Ralph Gousse, MD
NPI 1457316341ActiveIndividual· Internal Medicine, Medical Oncology· Altamonte Springs, FL
Internal Medicine, Medical Oncology (MD) with Florida Cancer Specialists and Research Institute, LLC, practicing in Altamonte Springs, Florida. Their prescriptions cost Medicare Part D more than their services did: $8,471,416 for 1,824 claims, against $4,948,577 paid for services in 2024. Novartis Pharmaceuticals Corporation was the largest of 36 companies reporting payments in 2025, $2,849 in all, mostly food and beverage. Lists Adventhealth Deland and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1457316341 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 20, 2006 |
| Last updated in NPPES | Jul 7, 2026 |
| Certified by provider | Jul 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Medical Oncology Primary | 207RX0202X | ME0061059 | FL |
| Internal Medicine, Hematology | 207RH0000X | ME0061059 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hematology/Oncology (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,263 |
|---|---|
| Services billed | 342,866 across 151 procedure codes |
| Paid by Medicare | $4,948,577 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,824 · 2,535 30-day fills |
|---|---|
| Patients | 357 |
| Total drug cost | $8,471,416 |
| Generic share | 61% of claims |
Education and affiliations
| Graduation year | 1982 |
|---|---|
| Medicare specialty | Hematology/Oncology |
Medical group
- Florida Cancer Specialists and Research Institute, LLCNorth Port, FL · 498 clinicians
Hospital affiliations
- Adventhealth DelandDeland, FL
- Adventhealth OrlandoOrlando, FL
- Adventhealth WatermanTavares, FL
- Orlando HealthOrlando, FL
Industry payments (Open Payments)
- 2025$2,849 · 132 payments from 36 companies
- 2024$1,970 · 91 payments from 32 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novartis Pharmaceuticals Corporation | $290.81 | 16 |
| Pfizer Inc. | $263.99 | 14 |
| Daiichi Sankyo Inc. | $220.26 | 11 |
| Gilead Sciences, Inc. | $202.81 | 9 |
| Abbvie Inc. | $182.61 | 8 |
What the 2025 payments were for
- Food and Beverage$2,749 · 131 payments
- Education$99.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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