are listed under Urology with a practice address in Naples, FL (1,021 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Naples
28.6% of these 21 clinicians have the CMS telehealth indicator.
76.2% of these 21 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 26% from 22,310 in 2020 to 16,606 in 2024.
- 2020: 22,310
- 2021: 25,063
- 2022: 22,162
- 2023: 19,942
- 2024: 16,606
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $706,660 in 2020 and $727,143 in 2024.
- 2020: $706,660
- 2021: $870,845
- 2022: $842,118
- 2023: $846,339
- 2024: $727,143
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Paid by Medicare
Paid by Medicare stayed about the same: $532,608 in 2020 and $546,370 in 2024.
- 2020: $532,608
- 2021: $653,399
- 2022: $631,502
- 2023: $635,319
- 2024: $546,370
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Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 1,233 in 2020 and 1,277 in 2024.
- 2020: 1,233
- 2021: 1,202
- 2022: 1,017
- 2023: 983
- 2024: 1,277
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30-day fills
30-day fills stayed about the same: 2,630 in 2020 and 2,600 in 2024.
- 2020: 2,630
- 2021: 2,580
- 2022: 2,351
- 2023: 2,096
- 2024: 2,600
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Part D drug cost
Part D drug cost increased 221% from $284,935 in 2020 to $915,028 in 2024.
- 2020: $284,935
- 2021: $269,495
- 2022: $261,380
- 2023: $813,895
- 2024: $915,028
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Industry payments (Open Payments)
Industry payments (Open Payments) increased 31% from $1,457.52 in 2021 to $1,909.45 in 2025.
- 2021: $1,457.52
- 2022: $2,635.92
- 2023: $2,609.70
- 2024: $2,143.02
- 2025: $1,909.45
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 42 records totaling $1,909.45.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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RYBREVANT | General | $150.00 |
| Procept Biorobotics Corporation |
Food and Beverage
Cash or cash equivalent
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AQUABEAM ROBOTIC SYSTEM | General | $149.45 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $148.14 |
| Teleflex LLC |
Food and Beverage
In-kind items and services
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BARRIGEL | General | $140.38 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $133.51 |
| UROGEN PHARMA, INC. |
Food and Beverage
In-kind items and services
|
JELMYTO | General | $131.44 |
| Procept Biorobotics Corporation |
Food and Beverage
In-kind items and services
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AQUABEAM ROBOTIC SYSTEM | General | $126.81 |
| IMMUNITYBIO, INC. |
Food and Beverage
In-kind items and services
|
ANKTIVA | General | $109.92 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
SpaceOAR System | General | $101.62 |
| IMMUNITYBIO, INC. |
Food and Beverage
In-kind items and services
|
ANKTIVA | General | $58.32 |
| Teleflex LLC |
Food and Beverage
In-kind items and services
|
BARRIGEL | General | $36.97 |
| UROGEN PHARMA, INC. |
Food and Beverage
In-kind items and services
|
— | General | $29.64 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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XTANDI | General | $27.47 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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Axonics | General | $26.74 |
| Teleflex LLC |
Food and Beverage
In-kind items and services
|
UROLIFT | General | $25.09 |
| Ferring Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
ADSTILADRIN | General | $24.44 |
| Dendreon Pharmaceuticals LLC |
Food and Beverage
In-kind items and services
|
PROVENGE | General | $24.37 |
| Ferring Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
ADSTILADRIN | General | $24.11 |
| TOLMAR, INC. |
Food and Beverage
In-kind items and services
|
JATENZO | General | $23.46 |
| CIVCO Medical Instruments |
Food and Beverage
Cash or cash equivalent
|
— | General | $23.37 |
| COLOPLAST CORP |
Food and Beverage
In-kind items and services
|
SpeediCath | General | $23.34 |
| COLOPLAST CORP |
Food and Beverage
In-kind items and services
|
Luja Coude | General | $23.04 |
| COLOPLAST CORP |
Food and Beverage
In-kind items and services
|
Luja Coude | General | $22.64 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
BOTOX | General | $22.28 |
| Ambu Inc. |
Food and Beverage
Cash or cash equivalent
|
— | General | $22.02 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J9155
Injection, degarelix, 1 mg
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8,000 | 33 | $8.49 | $4.12 |
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51798
Ultrasound measurement of bladder capacity after voiding
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2,034 | 1,363 | $164.58 | $11.82 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,658 | 1,142 | $301.28 | $134.66 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
1,167 | 933 | $211.35 | $95.62 |
|
81003
Automated urinalysis test
|
1,039 | 857 | $9.79 | $2.19 |
|
51741
Electronic assessment of bladder emptying
|
737 | 526 | $233.84 | $14.13 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
|
356 | 324 | $631.24 | $250.20 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
303 | 303 | $459.28 | $177.02 |
|
51700
Simple bladder irrigation and/or instillation
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223 | 212 | $286.08 | $40.14 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
214 | 206 | $382.73 | $191.66 |
|
52442
Insertion of implant in urethra within prostate gland using an endoscope, each additional implant
|
209 | 52 | $1069.45 | $54.00 |
|
96402
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
|
89 | 36 | $98.23 | $36.65 |
|
55700
Biopsy of prostate gland
|
84 | 84 | $515.62 | $140.02 |
|
76872
Ultrasound scan of pelvic region through rectum
|
83 | 83 | $142.54 | $33.32 |
|
52441
Insertion of implant in urethra within prostate gland using an endoscope, 1 implant
|
52 | 52 | $1491.82 | $221.97 |
|
52332
Insertion of stent in ureter using an endoscope
|
42 | 30 | $1267.47 | $146.67 |
|
74420
Imaging of urinary tract following injection of a contrast agent
|
42 | 30 | $62.02 | $25.22 |
|
52601
Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope
|
36 | 36 | $2620.65 | $781.94 |
|
64561
Insertion of sacral nerve neurostimulator electrode array
|
31 | 19 | $1411.32 | $386.09 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
30 | 29 | $114.24 | $59.94 |
|
50590
Shock wave crushing of kidney stones
|
26 | 23 | $1944.06 | $606.26 |
|
95972
Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming
|
24 | 16 | $229.14 | $42.84 |
|
52204
Biopsy of bladder using an endoscope
|
21 | 19 | $566.16 | $125.14 |
|
52310
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope
|
19 | 18 | $787.70 | $336.61 |
|
51702
Simple insertion of temporary bladder tube
|
18 | 15 | $174.65 | $65.65 |
(top 25 shown)
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Cephalexin | Cephalexin | 214 | 1,214 | $828.76 | 191 |
| Gemtesa | Vibegron | 155 | 11,910 | $184,675.23 | 68 |
| Tamsulosin Hcl | Tamsulosin Hcl | 107 | 9,610 | $1,581.62 | 55 |
| Dutasteride | Dutasteride | 99 | 8,760 | $3,560.78 | 46 |
| Orgovyx | Relugolix | 97 | 2,910 | $294,297.61 | 13 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 88 | 7,270 | $2,117.45 | 45 |
| Myrbetriq | Mirabegron | 61 | 5,400 | $78,193.36 | 30 |
| Doxycycline Hyclate | Doxycycline Hyclate | 57 | 970 | $933.77 | 52 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 52 | 324 | $189.12 | 45 |
| Finasteride | Finasteride | 48 | 4,260 | $1,104.92 | 19 |
| Tadalafil | Tadalafil | 47 | 4,230 | $3,261.12 | 23 |
| Cefdinir | Cefdinir | 32 | 247 | $511.79 | 30 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 31 | 308 | $353.10 | 28 |
| Cefpodoxime Proxetil | Cefpodoxime Proxetil | 25 | 196 | $1,130.11 | 25 |
| Xtandi | Enzalutamide | 25 | 750 | $335,699.23 | — |
| Estradiol | Estradiol | 22 | 1,660 | $1,651.58 | 13 |
| Methenamine Hippurate | Methenamine Hippurate | 21 | 1,890 | $1,116.08 | 13 |
| Sildenafil Citrate | Sildenafil Citrate | 21 | 974 | $126.38 | — |
| Solifenacin Succinate | Solifenacin Succinate | 19 | 1,640 | $1,099.25 | — |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 18 | 138 | $155.55 | 16 |
| Allopurinol | Allopurinol | 14 | 1,260 | $73.35 | — |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 12 | 891 | $580.65 | — |
| Silodosin | Silodosin | 12 | 960 | $1,787.36 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20110721000838
FL
1153599956
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Precision Healthcare Specialists, Llc
531 Bald Eagle Dr, Marco Island, FL 341452700
Phone: 2393745223
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Urology
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Practice Registered Nurse
Career & Practice History
NPI enumerated June 18, 2007.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Urology Specialists in Naples
- Dr. David K Ornstein, MD
- Dr. Philip Wong, MD
- Dr. Paulos Yohannes, MD
- Dr. Harold Tsai, MD
- Dr. Alexandre Rosen, MD
- Dr. Laura Chang Kit, MD
Mailing Address
2234 Colonial Blvd, Attn: Managed Care Dept.
Fort Myers, FL 339071412
Phone: 2399317342