Medicare Enrolled
Dr. John Littell, M.D.
Family Medicine · Kissimmee, FL
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. Littell 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. Littell
Dr. John Littell is a family medicine specialist in Kissimmee, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Littell performed 4,346 Medicare services across 2,748 unique beneficiaries.
Between the years covered by Open Payments, Dr. Littell received a total of $6,702 from 48 pharmaceutical and/or device companies across 338 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. Littell 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 7% volume in FL
$6,702 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 | 76131 | 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 ↗4,346
Medicare services
Top 7% in FL for family medicine
2,748
Unique beneficiaries
$57
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~229 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 (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. |
1,401 | $77 | $256 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
474 | $126 | $261 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
462 | $1 | $3 |
| Annual depression screening | 327 | $18 | $36 |
| 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. |
225 | $61 | $182 |
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
213 | $5 | $13 |
| 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. |
178 | $9 | $28 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
153 | $3 | $5 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
123 | $0 | $5 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
120 | $100 | $336 |
| 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. |
102 | $113 | $363 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
92 | $45 | $134 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
87 | $34 | $111 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
72 | $6 | $6 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
42 | $10 | $86 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
37 | $5 | $29 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
36 | $157 | $335 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
35 | $209 | $551 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
29 | $38 | $105 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
26 | $162 | $335 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
21 | $43 | $132 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
19 | $103 | $273 |
| New patient office visit, complex (60-74 min) | 17 | $153 | $447 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
16 | $65 | $170 |
| 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 | $10 | $29 |
| Hemoglobin blood test A blood test that measures the amount of hemoglobin, the protein in red blood cells that carries oxygen. |
13 | $2 | $21 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
12 | $43 | $113 |
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 ↗$6,702
Total received (2018-2024)
Avg $957/year across 7 years
Top 7% in FL for family medicine
48
Companies
338
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
$6,702 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$507
2023
$852
2022
$790
2021
$1,023
2020
$731
2019
$1,400
2018
$1,399
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$1,040
Lilly USA, LLC
$932
Boehringer Ingelheim Pharmaceuticals, Inc.
$697
GlaxoSmithKline, LLC.
$566
Janssen Pharmaceuticals, Inc
$369
Novo Nordisk Inc
$359
Amgen Inc.
$243
Boston Scientific Corporation
$210
ABBVIE INC.
$204
PFIZER INC.
$169
Stryker Corporation
$168
Teva Pharmaceuticals USA, Inc.
$140
AbbVie, Inc.
$121
Merck Sharp & Dohme Corporation
$117
Amarin Pharma Inc.
$113
PAINTEQ LLC
$104
IBSA Pharma Inc.
$93
Bayer HealthCare Pharmaceuticals Inc.
$87
Medtronic Vascular, Inc.
$86
AbbVie Inc.
$82
Antares Pharma, Inc.
$70
SANOFI-AVENTIS U.S. LLC
$69
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$55
Daiichi Sankyo Inc.
$52
Eisai Inc.
$52
Novartis Pharmaceuticals Corporation
$48
Astellas Pharma US Inc
$39
Biohaven Pharmaceutical Holding Company Ltd.
$34
IDORSIA PHARMACEUTICALS US INC
$32
Circassia Pharmaceuticals Inc
$30
Kowa Pharmaceuticals America, Inc.
$23
Xeris Pharmaceuticals, Inc.
$22
Allergan, Inc.
$21
Phadia US Inc.
$20
Sanofi Pasteur Inc.
$20
Hikma Pharmaceuticals USA
$20
Sunovion Pharmaceuticals Inc.
$20
Shire North American Group Inc
$20
Allergan Inc.
$19
Scilex Pharmaceuticals Inc.
$19
Ironwood Pharmaceuticals, Inc
$18
SANOFI PASTEUR INC.
$16
Horizon Pharma plc
$16
Gemini Laboratories, LLC
$15
Smith & Nephew, Inc.
$15
Bayer Healthcare Pharmaceuticals Inc.
$14
Biohaven Pharmaceuticals, Inc.
$12
Abbott Laboratories
$12
Top 3 companies account for 39.8% of total payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ALPHAVENT · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · ArmonAir Digihaler · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BOTOX · BREZTRI · BYDUREON · CHANTIX · COLOGUARD · COSENTYX · ClosureFast · Creon · DUAKLIR PRESSAIR · DUZALLO · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · FARXIGA · FASENRA · FLUBLOK QUADRIVALENT · FLUZONE HIGH-DOSE · FreeStyle Lite system · GEMTESA · GVOKE PFS · INJECTAFER · INVOKANA · ImmunoCAP · JANUVIA · JARDIANCE · Kerendia · LICART · LINZESS · LYRICA · Licart · Livalo · MOUNJARO · MYRBETRIQ · Mitigare · NURTEC ODT · Otezla · Otrexup · Ozempic · PAINTEQ · PENNSAID · QULIPTA · QUVIVIQ · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · Santyl · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TUDORZA PRESSAIR · Tirosint · Tresiba · UBRELVY · UNITHROID · VRAYLAR · VYVANSE · Vascepa · Veozah · WaveWriter Alpha Prime 16 · XARELTO · XIFAXAN · XYOSTED · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 7% for family medicine in FL.
Equivalent to $154 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
827
Per 100K population
203.2
County median income
$68,711
Nearest hospital
HCA FLORIDA OSCEOLA HOSPITAL
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Littell is a clinical cardiology specialist, with above-average Medicare volume (top 7% in FL), with low-engagement industry engagement in the top 7% 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. Littell experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Littell performed 1,401 office visit, established patient (30-39 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. Littell receive payments from pharmaceutical companies?
Yes. Dr. Littell received a total of $6,702 from 48 companies across 338 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. Littell's costs compare to other family medicine physicians in Kissimmee?
Dr. Littell's average Medicare payment per service is $57. 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. Littell) 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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