Medicare Enrolled

Dr. Derek Mittleider, M.D.

Radiation Oncology · Cocoa, FL
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Speaking/Promotional
2300 STATE ROAD 524 STE 106, Cocoa, FL 32926
3213213001
In practice since 2006 (19 years)
NPI: 1538234414 verify on NPPES ↗
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 in Cocoa, FL, with 19 years in practice. 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

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.

ProcedureVolumeAvg. paidAvg. submitted
Contrast dye for imaging (iodine-based)1,245$0$0
Bone density scan (DEXA)628$10$35
CT scan of chest, without contrast343$40$182
CT scan of abdomen and pelvis with contrast233$68$315
Chest X-ray, 1 view206$7$32
Ct scan of abdomen and pelvis without contrast198$67$296
Ct scan of chest with contrast179$43$207
Chest X-ray, 2 views120$8$37
Ct scan of blood vessels of abdomen and pelvis with contrast104$80$894
Ct scan of blood vessels of chest with contrast98$67$311
Imaging for evaluation of swallowing function89$20$91
Ultrasonic guidance for blood vessel access81$12$118
CT scan of head/brain, without contrast71$32$144
Ct scan of abdominal aorta and both leg arteries with contrast71$88$390
Ct scan of blood vessels of neck with contrast67$65$298
Ct scan of abdomen and pelvis before and after contrast61$74$335
Complete ultrasound scan of abdomen56$30$149
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes53$9$31
Ct scan of leg without contrast52$38$174
Ultrasound scan of organ tissue for measuring elasticity51$22$107
Fluoroscopic guidance for insertion or removal of central vein access device50$15$67
Limited ultrasound scan behind abdominal cavity48$22$107
X-ray of abdomen, 1 view47$7$32
Hip X-ray, 2-3 views44$8$39
Limited ultrasound scan of abdomen44$22$113
Aspiration of fluid from chest cavity using imaging guidance41$84$420
Ultrasound scan of head and neck soft tissue38$22$105
Drainage of fluid from abdominal cavity using imaging guidance36$83$562
Ultrasound of both sides of head and neck blood flow36$31$143
Ultrasound study of one arm or leg veins with compression and maneuvers35$17$83
Ct scan of face without contrast33$33$166
Ultrasound study of arm or leg veins with compression and maneuvers33$26$130
X-ray of knee, 1-2 views31$7$32
Double contrast x-ray of esophagus29$27$116
Shoulder X-ray, 2+ views28$8$33
Insertion of tunneled central venous tube for infusion (5 years or older)27$207$1,041
Ct scan of pelvis without contrast26$42$198
Ct scan of arm without contrast26$35$170
X-ray of ankle, minimum of 3 views26$6$28
Ct scan of heart structure with contrast26$63$263
3d radiographic procedure22$8$49
Ultrasonic guidance for needle placement21$23$125
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes21$39$150
X-ray of lower and sacral spine, 2-3 views20$9$40
Ct scan of lower spine without contrast19$38$167
Complete ultrasound scan behind abdominal cavity19$25$128
Ct scan of blood vessels of head with contrast16$67$308
Ultrasound of hemodialysis access15$101$462
Ct scan of soft tissue of neck with contrast14$50$229
X-ray of hand, minimum of 3 views14$8$30
Foot X-ray, 3+ views14$7$29
Limited ultrasound scan of pelvis14$19$85
Insertion of central venous tube with port (5 years or older)13$273$1,350
Insertion of stomach tube using fluoroscopic guidance with contrast13$164$753
X-ray of lower and sacral spine, minimum of 4 views13$10$49
Ct scan of upper spine without contrast12$35$170
Single contrast x-ray of esophagus12$24$114
Single contrast x-ray of upper digestive tract12$31$151
Review by radiologist of additional artery image12$38$111
X-ray of wrist, minimum of 3 views11$6$27
Imaging of urinary tract following injection of a contrast agent11$20$82
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina11$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
68.9% medium
30.6% 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
Looking for a radiation oncology in Cocoa?
Compare radiation oncologys in the Cocoa area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Radiation Oncologys within 10 mi
54
Per 100K population
8.7
County median income
$75,817
Nearest hospital
ORLANDO HEALTH ROCKLEDGE HOSPITAL
6.7 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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, and high industry engagement (speaking/promotional, top 1%), 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

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 oncologys 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →