Medicare Enrolled
Dr. Alexander Misono, MD, MBA
Vascular & Interventional Radiology Physician · Newport Beach, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Speaking/Promotional
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. Misono 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. Misono
Dr. Alexander Misono is a vascular & interventional radiology physician in Newport Beach, CA, with 13 years of NPI registration. Based on federal Medicare data, Dr. Misono performed 1,564 Medicare services across 1,439 unique beneficiaries.
Between the years covered by Open Payments, Dr. Misono received a total of $866,601 from 39 pharmaceutical and/or device companies across 755 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in vascular & interventional radiology physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Misono 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.
✓ 13 years in practice
▲ Top 33% volume in CA
$866,601 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,564
Medicare services
Top 33% in CA for vascular & interventional radiology physician
1,439
Unique beneficiaries
$50
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~120 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 |
|---|---|---|---|
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
242 | $10 | $40 |
| Chest X-ray, 1 view An X-ray image of the chest taken from a single angle. This imaging test is used to visualize the structures within the chest cavity. |
177 | $7 | $41 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
126 | $12 | $69 |
| Fluoroscopic guidance for central vein access device Use of live X-ray imaging to guide the placement or removal of a central vein access device. |
86 | $15 | $84 |
| Hip X-ray, 1 view An X-ray image of the hip joint taken from a single angle to visualize the bones and surrounding structures. |
60 | $8 | $31 |
| Radiologist review of CT-guided needle placement A radiologist reviews the CT imaging used to guide the placement of a needle. |
56 | $59 | $260 |
| Central venous port insertion A surgical procedure to place a small reservoir under the skin for long-term access to the bloodstream. The device is connected to a vein to allow for repeated medication administration or blood draws. |
55 | $276 | $1,900 |
| 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. |
51 | $8 | $48 |
| 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. |
48 | $80 | $301 |
| Radiologist review of additional artery image A radiologist reviews an additional image of an artery. This step involves professional interpretation of the imaging data. |
43 | $39 | $170 |
| CT scan of abdomen and pelvis with contrast A CT scan that uses dye to create detailed images of the abdomen and pelvis. This imaging test helps doctors examine internal organs and structures in these areas. |
40 | $74 | $374 |
| Abdominal fluid drainage with imaging guidance Removal of fluid from the abdominal cavity using imaging technology to guide the procedure. |
39 | $90 | $252 |
| New patient office visit, complex (60-74 min) | 36 | $152 | $641 |
| Chest fluid aspiration with imaging guidance This procedure involves removing fluid from the chest cavity using imaging technology to guide the needle placement. |
35 | $91 | $374 |
| CT scan of abdomen and pelvis, without contrast A computed tomography scan that creates detailed images of the abdominal and pelvic organs. The procedure is performed without the use of intravenous contrast dye. |
34 | $71 | $358 |
| 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. |
33 | $9 | $37 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
29 | $7 | $38 |
| CT scan of chest, without contrast A computed tomography scan of the chest area that uses X-rays to create detailed images without the use of contrast dye. |
28 | $43 | $258 |
| Pelvis X-ray, 1-2 views An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints. |
28 | $7 | $38 |
| Bone marrow biopsy and aspiration A procedure to remove a small sample of bone marrow and liquid for laboratory testing. The sample is analyzed to help diagnose various medical conditions. |
26 | $64 | $346 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
26 | $26 | $150 |
| Abdominal X-ray, 1 view An X-ray image of the abdomen taken from a single angle to visualize internal structures. |
22 | $7 | $44 |
| Radiologist review of abdominal artery image A radiologist reviews images of the arteries in the abdomen to assess their structure and function. |
20 | $79 | $257 |
| Radiologist review of stomach or bowel tube placement A radiologist reviews medical images to confirm the correct placement of a tube in the stomach or large bowel. |
20 | $32 | $163 |
| Arterial catheter insertion, initial third order branch Insertion of a tube into an abdominal, pelvic, or leg artery, specifically targeting the initial third order branch. |
19 | $146 | $1,273 |
| Stomach tube insertion with fluoroscopy and contrast A tube is placed into the stomach while using live X-ray imaging and a contrast dye to guide the procedure. |
19 | $161 | $1,031 |
| CT scan of chest blood vessels with contrast A CT scan that uses contrast dye to create detailed images of the blood vessels in the chest. |
18 | $69 | $429 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
18 | $7 | $41 |
| Core needle biopsy of lung or mediastinum A procedure to remove a small tissue sample from the lung or the space between the lungs using a needle inserted through the skin. |
17 | $123 | $657 |
| CT scan of chest with contrast A computed tomography scan of the chest using a contrast dye to enhance the visibility of internal structures. |
17 | $46 | $276 |
| Insertion of non-tunneled central venous catheter A procedure to place a central venous catheter for infusion in patients aged 5 years or older. The catheter is inserted directly into a large vein without being tunneled under the skin. |
15 | $70 | $509 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
15 | $108 | $622 |
| 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. |
15 | $9 | $49 |
| Insertion of tunneled central venous catheter for infusion, age 5+ A surgical procedure to place a long-term catheter into a large vein for delivering medications or fluids. The catheter is tunneled under the skin to reduce infection risk and provide stable access for patients aged 5 and older. |
14 | $218 | $1,244 |
| Vena cava filter insertion with radiologist review A procedure to place a filter in the vena cava to prevent blood clots from traveling to the lungs, including review by a radiologist. |
14 | $166 | $549 |
| Kidney tube placement with imaging guidance A tube is placed into the kidney using imaging guidance. A radiologist reviews the procedure. |
12 | $178 | $990 |
| Removal of central venous port or pump A procedure to remove a central venous access device, such as a port or pump, from the body. |
11 | $153 | $855 |
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.
3.1% high complexity
27.7% medium
69.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$866,601
Total received (2018-2024)
Avg $123,800/year across 7 years
Top 1% in CA for vascular & interventional radiology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
39
Companies
755
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$523,395 (60.4%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$299,859 (34.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$43,348 (5.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$322,449
2023
$293,693
2022
$165,678
2021
$74,885
2020
$2,430
2019
$5,605
2018
$1,860
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Inari Medical, Inc.
$233,386
MicroVention, Inc.
$26,657
Merit Medical Systems Inc
$18,406
Siemens Medical Solutions USA, Inc.
$9,379
Medtronic, Inc.
$8,126
Sirtex Medical Inc
$7,071
Philips North America LLC
$6,638
TriSalus Life Sciences, Inc.
$4,655
ARGON MEDICAL DEVICES, INC.
$3,447
HISTOSONICS, INC.
$2,008
Penumbra, Inc.
$1,223
GE HEALTHCARE
$603
Vasorum USA Inc.
$280
MediView XR, Inc.
$246
Imperative Care, Inc
$75
Stryker Corporation
$50
Bard Peripheral Vascular, Inc.
$45
DePuy Synthes Sales Inc.
$39
Boston Scientific Corporation
$35
Terumo Medical Corporation
$30
Biosense Webster, Inc.
$23
Mozarc Medical US LLC
$14
W. L. Gore & Associates, Inc.
$13
Top 3 companies account for 86.4% of 2024 payments
All-time payments by company (2018-2024) ›
Inari Medical, Inc.
$726,536
MicroVention, Inc.
$46,141
TriSalus Life Sciences, Inc.
$22,195
Merit Medical Systems Inc
$18,479
Siemens Medical Solutions USA, Inc.
$9,379
Medtronic, Inc.
$8,750
Sirtex Medical Inc
$7,282
Philips North America LLC
$6,638
Penumbra, Inc.
$5,837
ARGON MEDICAL DEVICES, INC.
$3,447
Medtronic USA, Inc.
$2,252
HISTOSONICS, INC.
$2,008
Stryker Corporation
$1,982
MediView XR, Inc.
$1,018
Biocompatibles, Inc.
$993
Boston Scientific Corporation
$657
GE HEALTHCARE
$603
AngioDynamics, Inc.
$391
Bard Peripheral Vascular, Inc.
$330
Vasorum USA Inc.
$280
Cook Medical LLC
$219
Medtronic Vascular, Inc.
$213
Abbott Laboratories
$144
Medical Device Business Services, Inc.
$121
CARDIVA MEDICAL, INC.
$79
Imperative Care, Inc
$75
BOSTON SCIENTIFIC CORPORATION
$72
W. L. Gore & Associates, Inc.
$69
BARD PERIPHERAL VASCULAR, INC.
$65
DePuy Synthes Sales Inc.
$56
Philips Electronics North America Corporation
$56
Biosense Webster, Inc.
$55
Mozarc Medical US LLC
$40
Endologix, Inc.
$33
Terumo Medical Corporation
$30
Ethicon US, LLC
$22
Janssen Pharmaceuticals, Inc
$21
E.R. Squibb & Sons, L.L.C.
$16
EKOS Corporation
$15
Top 3 companies account for 91.7% of all-time payments
Associated products mentioned in payments ›
(5241) IGT Solutions Equip Undivided · (9556) IVC Filter Removal · (BI2) IGT Systems Undivided · (P79) Azurion 7 B20 · ABRE · ARTIS icono biplane · AZUR CX DETACHABLE · Abre · Allia · Aptus Heli-FX · Artis icono floor · Axium · BIOSENTRY TRACT SEALANT SYSTEM · CARDIVA VASCADE 6/7F VCS · CARDIVA VASCADE MVP VVCS 6-12F · CELT ACD · CEREPAK UNIFORM · CERTUS 140 MICROWAVE ABLATION SYSTEM · CHAMELEON · CHAPERON GUIDING CATHETER · CLOT MANAGEMENT · CONCERTOTM · COOK MEDICAL AAA · COOK MEDICAL CELECT PLATINUM · COOK MEDICAL FILTERS · COOK MEDICAL GI PRODUCTS · COOK MEDICAL ZILVER · CT THROMBECTOMY SYSTEM KIT · Certus 140 · Clot Management · Concerto · Cook Medical Celect Platinum · Cook Medical Introducers · Cook Medical Stents · Cook Medical Zilver PTX · Denali Vena Cava Filter · EKOSONIC · ELIQUIS · ELUVIA · EMBOGUARD · EMBOTRAP · Embosphere Microspheres · FLOWTRIEVER CATHETER · FlowTriever · GENERAL ATHERECTOMY · GENERAL GUIDEWIRES · GENERAL - ATHERECTOMY · GENERAL - VASCULAR INTERVENTION · GORE VIABAHN VBX Balloon Expandable Endo · General - IO Ablation · HAWKONE · IN.PACT Admiral · INTERLOCK · IVS - VERTEBRAL AUGMENTATION PRODUCTS · Indigo · Indigo System · Interlock · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · LAVA LES (Liquid Embolic System) · LIFESTENT · LUTONIX · LVIS JUNIOR · NANOKNIFE · NUVISION ICE CATHETER · NanoKnife · OSTEOCOOL RF ABLATION SYSTEM · Ovation · Penumbra System · Pipeline · RotarexS 6 F x 135 cm · Ruby · S · SIR-Spheres Microspheres · SOLITAIRE X · SPINEJACK · SYMPHONY CATHETER · Solero · Solitaire · Surfacer Inside-Out Catheter · SwiftNINJA Sterble Cor Micro · TARGET · THERASPHERE · THERASPHERE - BIO · THERASPHERE-BIO · TREVO · TRINAV INFUSION SYSTEM · TheraSphere Y90 Glass Microspheres 10 GBq · VIABAHN VBX Balloon Expandable Endoprosthesis · VISUAL-ICE · Venovo · WEB ANEURYSM EMBOLIZATION SYSTEM · XARELTO · Xience Sierra Coronary Stent System
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 →
The majority of payments (60%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in vascular & interventional radiology physician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 1% for vascular & interventional radiology physician in CA.
Geographic Context
Vascular & interventional radiology physicians within 10 mi
53
Per 100K population
1.7
County median income
$113,702
Nearest hospital
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
0.0 mi
0.0 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. Misono is a mixed practice specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 1% of CA peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Misono experienced with sedation by physician, initial 15 minutes?
Based on Medicare claims data, Dr. Misono performed 242 sedation by physician, initial 15 minutes 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. Misono receive payments from pharmaceutical companies?
Yes. Dr. Misono received a total of $866,601 from 39 companies across 755 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. Misono's costs compare to other vascular & interventional radiology physicians in Newport Beach?
Dr. Misono's average Medicare payment per service is $50. 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. Misono) 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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