Medicare Enrolled
Dr. Ravi Kacker, MD
Urology Physician · Natick, MA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Mixed 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. Kacker 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. Kacker
Dr. Ravi Kacker is an urology physician in Natick, MA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Kacker performed 6,721 Medicare services across 3,712 unique beneficiaries.
Between the years covered by Open Payments, Dr. Kacker received a total of $26,366 from 65 pharmaceutical and/or device companies across 509 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. Kacker 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.
✓ 18 years in practice
▲ Top 13% volume in MA
$26,366 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,721
Medicare services
Top 13% in MA for urology physician
3,712
Unique beneficiaries
$36
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~373 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 |
|---|---|---|---|
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
908 | $4 | $20 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
680 | $8 | $35 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
650 | $9 | $85 |
| PSA test (prostate cancer screening) | 602 | $18 | $60 |
| 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. |
550 | $100 | $350 |
| 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. |
457 | $71 | $210 |
| 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. |
352 | $0 | $6 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
305 | $25 | $85 |
| Hemoglobin blood test A blood test that measures the amount of hemoglobin, the protein in red blood cells that carries oxygen. |
269 | $2 | $25 |
| Sex hormone binding globulin level test A blood test that measures the level of sex hormone binding globulin, a protein that binds to sex hormones in the bloodstream. |
247 | $21 | $80 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
239 | $5 | $25 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
189 | $51 | $210 |
| Limited retroperitoneal ultrasound A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures. |
184 | $27 | $138 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 174 | $128 | $350 |
| 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. |
167 | $12 | $75 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
117 | $8 | $30 |
| 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. |
89 | $133 | $465 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
87 | $212 | $600 |
| Unclassified drug A medication that does not fit into standard HCPCS or CPT classification categories. |
86 | $241 | $851 |
| Hormone pellet insertion under the skin A small hormone pellet is placed just beneath the skin to release medication slowly over time. |
57 | $76 | $300 |
| 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. |
55 | $31 | $135 |
| Injection, garamycin, gentamicin, up to 80 mg | 52 | $2 | $5 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
45 | $81 | $344 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
35 | $35 | $144 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
34 | $65 | $300 |
| 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. |
27 | $101 | $325 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
23 | $16 | $67 |
| 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 | $98 | $300 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
12 | $217 | $750 |
| Ultrasound of penis artery and vein blood flow An ultrasound exam that uses sound waves to visualize and assess blood flow through the arteries and veins of the penis. |
11 | $105 | $380 |
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 ↗$26,366
Total received (2018-2024)
Avg $3,767/year across 7 years
Top 10% in MA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
65
Companies
509
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
$10,569 (40.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$8,824 (33.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$6,973 (26.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,212
2023
$1,067
2022
$1,607
2021
$3,503
2020
$1,520
2019
$3,802
2018
$13,656
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
PROCEPT BioRobotics Corporation
$244
Janssen Biotech, Inc.
$232
Axonics, Inc.
$124
Medtronic, Inc.
$77
Tolmar, Inc.
$77
Endo USA, Inc.
$73
Boston Scientific Corporation
$60
Sumitomo Pharma America, Inc.
$38
Antares Pharma, Inc.
$33
Merck Sharp & Dohme LLC
$29
Laborie Medical Technologies Corp.
$27
Novartis Pharmaceuticals Corporation
$26
Teleflex LLC
$25
Agiliti Surgical, Inc.
$24
Alnylam Pharmaceuticals Inc.
$23
COLOPLAST CORP
$22
Cook Medical LLC
$21
PFIZER INC.
$21
Astellas Pharma US Inc
$20
Novo Nordisk Inc
$14
Top 3 companies account for 49.6% of 2024 payments
All-time payments by company (2018-2024) ›
Avadel Specialty Pharmaceuticals, LLC
$5,958
BOSTON SCIENTIFIC CORPORATION
$3,101
Aytu BioScience, Inc
$2,821
Antares Pharma, Inc.
$2,691
Boston Scientific Corporation
$1,685
Janssen Biotech, Inc.
$1,341
Astellas Pharma US Inc
$1,220
Coloplast Corp
$1,194
NeoTract Inc.
$917
Endo Pharmaceuticals Inc.
$669
Axonics, Inc.
$585
PFIZER INC.
$485
Teleflex LLC
$258
PROCEPT BioRobotics Corporation
$244
TOLMAR Pharmaceuticals, Inc.
$159
Myriad Genetic Laboratories, Inc.
$157
Acerus Pharmaceuticals Corporation
$154
AbbVie, Inc.
$145
COLOPLAST CORP
$135
Myovant Sciences Inc.
$132
Tolmar, Inc.
$131
180 Medical, Inc.
$127
Sumitomo Pharma America, Inc.
$121
Bayer HealthCare Pharmaceuticals Inc.
$103
Merck Sharp & Dohme LLC
$98
Zyla Life Sciences
$95
Progenics Pharmaceuticals, Inc.
$93
Medtronic, Inc.
$90
Metuchen Pharmaceuticals
$86
Medtronic USA, Inc.
$81
Allergan Inc.
$76
Endo USA, Inc.
$73
Blue Earth Diagnostics Limited
$70
Bayer Healthcare Pharmaceuticals Inc.
$68
AMAG Pharmaceuticals, Inc.
$65
Janssen Products, LP
$60
AbbVie Inc.
$52
UROVANT SCIENCES INC
$52
Merck Sharp & Dohme Corporation
$51
DENTSPLY IH Inc.
$51
Supernus Pharmaceuticals, Inc.
$46
Aytu Bioscience, Inc
$44
Foundation Medicine, Inc.
$43
Accord Healthcare, Inc.
$41
ConvaTec Inc.
$38
Cook Medical LLC
$36
Photocure Inc
$34
Hollister Incorporated
$32
Axonics Modulation Technologies, Inc.
$31
Clarus Therapeutics Inc.
$30
ABBVIE INC.
$29
Laborie Medical Technologies Corp.
$27
Egalet US Inc
$26
Novartis Pharmaceuticals Corporation
$26
Agiliti Surgical, Inc.
$24
Alnylam Pharmaceuticals Inc.
$23
Olympus America Inc.
$20
Otsuka America Pharmaceutical, Inc.
$19
SRS Medical Systems, Inc.
$16
Janssen Scientific Affairs, LLC
$15
Sun Pharmaceutical Industries Inc.
$14
Novo Nordisk Inc
$14
Hologic, LLC
$13
Sagent Pharmaceuticals, Inc.
$13
NxThera, Inc.
$13
Top 3 companies account for 45.1% of all-time payments
Associated products mentioned in payments ›
ALTIS · AMBICOR · AMS · AMS 700 · AQUABEAM SYSTEM · AVEED · Androgel · Aptima Trichomonas · Axonics · Axonics r-SNM System · Axumin · BOTOX · BOTOX - UROLOGY · BRACANALYSIS CDX · CAMCEVI · CONTINENCE CARE · COOK · COOK MEDICAL BIOPSY · CYSVIEW · Cysview · EDEX · ELIGARD · ERLEADA · Erleada · FOUNDATIONONE · GEMTESA · GENERAL BPH · GENERAL - BPH · GENERAL - KIDNEY STONE DISEASE · GENERAL - THERAPIES · GENTLECATH · GIVLAARI · GREENLIGHT · Glydo · INTERSTIM · INTRAROSA · JATENZO · JYNARQUE · KEYTRUDA · LITHOVUE · LUPRON DEPOT · LoFric · Luja Coude · Lupron · Lupron Depot · MYRBETRIQ · Myrbetriq · NOCDURNA · Natesto · Noctiva · Nubeqa · ONLI · ORGOVYX · OTREXUP · Optilume BPH Drug Coated Balloon Catheter · Otrexup · PENILE & TESTICULAR RECONSTRUCTN · PROLARIS · PYLARIFY · Prolaris · REZUM · Rezum · SPEEDICATH · SPRIX · SWISS LITHOCLAST TRILOGY · Self Cath · Sonablate HIFU · SpeediCath · Stendra · THERAPIES · TITAN · TLANDO · TOVIAZ · Titan · UROLIFT · UroCuff · UroLift · UroLift System · Veozah · Wegovy · XIAFLEX · XTANDI · XYOSTED · Xtandi · YONSA (abiraterone acetate) · ZYTIGA · iTIND System
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 (40%) 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 MA.
Geographic Context
Urology physicians within 10 mi
218
Per 100K population
13.4
County median income
$126,779
Nearest hospital
METROWEST MEDICAL CENTER
5.4 mi
5.4 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. Kacker is a clinical cardiology specialist, with above-average Medicare volume (top 13% in MA), with mixed engagement industry engagement in the top 10% of MA peers, with 18 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. Kacker experienced with manual urinalysis with microscopic examination?
Based on Medicare claims data, Dr. Kacker performed 908 manual urinalysis with microscopic examination 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. Kacker receive payments from pharmaceutical companies?
Yes. Dr. Kacker received a total of $26,366 from 65 companies across 509 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. Kacker's costs compare to other urology physicians in Natick?
Dr. Kacker's average Medicare payment per service is $36. 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. Kacker) 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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