Medicare Enrolled
Dr. Derek Mittleider, M.D.
Radiation Oncology · Cocoa, FL
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. Mittleider 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 →
Are you Dr. Mittleider?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Mittleider
Dr. Derek Mittleider is a radiation oncology specialist in Cocoa, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Mittleider performed 5,039 Medicare services across 3,598 unique beneficiaries.
Between the years covered by Open Payments, Dr. Mittleider received a total of $122,985 from 29 pharmaceutical and/or device companies across 265 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in radiation oncology. 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. Mittleider 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.
✓ 19 years in practice
▲ Top 34% volume in FL
$122,985 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 142152 | Clear | January 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary
Medicare Utilization ↗5,039
Medicare services
Top 34% in FL for radiation oncology
3,598
Unique beneficiaries
$28
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~265 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 |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
1,245 | $0 | $0 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
628 | $10 | $35 |
| 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. |
343 | $40 | $182 |
| 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. |
233 | $68 | $315 |
| 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. |
206 | $7 | $32 |
| 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. |
198 | $67 | $296 |
| CT scan of chest with contrast A computed tomography scan of the chest using a contrast dye to enhance the visibility of internal structures. |
179 | $43 | $207 |
| 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. |
120 | $8 | $37 |
| CT scan of abdominal and pelvic blood vessels with contrast A computed tomography scan that uses contrast dye to visualize the blood vessels in the abdomen and pelvis. |
104 | $80 | $894 |
| 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. |
98 | $67 | $311 |
| Swallowing function imaging Imaging used to evaluate how well a person can swallow. This procedure visualizes the swallowing process to assess function. |
89 | $20 | $91 |
| 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. |
81 | $12 | $118 |
| CT scan of head/brain, without contrast A CT scan uses X-rays to create detailed images of the head or brain without the use of contrast dye. |
71 | $32 | $144 |
| CT scan of abdominal aorta and leg arteries with contrast A CT scan that uses contrast dye to create detailed images of the abdominal aorta and the arteries in both legs. |
71 | $88 | $390 |
| CT scan of neck blood vessels with contrast A computed tomography scan that uses dye to visualize the blood vessels in the neck. This imaging test helps examine the structure and flow within the neck's vascular system. |
67 | $65 | $298 |
| CT scan of abdomen and pelvis with contrast A CT scan of the abdomen and pelvis using contrast dye before and after administration to visualize internal structures. |
61 | $74 | $335 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
56 | $30 | $149 |
| Additional sedation, per 15 minutes Administration of a drug to deepen sedation during a procedure. This code covers each additional 15-minute increment of sedation beyond the initial period. |
53 | $9 | $31 |
| CT scan of leg, without contrast A computed tomography scan of the leg performed without the use of contrast dye. This imaging test uses X-rays to create detailed cross-sectional images of the leg's internal structures. |
52 | $38 | $174 |
| Ultrasound scan of organ tissue for measuring elasticity This procedure uses ultrasound technology to assess the stiffness or elasticity of organ tissues. It helps evaluate tissue characteristics without invasive methods. |
51 | $22 | $107 |
| 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. |
50 | $15 | $67 |
| Limited retroperitoneal ultrasound A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures. |
48 | $22 | $107 |
| Abdominal X-ray, 1 view An X-ray image of the abdomen taken from a single angle to visualize internal structures. |
47 | $7 | $32 |
| 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. |
44 | $8 | $39 |
| Limited abdominal ultrasound A focused ultrasound examination of the abdomen to evaluate specific organs or areas. This procedure uses sound waves to create images of internal structures. |
44 | $22 | $113 |
| Chest fluid aspiration with imaging guidance This procedure involves removing fluid from the chest cavity using imaging technology to guide the needle placement. |
41 | $84 | $420 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
38 | $22 | $105 |
| Abdominal fluid drainage with imaging guidance Removal of fluid from the abdominal cavity using imaging technology to guide the procedure. |
36 | $83 | $562 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
36 | $31 | $143 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
35 | $17 | $83 |
| CT scan of face, without contrast A computed tomography scan that creates detailed images of the facial structures. This procedure is performed without the use of intravenous contrast dye. |
33 | $33 | $166 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
33 | $26 | $130 |
| 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. |
31 | $7 | $32 |
| Double contrast esophagram An X-ray of the esophagus using two types of contrast material to create detailed images of the upper digestive tract. |
29 | $27 | $116 |
| 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. |
28 | $8 | $33 |
| 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. |
27 | $207 | $1,041 |
| CT scan of pelvis, without contrast A CT scan that uses X-rays to create detailed images of the pelvic area without the use of contrast dye. |
26 | $42 | $198 |
| CT scan of arm, without contrast A CT scan of the arm that uses X-rays to create detailed images of the arm's internal structures without the use of contrast dye. |
26 | $35 | $170 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
26 | $6 | $28 |
| CT scan of heart with contrast A computed tomography scan that uses contrast dye to create detailed images of the heart's structure. |
26 | $63 | $263 |
| 3D radiographic procedure A radiographic imaging technique that creates three-dimensional representations of internal structures. |
22 | $8 | $49 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
21 | $23 | $125 |
| 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. |
21 | $39 | $150 |
| 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. |
20 | $9 | $40 |
| CT scan of lower spine, without contrast A computed tomography scan that creates detailed images of the lower spine using X-rays without the use of contrast dye. |
19 | $38 | $167 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
19 | $25 | $128 |
| CT scan of head blood vessels with contrast A CT scan that uses contrast dye to create detailed images of the blood vessels in the head. |
16 | $67 | $308 |
| Ultrasound of hemodialysis access An ultrasound imaging test used to evaluate the blood flow and structure of a hemodialysis access site. |
15 | $101 | $462 |
| CT scan of neck soft tissue with contrast A computed tomography scan that uses contrast dye to create detailed images of the soft tissues in the neck. |
14 | $50 | $229 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
14 | $8 | $30 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
14 | $7 | $29 |
| Limited ultrasound of pelvis A focused ultrasound exam of the pelvic area to evaluate specific structures. This procedure provides images of the pelvis to assist in medical assessment. |
14 | $19 | $85 |
| 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. |
13 | $273 | $1,350 |
| 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. |
13 | $164 | $753 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
13 | $10 | $49 |
| CT scan of upper spine, without contrast A CT scan uses X-rays to create detailed images of the upper spine. This procedure is performed without the use of contrast dye. |
12 | $35 | $170 |
| Esophagram with single contrast An X-ray of the esophagus using a single type of contrast material to visualize the structure and function of the upper digestive tract. |
12 | $24 | $114 |
| Upper GI series with single contrast An X-ray exam of the upper digestive tract using a single contrast agent to visualize the esophagus, stomach, and small intestine. |
12 | $31 | $151 |
| Radiologist review of additional artery image A radiologist reviews an additional image of an artery. This step involves professional interpretation of the imaging data. |
12 | $38 | $111 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
11 | $6 | $27 |
| Imaging of urinary tract with contrast An imaging test of the urinary tract performed after a contrast agent is injected to enhance visibility of the structures. |
11 | $20 | $82 |
| Transvaginal pelvic ultrasound An ultrasound exam using a probe inserted into the vagina to image the uterus, ovaries, fallopian tubes, cervix, and surrounding pelvic structures. |
11 | $25 | $126 |
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.
0.5% high complexity
70.9% medium
28.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$122,985
Total received (2018-2024)
Avg $17,569/year across 7 years
Top 1% in FL for radiation oncology
29
Companies
265
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
$59,759 (48.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$59,097 (48.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,130 (3.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$7,317
2023
$28,908
2022
$36,456
2021
$22,020
2020
$6,994
2019
$14,879
2018
$6,410
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Inari Medical, Inc.
$50,479
Boston Scientific Corporation
$49,035
BOSTON SCIENTIFIC CORPORATION
$16,192
BARD PERIPHERAL VASCULAR, INC.
$3,947
Embolx, Inc.
$500
Penumbra, Inc.
$313
Abbott Laboratories
$291
Cook Medical LLC
$265
Medtronic Vascular, Inc.
$254
AngioDynamics, Inc.
$177
Nevro Corp.
$171
Stryker Corporation
$167
Bard Peripheral Vascular, Inc.
$160
Philips Electronics North America Corporation
$148
Medtronic, Inc.
$148
Terumo Medical Corporation
$144
W. L. Gore & Associates, Inc.
$132
CORDIS US CORP.
$105
Biocompatibles, Inc.
$98
Cook Incorporated
$97
Tactile Systems Technology Inc
$29
Aroa Biosurgery Incorporated
$24
Cardiovascular Systems Inc.
$20
CorMedix Inc.
$18
ACACIA PHARMA INC
$16
Medtronic USA, Inc.
$14
EKOS Corporation
$14
Amgen Inc.
$14
Vasorum USA Inc.
$14
Top 3 companies account for 94.1% of total payments
Associated products mentioned in payments ›
(4067) Tack Endovascular Systems BTK · (5044) MCOT · ANGIOJET · ARMADA · AURYON LASER SYSTEM 100-120 VAC · AngioJet · AngioJet Ultra 5000A · AngioSeal · Arterial Wolf · BYFAVO · CELT ACD · CLOSUREFAST · CONCERTOTM · COOK MEDICAL PERIPHERAL INTERVENTION · CT THROMBECTOMY SYSTEM KIT · ClosureFast · Concerto · DIAMONDBACK PERIPHERAL · DefenCath · Diamondback Peripheral · Direxion · EKOSONIC · ELUVIA · EkoSonic · FLOWTRIEVER CATHETER · Flexitouch Plus · Fluency Endovascular Stent Graft · GENERAL ATHERECTOMY · GENERAL THERAPIES · GENERAL THROMBECTOMY · GENERAL VASCULAR INTERVENTION · GENERAL ANGIOGRAPHY · GENERAL METALLIC STENTS · GENERAL THERAPIES · GENERAL VASCULAR INTERVENTION · GENERAL - ATHERECTOMY · GENERAL - GUIDEWIRES · GENERAL - STRUCTURAL HEART · GENERAL - THROMBECTOMY · GENERAL - VASCULAR INTERVENTION · GENERAL ATHERECTOMY · GENERAL EMBOLICS · GENERAL THERAPIES · GENERAL VASCULAR INTERVENTION · GORE ACUSEAL Vascular Graft · GORE DRYSEAL Sheath · General - Guidewires · General - Therapies · General - Thrombectomy · General - Vascular Intervention · IGT Devices Und · INNOVA · Indigo · Indigo System · Interlock · JETSTREAM · JETSTREAM SC · KYPHON EXPRESS II KYPHOPAK TRAY · LOTUS Edge · LUTONIX · MetaCross · Navicross · OSTEOCOOL RF ABLATION · OSTEOCOOL RF ABLATION SYSTEM · Omnilink Elite vascular stent system · Penumbra Ruby Coil · Pristine · RAIN SHEATH TRANSRADIAL · Repatha · S · SABER · SPINEJACK · Senza · THERAPIES · THERASPHERE - BIO · TRUSELECT · VENASEAL · Varithena Administration Pack · VenaCure 1470 Pro · Venous Wolf · Wolf Trap · ZILVER PTX · ZelanteDVT · Zenith Alpha · Zilver Vena
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 (49%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in radiation oncology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 1% for radiation oncology in FL.
Equivalent to $2,441 per 100 Medicare services performed
Geographic Context
Radiation oncologists within 10 mi
54
Per 100K population
8.7
County median income
$75,817
Nearest hospital
ORLANDO HEALTH ROCKLEDGE HOSPITAL
6.7 mi
6.7 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. Mittleider is a mixed practice specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 1% of FL peers, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Mittleider experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Mittleider performed 1,245 contrast dye for imaging (iodine-based) 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. Mittleider receive payments from pharmaceutical companies?
Yes. Dr. Mittleider received a total of $122,985 from 29 companies across 265 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. Mittleider's costs compare to other radiation oncologists in Cocoa?
Dr. Mittleider's average Medicare payment per service is $28. 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. Mittleider) 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. 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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