Dr. David Mishkel, MD
What this data tells you about Dr. Mishkel
Dr. David Mishkel is a cardiovascular disease in Boca Raton, FL, with 19 years in practice. Based on federal Medicare data, Dr. Mishkel performed 10,116 Medicare services across 5,866 unique beneficiaries.
Between the years covered by Open Payments, Dr. Mishkel received a total of $3,765 from 27 pharmaceutical and/or device companies across 146 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. Mishkel is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
Medicare Practice Summary
Medicare Utilization ↗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 (30-39 min) | 1,722 | $95 | $270 |
| Remote patient monitoring management, 20 min/month | 1,315 | $38 | $105 |
| Electrocardiogram (EKG), 12-lead | 1,233 | $11 | $30 |
| Remote patient monitoring device, 30 days | 943 | $39 | $110 |
| Office visit, established patient (20-29 min) | 607 | $65 | $195 |
| EKG interpretation and report | 504 | $6 | $10 |
| Hospital follow-up visit, moderate complexity | 465 | $64 | $158 |
| Regadenoson injection (Lexiscan) for heart stress test | 460 | $47 | $110 |
| Echocardiogram, transthoracic | 332 | $149 | $424 |
| Technetium tc-99m tetrofosmin, diagnostic, per study dose | 300 | $351 | $500 |
| Evaluation of cardiac rhythm monitor system, remote up to 30 days | 282 | $20 | $58 |
| New patient office visit (45-59 min) | 250 | $120 | $360 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 222 | $50 | $150 |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 197 | $32 | $91 |
| Nuclear medicine studies of heart muscle at rest and with stress and spect | 150 | $347 | $960 |
| Initial hospital admission, high complexity | 147 | $132 | $430 |
| Hospital follow-up visit, high complexity | 106 | $97 | $220 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 90 | $11 | $111 |
| Evaluation of single, dual, multiple lead or leadless pacemaker system | 74 | $40 | $82 |
| Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment | 64 | $15 | $35 |
| Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional | 63 | $20 | $57 |
| Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 62 | $679 | $1,860 |
| Cardiac catheterization | 61 | $195 | $720 |
| Transitional care management services for problem of high complexity | 57 | $228 | $500 |
| Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 52 | $20 | $70 |
| Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report | 39 | $171 | $490 |
| Electrocardiogram (ecg) 2-day continuous with review and report by health care professional | 37 | $54 | $160 |
| Hospital follow-up visit, low complexity | 36 | $41 | $87 |
| Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel | 35 | $61 | $239 |
| Initial hospital admission, moderate complexity | 31 | $108 | $303 |
| Ultrasound of both sides of head and neck blood flow | 26 | $144 | $416 |
| Ultrasound of heart, follow-up | 25 | $74 | $224 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 21 | $287 | $951 |
| Coronary stent placement | 19 | $499 | $1,450 |
| Ultrasound of heart blood flow, valves and chambers, follow-up | 18 | $6 | $16 |
| Ultrasound of heart with color-depicted blood flow, rate and valve function | 18 | $2 | $6 |
| Programming of dual lead pacemaker system | 16 | $64 | $125 |
| Insertion of heart rhythm monitor under skin | 14 | $3,470 | $9,700 |
| Limited ultrasound scan of abdomen | 12 | $71 | $196 |
| Injection for imaging of aorta above heart valve with review by radiologist | 11 | $33 | $310 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (85%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
1.9 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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Mishkel is a clinical cardiology specialist, with above-average Medicare volume (top 7% in FL), and low-engagement industry engagement, with 19 years of practice experience.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
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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. The Transparency Score measures 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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