Medicare Enrolled

Dr. Michael Middleton, M.D.

Nuclear Medicine · Temple, TX
Practice pattern: Cardiac Imaging — Practice with significant diagnostic imaging and stress testing
2401 S 31ST ST, Temple, TX 76508
2547242111
Registered in NPPES since 2006
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 specialist in Temple, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Middleton performed 1,213 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Middleton received a total of $505 from 5 pharmaceutical and/or device companies across 9 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years of NPI registration ▲ Top 42% volume in TX $505 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,213
Medicare services
Top 42% in TX for nuclear medicine
Not available
Unique patients (not deduplicated)
$65
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
Nuclear medicine scan from skull base to mid-thigh with CT
A nuclear medicine imaging study covering the area from the base of the skull to the middle of the thighs, performed alongside a CT scan.
607 $82 $534
Nuclear stress test of heart muscle
A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera.
236 $54 $348
Whole body bone and joint nuclear medicine scan
A nuclear medicine imaging test that uses a radioactive tracer to create pictures of the entire skeleton and joints. This scan helps evaluate bone health and detect abnormalities throughout the body.
65 $28 $184
Whole body nuclear medicine scan with CT
A combined imaging procedure using nuclear medicine and CT scans to visualize the entire body.
63 $87 $539
Lung ventilation and perfusion scan
A nuclear medicine test that uses radioactive tracers to evaluate both air flow (ventilation) and blood flow (perfusion) in the lungs.
49 $35 $239
Lymphatic system nuclear medicine study
A nuclear medicine imaging test used to evaluate the structure and function of the lymphatic system.
37 $41 $258
Nuclear medicine stomach emptying study
A nuclear medicine test used to assess how quickly the stomach empties its contents.
34 $28 $172
Nuclear medicine liver and bile duct study with drugs
A nuclear medicine imaging test to examine the liver and bile duct system using administered drugs.
26 $33 $201
Nuclear medicine liver and bile duct scan
A nuclear medicine imaging test to evaluate the liver and bile duct system.
22 $26 $167
Parathyroid nuclear medicine study with SPECT/CT
A nuclear medicine imaging test that uses a radioactive tracer to visualize the parathyroid glands, combined with SPECT and CT scans for detailed anatomical localization.
18 $41 $355
Nuclear medicine kidney study with drug administration
A nuclear medicine test that evaluates kidney blood flow and function using a radioactive tracer and drug administration.
18 $37 $257
SPECT nuclear medicine scan, 1 area
A nuclear medicine imaging test using a single photon emission computed tomography (SPECT) scan to create detailed images of one specific area of the body.
14 $39 $193
Parathyroid nuclear medicine study with SPECT
A nuclear medicine imaging test that uses a radioactive tracer to visualize the parathyroid glands. The study includes single-photon emission computed tomography (SPECT) to create detailed three-dimensional images.
13 $35 $257
Nuclear medicine parathyroid study
A nuclear medicine imaging test used to evaluate the parathyroid glands.
11 $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. These counts do not measure clinical quality or years of experience.
4.0% high complexity
96.0% medium
0.0% routine

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
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
5
Companies
9
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$248
2022
$127
2021
$130

Payments by company (2024)

Novartis Pharmaceuticals Corporation
$157
Blue Earth Diagnostics Limited
$36
Telix Pharmaceuticals
$33
PFIZER INC.
$22
Top 3 companies account for 91.1% of 2024 payments
All-time payments by company (2021-2024) ›
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 all-time payments
Associated products mentioned in payments ›
PLUVICTO · POSLUMA · Symbia Intevo Bold · Symbia_Intevo_Bold · VYNDAQEL
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a nuclear medicine specialist 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 NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Middleton is a cardiac imaging specialist, with moderate Medicare volume, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Middleton experienced with nuclear medicine scan from skull base to mid-thigh with ct?
Based on Medicare claims data, Dr. Middleton performed 607 nuclear medicine scan from skull base to mid-thigh with ct services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Middleton receive payments from pharmaceutical companies?
Yes. Dr. Middleton received a total of $505 from 5 companies across 9 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →