Medicare Enrolled
Dr. Scott Middleton, M.D.
Family Medicine · La Habra, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Middleton from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Middleton
Dr. Scott Middleton is a family medicine specialist in La Habra, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Middleton performed 1,974 Medicare services across 1,208 unique beneficiaries.
Between the years covered by Open Payments, Dr. Middleton received a total of $17,180 from 47 pharmaceutical and/or device companies across 916 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Middleton is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 10% volume in CA
$17,180 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,974
Medicare services
Top 10% in CA for family medicine
1,208
Unique beneficiaries
$76
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~99 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
586 | $133 | $485 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
495 | $8 | $13 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
194 | $93 | $345 |
| Injection, methylprednisolone acetate, 40 mg | 99 | $6 | $26 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
91 | $29 | $30 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
79 | $29 | $30 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
78 | $283 | $567 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
72 | $76 | $133 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
65 | $11 | $39 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
63 | $140 | $354 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
54 | $58 | $211 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
41 | $70 | $245 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
21 | $17 | $145 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
14 | $11 | $39 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
11 | $15 | $132 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
11 | $34 | $215 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$17,180
Total received (2018-2024)
Avg $2,454/year across 7 years
Top 2% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
47
Companies
916
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$15,147 (88.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,410 (8.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$623 (3.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,017
2023
$1,757
2022
$2,141
2021
$3,665
2020
$1,405
2019
$3,649
2018
$3,547
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$266
AstraZeneca Pharmaceuticals LP
$198
Lilly USA, LLC
$145
Boehringer Ingelheim Pharmaceuticals, Inc.
$83
GlaxoSmithKline, LLC.
$68
Astellas Pharma US Inc
$66
PFIZER INC.
$43
Phathom Pharmaceuticals, Inc.
$40
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$36
Bayer Healthcare Pharmaceuticals Inc.
$34
Novo Nordisk Inc
$22
IDORSIA PHARMACEUTICALS US INC
$16
Top 3 companies account for 59.9% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,709
Lilly USA, LLC
$1,693
Biohaven Pharmaceuticals, Inc.
$1,411
AstraZeneca Pharmaceuticals LP
$1,253
Amgen Inc.
$1,230
Janssen Pharmaceuticals, Inc
$1,191
GlaxoSmithKline, LLC.
$1,161
Astellas Pharma US Inc
$1,006
PFIZER INC.
$696
Takeda Pharmaceuticals U.S.A., Inc.
$686
SANOFI-AVENTIS U.S. LLC
$660
ABBVIE INC.
$619
Boehringer Ingelheim Pharmaceuticals, Inc.
$591
Merck Sharp & Dohme Corporation
$352
Biohaven Pharmaceutical Holding Company Ltd.
$331
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$316
Novartis Pharmaceuticals Corporation
$299
Radius Health, Inc.
$270
Allergan, Inc.
$241
AbbVie Inc.
$241
Corcept Therapeutics
$123
AbbVie, Inc.
$116
Bayer Healthcare Pharmaceuticals Inc.
$105
Antares Pharma, Inc.
$91
Allergan Inc.
$80
ARBOR PHARMACEUTICALS, INC.
$78
Shire North American Group Inc
$72
TherapeuticsMD, Inc.
$70
E.R. Squibb & Sons, L.L.C.
$45
Promius Pharma LLC
$42
Phathom Pharmaceuticals, Inc.
$40
Horizon Therapeutics plc
$39
BOSTON SCIENTIFIC CORPORATION
$38
Bayer HealthCare Pharmaceuticals Inc.
$37
Optos, Inc.
$35
Sumitomo Pharma America, Inc.
$29
Gilead Sciences, Inc.
$21
Sobi, Inc
$21
Lundbeck LLC
$21
Phadia US Inc.
$20
SANOFI PASTEUR INC.
$20
IDORSIA PHARMACEUTICALS US INC
$16
Adlon Therapeutics L.P.
$15
AMAG Pharmaceuticals, Inc.
$14
Horizon Pharma plc
$13
Aytu BioScience, Inc
$12
MannKind Corporation
$11
Top 3 companies account for 28.0% of all-time payments
Associated products mentioned in payments ›
ADHANSIA XR · ADVAIR · AFREZZA · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · Amitiza · Androgel · BASAGLAR · BEXSERO · BIJUVA · BREO · BREZTRI · BYDUREON · CHANTIX · COLOGUARD · COMIRNATY · DUEXIS · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Edarbi · FARXIGA · GEMTESA · GLYXAMBI · IMVEXXY · INTRAROSA · INVOKANA · ImmunoCAP · JANUVIA · JARDIANCE · Kerendia · Korlym · LEQVIO · LINZESS · LYRICA · MOUNJARO · MYCAMINE · MYRBETRIQ · Myrbetriq · NEXPLANON · NO PRODUCT DISCUSSED · NOCDURNA · NURTEC ODT · NUVARING · Natesto · Otezla · Otrexup · Ozempic · PANORAMIC OPHTHALMOSCOPE · PENNSAID · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · RELISTOR · RELISTOR ORAL · RESOLUTION CLIP · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SIVEXTRO · SOLIQUA · SOLIQUA 100/33 · STEGLATRO · SYMBICORT · SYNJARDY · SYNTHROID · Synagis · Synthroid · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · Tresiba · Trintellix · Tymlos · UBRELVY · Uloric · VOQUEZNA · VRAYLAR · VYVANSE · Veozah · Victoza · Vyvanse · XARELTO · XIFAXAN · XYOSTED · ZEMBRACE SYMTOUCH · ZOSTAVAX
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (88%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for family medicine in CA.
Geographic Context
Family medicine physicians within 10 mi
3,768
Per 100K population
119.1
County median income
$113,702
Nearest hospital
PROVIDENCE ST. JUDE MEDICAL CENTER
3.6 mi
3.6 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Middleton is a clinical cardiology specialist, with above-average Medicare volume (top 10% in CA), with low-engagement industry engagement in the top 2% of CA peers, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Middleton experienced with office visit, established patient, complex (40-54 min)?
Based on Medicare claims data, Dr. Middleton performed 586 office visit, established patient, complex (40-54 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Middleton receive payments from pharmaceutical companies?
Yes. Dr. Middleton received a total of $17,180 from 47 companies across 916 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Middleton's costs compare to other family medicine physicians in La Habra?
Dr. Middleton's average Medicare payment per service is $76. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Middleton) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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