Medicare Enrolled
Dr. Brian Geary, M.D.
Urology Physician · Macon, GA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Speaking/Promotional
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. Geary 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. Geary
Dr. Brian Geary is an urology physician in Macon, GA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Geary performed 13,868 Medicare services across 1,403 unique beneficiaries.
Between the years covered by Open Payments, Dr. Geary received a total of $50,575 from 66 pharmaceutical and/or device companies across 537 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. 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. Geary 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 7% volume in GA
$50,575 industry payments
Medicare Practice Summary
Medicare Utilization ↗13,868
Medicare services
Top 7% in GA for urology physician
1,403
Unique beneficiaries
$6
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~730 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 injection An injection of testosterone cypionate, a form of testosterone hormone. The dose is measured in milligrams. |
11,905 | $0 | $1 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
400 | $2 | $8 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
299 | $7 | $29 |
| 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. |
245 | $86 | $172 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
140 | $3 | $12 |
| 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. |
134 | $126 | $231 |
| 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. |
93 | $9 | $39 |
| Insertion of temporary bladder tube | 72 | $29 | $74 |
| 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. |
69 | $42 | $133 |
| Imaging of urinary tract with contrast An imaging test of the urinary tract performed after a contrast agent is injected to enhance visibility of the structures. |
64 | $17 | $219 |
| Ureteral stent insertion via cystoscopy A tube is placed into the ureter using an endoscope inserted through the bladder. |
56 | $90 | $401 |
| Simple change of bladder tube | 55 | $67 | $144 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
44 | $47 | $165 |
| 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. |
38 | $107 | $245 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
37 | $135 | $438 |
| 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. |
33 | $57 | $117 |
| 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. |
31 | $115 | $525 |
| 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. |
26 | $90 | $751 |
| Abdominal X-ray, 2 views An X-ray imaging test of the abdomen using two different angles to visualize internal structures. |
24 | $17 | $54 |
| 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. |
22 | $10 | $26 |
| 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. |
18 | $66 | $184 |
| Diagnostic exam of anus and rectum under anesthesia A medical examination of the anus and rectum performed while the patient is under anesthesia. This allows for a thorough inspection without causing discomfort. |
13 | $40 | $164 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
13 | $5 | $56 |
| Non-needle muscle activity measurement of bladder and bowel openings This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles. |
13 | $22 | $190 |
| Abdominal device insertion with pressure and urine flow study A procedure involving the placement of a device into the abdomen, accompanied by a study to measure pressure and urine flow rate. |
12 | $118 | $223 |
| CT scan of abdomen and pelvis, without contrast A computed tomography scan that creates detailed images of the abdominal and pelvic organs. The procedure is performed without the use of intravenous contrast dye. |
12 | $64 | $272 |
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.
0.8% high complexity
89.5% medium
9.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$50,575
Total received (2018-2024)
Avg $7,225/year across 7 years
Top 5% in GA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
66
Companies
537
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
$34,315 (67.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$16,260 (32.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,936
2023
$1,780
2022
$3,311
2021
$3,047
2020
$3,592
2019
$11,888
2018
$25,021
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$548
ABBVIE INC.
$225
COLOPLAST CORP
$213
Teleflex LLC
$195
PROCEPT BioRobotics Corporation
$175
Axonics, Inc.
$144
Ferring Pharmaceuticals Inc.
$64
Becton, Dickinson and Company
$47
Sumitomo Pharma America, Inc.
$44
Endo USA, Inc.
$38
Myriad Genetic Laboratories, Inc.
$32
Tolmar, Inc.
$28
Agiliti Surgical, Inc.
$24
Bayer Healthcare Pharmaceuticals Inc.
$24
UROGEN PHARMA, INC.
$23
Endo Pharmaceuticals Inc.
$22
BLUEWIND MEDICAL
$22
Verity Pharmaceuticals Inc.
$21
Astellas Pharma US Inc
$17
Calyxo, Inc.
$16
Ambu Inc.
$13
Top 3 companies account for 51.0% of 2024 payments
All-time payments by company (2018-2024) ›
Astellas Pharma US Inc
$22,205
Allergan Inc.
$10,635
NeoTract Inc.
$3,609
Medtronic USA, Inc.
$2,237
Medtronic, Inc.
$2,186
UROVANT SCIENCES INC
$1,688
Cook Medical LLC
$1,577
BOSTON SCIENTIFIC CORPORATION
$907
ABBVIE INC.
$568
COLOPLAST CORP
$338
Ambu Inc.
$334
Teleflex LLC
$327
PFIZER INC.
$318
Endo Pharmaceuticals Inc.
$289
Boston Scientific Corporation
$265
PROCEPT BioRobotics Corporation
$239
Dendreon Pharmaceuticals LLC
$231
Amgen Inc.
$183
Axonics, Inc.
$168
C. R. Bard, Inc. & Subsidiaries
$165
Sumitomo Pharma America, Inc.
$135
Blue Earth Diagnostics Limited
$124
Cook Incorporated
$110
Allergan, Inc.
$106
180 Medical, Inc.
$93
Ferring Pharmaceuticals Inc.
$84
Janssen Biotech, Inc.
$78
Myriad Genetic Laboratories, Inc.
$78
Coloplast Corp
$73
Myovant Sciences Inc.
$72
Becton, Dickinson and Company
$70
Antares Pharma, Inc.
$70
AstraZeneca Pharmaceuticals LP
$65
UROGEN PHARMA, INC.
$64
Bayer HealthCare Pharmaceuticals Inc.
$62
Avadel Specialty Pharmaceuticals, LLC
$55
Bayer Healthcare Pharmaceuticals Inc.
$53
Olympus America Inc.
$46
UroGen Pharma, Inc.
$45
Rochester Medical Corporation
$38
Travere Therapeutics, Inc.
$38
Endo USA, Inc.
$38
Verity Pharmaceuticals Inc.
$37
Alnylam Pharmaceuticals Inc.
$35
MEDIVATION FIELD SOLUTIONS LLC
$35
AbbVie, Inc.
$34
Dornier MedTech America, Inc
$31
Tolmar, Inc.
$28
Retrophin, Inc.
$26
Agiliti Surgical, Inc.
$24
Clarus Therapeutics Inc.
$22
BLUEWIND MEDICAL
$22
ACCORD HEALTHCARE, INC.
$20
Wilmington Medical Supply, Inc.
$18
Axonics Modulation Technologies, Inc.
$18
Merck Sharp & Dohme LLC
$16
TOLMAR Pharmaceuticals, Inc.
$16
Medtronic Vascular, Inc.
$16
Calyxo, Inc.
$16
TherapeuticsMD, Inc.
$16
Medline Industries, Inc.
$14
Laborie Medical Technologies Corp.
$14
Novartis Pharmaceuticals Corporation
$14
Zyla Life Sciences
$13
AngioDynamics, Inc.
$13
Mission Pharmacal Company
$12
Top 3 companies account for 72.1% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · ADSTILADRIN · AMS 700 CXR RTE KIT · AQUABEAM ROBOTIC SYSTEM · AQUABEAM SYSTEM · AVEED · Androgel · Axonics · Axonics r-SNM System · Axumin · BOTOX · BOTOX THERAPEUTIC · Bard Urinary Drainage Bag · Bulkamid · CAMCEVI · COOK · COOK MEDICAL LASERS · COOK MEDICAL STENTS · COOK MEDICAL UROLOGY · CVAC ASPIRATION SYSTEM · Coloplast TFL Drive · Cook · Cook Medical Extractors · Cook Medical Lasers · Cook Medical Wire Guides · CoreValve Evolut · ELIGARD · ENDOBEAM · ERLEADA · Erleada · FIBER DUST · GEMTESA · GENERAL ERECTILE DYSFUNCTION · GENERAL KIDNEY STONE DISEASE · GENERAL THERAPIES · GENTLECATH · GentleCath · IMVEXXY · INTERSTIM · INTERSTIM ICON · Isiris aStent Removal Device · JATENZO · JELMYTO · KEYTRUDA · LUPRON DEPOT · LYNPARZA · Lithotripters & Accessories · Luja Coude · Lunderquist · Lupron Depot · MIRABEGRON · MYRBETRIQ · NANOKNIFE · NCIRCLE · NOCDURNA · Noctiva · Nubeqa · ORGOVYX · OXLUMO · Otrexup · PLUVICTO · PROLARIS · PROVENGE · Porges Coloplast · Prolaris · Prolia · RESONANCE · REVI · REZUM · Rezum Generator · SPRIX · SUTENT · Sonablate HIFU · SpaceOAR VUE System - 10mL · SpeediCath · Stenostent · TOVIAZ · Thiola · Titan · Trelstar · UROLIFT · Uribel · UroLift · UroLift System · VESICARE · XGEVA · XIAFLEX · XTANDI · XYOSTED · Xofigo · Xtandi · iTIND System · rezum Generator
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 (68%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in urology physician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 5% for urology physician in GA.
Geographic Context
Urology physicians within 10 mi
13
Per 100K population
8.3
County median income
$50,747
Nearest hospital
PIEDMONT MACON NORTH 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Geary is a mixed practice specialist, with above-average Medicare volume (top 7% in GA), with speaking/promotional industry engagement in the top 5% of GA 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. Geary experienced with testosterone injection?
Based on Medicare claims data, Dr. Geary performed 11,905 testosterone injection 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. Geary receive payments from pharmaceutical companies?
Yes. Dr. Geary received a total of $50,575 from 66 companies across 537 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. Geary's costs compare to other urology physicians in Macon?
Dr. Geary's average Medicare payment per service is $6. 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. Geary) 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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