Medicare Enrolled

Dr. Michael Middleton, M.D.

Nuclear Medicine · Temple, TX
Practice pattern: Cardiac Imaging— Practice with significant diagnostic imaging and stress testing
Low-engagement
2401 S 31ST ST, Temple, TX 76508
2547242111
In practice since 2006 (20 years)
NPI: 1689635641 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. Middleton 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. Middleton

Dr. Michael Middleton is a nuclear medicine in Temple, TX, with 20 years in practice. Based on federal Medicare data, Dr. Middleton performed 1,213 Medicare services across 1,095 unique beneficiaries.

Between the years covered by Open Payments, Dr. Middleton received a total of $505 from 5 pharmaceutical and/or device companies across 9 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nuclear 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. Middleton 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.

✓ 20 years in practice▲ Top 15% volume in TX$ $505 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,213
Medicare services
Top 15% in TX for nuclear medicine
1,095
Unique beneficiaries
$65
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~61 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
Nuclear medicine study from skull base to mid-thigh with ct scan607$82$534
Nuclear medicine studies of heart muscle at rest and with stress and spect236$54$348
Nuclear medicine study of bone and/or joint whole body65$28$184
Nuclear medicine study whole body with ct scan63$87$539
Nuclear medicine study of lung ventilation and circulation49$35$239
Nuclear medicine study of lymphatic system37$41$258
Nuclear medicine study of stomach to assess emptying34$28$172
Nuclear medicine study of liver and bile duct system with use of drugs26$33$201
Nuclear medicine study of liver and bile duct system22$26$167
Nuclear medicine study of parathyroid with spect and ct scan18$41$355
Nuclear medicine study of kidney, blood, flow, and function with drug administration18$37$257
Nuclear medicine study, spect imaging, 1 area or single acquisition, single day imaging14$39$193
Nuclear medicine study of parathyroid with spect13$35$257
Nuclear medicine study of parathyroid11$26$170
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 ↗
$505
Total received (2021-2024)
Avg $168/year across 3 years
Top 42% in TX for nuclear medicine
5
Companies
9
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
$505 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$248
2022
$127
2021
$130

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Siemens Medical Solutions USA, Inc.
$240
Novartis Pharmaceuticals Corporation
$157
PFIZER INC.
$39
Blue Earth Diagnostics Limited
$36
Telix Pharmaceuticals
$33
Top 3 companies account for 86.3% of total payments
Associated products mentioned in payments ›
PLUVICTO · POSLUMA · Symbia Intevo Bold · Symbia_Intevo_Bold · VYNDAQEL
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.

Equivalent to $42 per 100 Medicare services performed
Looking for a nuclear medicine in Temple?
Compare nuclear medicines in the Temple area by procedure volume, costs, and industry payment transparency.
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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. Middleton is a cardiac imaging specialist, with above-average Medicare volume (top 15% in TX), and low-engagement industry engagement, with 20 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. Middleton experienced with nuclear medicine study from skull base to mid-thigh with ct scan?
Based on Medicare claims data, Dr. Middleton performed 607 nuclear medicine study from skull base to mid-thigh with ct scan 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. Middleton receive payments from pharmaceutical companies?
Yes. Dr. Middleton received a total of $505 from 5 companies across 9 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. Middleton's costs compare to other nuclear medicines in Temple?
Dr. Middleton's average Medicare payment per service is $65. 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. Middleton) 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 →