Medicare Enrolled
Dr. Kyle Himsl, MD
Urology Physician · Thousand Oaks, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Himsl 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. Himsl
Dr. Kyle Himsl is an urology physician in Thousand Oaks, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Himsl performed 79,144 Medicare services across 4,538 unique beneficiaries.
Between the years covered by Open Payments, Dr. Himsl received a total of $25,361 from 61 pharmaceutical and/or device companies across 400 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. 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. Himsl 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.
✓ 19 years in practice
▲ Top 2% volume in CA
$25,361 industry payments
Medicare Practice Summary
Medicare Utilization ↗79,144
Medicare services
Top 2% in CA for urology physician
4,538
Unique beneficiaries
$7
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~4,165 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 |
|---|---|---|---|
| Testosterone undecanoate injection (Aveed) An injection of testosterone undecanoate, a form of testosterone hormone. This procedure involves administering the medication via injection. |
61,501 | $1 | $2 |
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
6,100 | $5 | $7 |
| BCG treatment for bladder cancer | 5,134 | $2 | $5 |
| 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. |
1,931 | $73 | $145 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
1,156 | $3 | $12 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 482 | $134 | $600 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
481 | $10 | $115 |
| 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. |
416 | $102 | $220 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
290 | $211 | $425 |
| 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. |
200 | $11 | $55 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
188 | $67 | $125 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
179 | $19 | $50 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
147 | $30 | $150 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
119 | $90 | $300 |
| Bladder instillation of anti-cancer drug A procedure where an anti-cancer medication is introduced directly into the bladder. This method delivers the treatment locally to the bladder tissue. |
113 | $73 | $340 |
| 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. |
102 | $137 | $309 |
| Limited retroperitoneal ultrasound A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures. |
69 | $51 | $170 |
| Injection to cause erection A procedure involving an injection administered to induce an erection. |
57 | $76 | $120 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
56 | $141 | $275 |
| Simple insertion of temporary bladder tube A procedure to place a temporary tube into the bladder. This allows for the drainage of urine from the bladder. |
54 | $55 | $225 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
49 | $42 | $75 |
| 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. |
40 | $46 | $97 |
| Cystoscopy with chemical ablation of bladder A procedure where a camera is used to examine the bladder and a chemical agent is applied to destroy abnormal tissue. |
37 | $340 | $425 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
37 | $125 | $375 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
31 | $101 | $150 |
| 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. |
28 | $156 | $300 |
| Transurethral prostate removal with electrocautery This procedure involves removing the prostate gland through the urethra using an endoscope and an electrocautery knife to control bleeding. |
23 | $587 | $2,800 |
| Ureteral stone crushing with stent insertion An endoscope is used to break up a stone in the ureter, followed by the placement of a stent to keep the ureter open. |
19 | $343 | $3,000 |
| 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. |
16 | $110 | $225 |
| Endoscopic removal of kidney or ureter stone A procedure to remove or manipulate a stone in the kidney or ureter using an endoscope. The endoscope is a thin, lighted tube inserted into the body to visualize and treat the stone. |
15 | $59 | $2,250 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
14 | $52 | $375 |
| Endoscopic removal of pelvic lymph nodes, bilateral A surgical procedure to remove lymph nodes from both sides of the pelvis using an endoscope. This minimally invasive technique involves making small incisions to access and excise the tissue. |
12 | $45 | $1,248 |
| Ureteral stent insertion via endoscope A flexible tube is inserted into the ureter using an endoscope to keep the passage open and allow urine to flow from the kidney to the bladder. |
12 | $116 | $871 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
12 | $194 | $450 |
| Surgical removal of prostate and lymph nodes This procedure involves the surgical removal of the prostate gland and surrounding lymph nodes using an endoscope. |
12 | $160 | $3,194 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
12 | $64 | $190 |
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.
0.1% high complexity
86.7% medium
13.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$25,361
Total received (2018-2024)
Avg $3,623/year across 7 years
Top 10% in CA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
61
Companies
400
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
$23,476 (92.6%)
Other
Charitable contributions, space rental, and other categories
$1,072 (4.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$813 (3.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$680
2023
$1,596
2022
$2,269
2021
$1,207
2020
$17,502
2019
$1,133
2018
$974
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Becton, Dickinson and Company
$170
ABBVIE INC.
$158
C. R. Bard, Inc. & Subsidiaries
$112
Laborie Medical Technologies Corp.
$47
Sumitomo Pharma America, Inc.
$45
PROGENICS PHARMACEUTICALS, INC.
$42
IMMUNITYBIO, INC.
$26
Endo USA, Inc.
$24
Endo Pharmaceuticals Inc.
$23
Agiliti Surgical, Inc.
$20
COLOPLAST CORP
$13
Top 3 companies account for 64.7% of 2024 payments
All-time payments by company (2018-2024) ›
Olympus America Inc.
$17,541
PFIZER INC.
$631
Astellas Pharma US Inc
$595
ABBVIE INC.
$542
Blue Earth Diagnostics Limited
$388
Myriad Genetic Laboratories, Inc.
$384
Janssen Biotech, Inc.
$384
AbbVie, Inc.
$370
Rochester Medical Corporation
$351
Coloplast Corp
$328
C. R. Bard, Inc. & Subsidiaries
$293
PROCEPT BioRobotics Corporation
$272
Endo Pharmaceuticals Inc.
$265
Amgen Inc.
$263
COLOPLAST CORP
$233
Progenics Pharmaceuticals, Inc.
$182
Becton, Dickinson and Company
$170
Myovant Sciences Inc.
$146
Bayer HealthCare Pharmaceuticals Inc.
$145
Antares Pharma, Inc.
$143
BIOTISSUE HOLDINGS, INC.
$133
Sumitomo Pharma America, Inc.
$123
Allergan Inc.
$104
Allergan, Inc.
$96
Takeda Pharmaceuticals U.S.A., Inc.
$93
Dendreon Pharmaceuticals LLC
$76
Ferring Pharmaceuticals Inc.
$71
AbbVie Inc.
$70
Avadel Specialty Pharmaceuticals, LLC
$63
Merck Sharp & Dohme LLC
$63
Lilly USA, LLC
$58
TOLMAR Pharmaceuticals, Inc.
$53
Laborie Medical Technologies Corp.
$47
Teleflex LLC
$43
PROGENICS PHARMACEUTICALS, INC.
$42
IBSA Pharma Inc.
$38
MEDIVATION FIELD SOLUTIONS LLC
$38
Janssen Pharmaceuticals, Inc
$37
Bayer Healthcare Pharmaceuticals Inc.
$33
Exact Sciences Corporation
$31
IMMUNITYBIO, INC.
$26
Axonics, Inc.
$25
UROVANT SCIENCES INC
$25
Eisai Inc.
$25
Endo USA, Inc.
$24
CooperSurgical, Inc.
$24
MAYNE PHARMA INC.
$24
UroGen Pharma, Inc.
$24
Biohaven Pharmaceuticals, Inc.
$23
Supernus Pharmaceuticals, Inc.
$23
Merck Sharp & Dohme Corporation
$21
Aytu BioScience, Inc
$21
Agiliti Surgical, Inc.
$20
Hologic, LLC
$20
Cook Medical LLC
$17
Metuchen Pharmaceuticals
$17
TherapeuticsMD, Inc.
$17
AKRIMAX PHARMACEUTICALS, LLC
$16
Boston Scientific Corporation
$14
Clarus Therapeutics Inc.
$13
Osiris Therapeutics Inc.
$5
Top 3 companies account for 74.0% of all-time payments
Associated products mentioned in payments ›
ANKTIVA · AQUABEAM ROBOTIC SYSTEM · AVEED · Androgel · Axonics · Axumin · BOTOX · BOTOX - UROLOGY · BOTOX THERAPEUTIC · BRAC CDx · BRACANALYSIS CDX · BRACAnalysis CDx · Bard Urinary Drainage Bag · CONTINENCE CARE · Cologuard Collection Kit · Cook · Dayvigo · ELIGARD · EMGALITY · ERLEADA · EVENITY · Erleada · Flexible Cystoscopes Digital · GEMTESA · GRAFIX/GRAFIXPL/STRAVIX · IMVEXXY · JATENZO · JELMYTO · KEYTRUDA · LUPRON DEPOT · LYNPARZA · Luja Coude · Lupron · Lupron Depot · MYFEMBREE · MYRBETRIQ · Myrbetriq · NEOX · NOCDURNA · NOVASURE · NURTEC ODT · Natesto · Noctiva · Nubeqa · ORGOVYX · OTREXUP · Olympus Cystoscopes · Optilume BPH Drug Coated Balloon Catheter · PAXLOVID · PREMARIN · PROLARIS · PROVENGE · PYLARIFY · Prolaris · Prolia · SPACEOAR · SPEEDICATH · Sonablate HIFU · SpeediCath · Stendra · SuperCut Hysterectomy Scissors · TLANDO · TOVIAZ · TRINTELLIX · Tirosint · UROLIFT · Veozah · XARELTO · XIAFLEX · XTANDI · XYOSTED · Xtandi · ZYTIGA
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 (93%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for urology physician in CA.
Geographic Context
Urology physicians within 10 mi
70
Per 100K population
8.4
County median income
$107,327
Nearest hospital
LOS ROBLES HOSPITAL & MEDICAL CENTER
5.3 mi
5.3 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Himsl is a mixed practice specialist, with above-average Medicare volume (top 2% in CA), with low-engagement industry engagement in the top 10% of CA peers, with 19 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. Himsl experienced with testosterone undecanoate injection (aveed)?
Based on Medicare claims data, Dr. Himsl performed 61,501 testosterone undecanoate injection (aveed) 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. Himsl receive payments from pharmaceutical companies?
Yes. Dr. Himsl received a total of $25,361 from 61 companies across 400 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. Himsl's costs compare to other urology physicians in Thousand Oaks?
Dr. Himsl's average Medicare payment per service is $7. 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. Himsl) 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. 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.
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