Medicare Enrolled
Dr. Geoffrey Gaunay, M.D.
Urology Physician · Lancaster, PA
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. Gaunay 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. Gaunay
Dr. Geoffrey Gaunay is an urology physician in Lancaster, PA, with 16 years of NPI registration. Based on federal Medicare data, Dr. Gaunay performed 4,906 Medicare services across 1,719 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gaunay received a total of $7,621 from 56 pharmaceutical and/or device companies across 290 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. Gaunay 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.
✓ 16 years in practice
▲ Top 11% volume in PA
$7,621 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,906
Medicare services
Top 11% in PA for urology physician
1,719
Unique beneficiaries
$26
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~307 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 |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
2,960 | $0 | $3 |
| 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. |
335 | $2 | $15 |
| 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. |
261 | $61 | $139 |
| 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. |
258 | $89 | $210 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
152 | $73 | $316 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
129 | $7 | $41 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
85 | $60 | $585 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
79 | $3 | $20 |
| 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. |
74 | $38 | $84 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
55 | $64 | $201 |
| 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. |
49 | $19 | $260 |
| Functional capacity test, per 15 minutes A test or measurement to assess functional capacity. The service is billed for each 15-minute increment. |
42 | $25 | $65 |
| 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. |
39 | $101 | $323 |
| 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. |
34 | $76 | $210 |
| 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. |
30 | $41 | $243 |
| CT scan of abdomen and pelvis with contrast A CT scan of the abdomen and pelvis using contrast dye before and after administration to visualize internal structures. |
29 | $193 | $800 |
| Laser prostate fragmentation with bleeding control This procedure uses a laser to break up prostate tissue and control bleeding through an endoscope. |
28 | $628 | $1,635 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
28 | $17 | $46 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
26 | $9 | $209 |
| 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. |
22 | $325 | $1,004 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
20 | $55 | $476 |
| Endoscopic removal of foreign body, stone, or stent from urethra or bladder A procedure to remove a foreign object, stone, or stent from the urethra or bladder using an endoscope. The endoscope is a thin tube with a camera inserted into the urinary tract to locate and extract the item. |
18 | $115 | $770 |
| Kidney tube placement with imaging guidance A tube is placed into the kidney using imaging guidance. A radiologist reviews the procedure. |
17 | $80 | $458 |
| 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. |
17 | $80 | $475 |
| 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. |
16 | $66 | $800 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
16 | $93 | $327 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
15 | $8 | $15 |
| PSA test (prostate cancer screening) | 15 | $18 | $120 |
| Limited retroperitoneal ultrasound A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures. |
12 | $41 | $240 |
| 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. |
12 | $61 | $151 |
| Complex kidney stone removal with imaging guidance A surgical procedure to remove kidney stones using imaging technology to guide the process. |
11 | $895 | $3,672 |
| Ureteral stent insertion via cystoscopy A tube is placed into the ureter using an endoscope inserted through the bladder. |
11 | $64 | $700 |
| 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. |
11 | $31 | $84 |
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.
1.4% high complexity
69.1% medium
29.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$7,621
Total received (2018-2024)
Avg $1,089/year across 7 years
Top 19% in PA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
56
Companies
290
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
$7,316 (96.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$305 (4.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,558
2023
$1,431
2022
$1,361
2021
$1,662
2020
$406
2019
$633
2018
$570
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Dendreon Pharmaceuticals LLC
$390
Sumitomo Pharma America, Inc.
$162
UROGEN PHARMA, INC.
$149
PROCEPT BioRobotics Corporation
$147
AstraZeneca Pharmaceuticals LP
$137
Bayer Healthcare Pharmaceuticals Inc.
$94
Astellas Pharma US Inc
$72
PROGENICS PHARMACEUTICALS, INC.
$72
ABBVIE INC.
$63
Teleflex LLC
$61
PFIZER INC.
$50
Ferring Pharmaceuticals Inc.
$40
Janssen Biotech, Inc.
$35
Baxter Healthcare
$34
SUN PHARMACEUTICAL INDUSTRIES INC.
$20
COLOPLAST CORP
$17
Ethicon US, LLC
$16
Top 3 companies account for 45.0% of 2024 payments
All-time payments by company (2018-2024) ›
Dendreon Pharmaceuticals LLC
$1,402
Astellas Pharma US Inc
$696
CIPLA USA INC.
$638
Boston Scientific Corporation
$426
PFIZER INC.
$377
Sumitomo Pharma America, Inc.
$325
PROCEPT BioRobotics Corporation
$285
UROVANT SCIENCES INC
$242
AstraZeneca Pharmaceuticals LP
$214
UROGEN PHARMA, INC.
$172
ConvaTec Inc.
$170
BOSTON SCIENTIFIC CORPORATION
$168
Bayer HealthCare Pharmaceuticals Inc.
$164
UroGen Pharma, Inc.
$157
Bayer Healthcare Pharmaceuticals Inc.
$110
Foundation Medicine, Inc.
$110
Ferring Pharmaceuticals Inc.
$105
180 Medical, Inc.
$104
Janssen Biotech, Inc.
$103
Merck Sharp & Dohme LLC
$100
Merck Sharp & Dohme Corporation
$100
Blue Earth Diagnostics Limited
$93
Olympus America Inc.
$84
PROGENICS PHARMACEUTICALS, INC.
$72
Sun Pharmaceutical Industries Inc.
$71
Coloplast Corp
$69
Verity Pharmaceuticals Inc.
$67
ABBVIE INC.
$63
Teleflex LLC
$61
Myovant Sciences Inc.
$59
Travere Therapeutics, Inc.
$58
Baxter Healthcare
$54
Progenics Pharmaceuticals, Inc.
$53
Laborie Medical Technologies Corp.
$52
COLOPLAST CORP
$51
TOLMAR Pharmaceuticals, Inc.
$48
Ethicon US, LLC
$47
Telix Pharmaceuticals
$44
Antares Pharma, Inc.
$43
Axonics, Inc.
$40
Amgen Inc.
$34
Avadel Specialty Pharmaceuticals, LLC
$28
E.R. Squibb & Sons, L.L.C.
$26
Myriad Genetic Laboratories, Inc.
$25
Novartis Pharmaceuticals Corporation
$22
NeoTract Inc.
$22
SUN PHARMACEUTICAL INDUSTRIES INC.
$20
ROCHESTER MEDICAL CORPORATION
$20
Retrophin, Inc.
$19
EMD Serono, Inc.
$17
Siemens Medical Solutions USA, Inc.
$17
TherapeuticsMD, Inc.
$16
Alnylam Pharmaceuticals Inc.
$16
Mission Pharmacal Company
$15
BAXTER HEALTHCARE
$15
Accord Healthcare, Inc.
$14
Top 3 companies account for 35.9% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · ADSTILADRIN · AQUABEAM ROBOTIC SYSTEM · AQUABEAM SYSTEM · Altis · Aquoral · Axonics · Axonics r-SNM System · Axumin · BOTOX · Bavencio · CAMCEVI · Coloplast TFL Drive · ECHELON FLEX Stapler · ELIGARD · ERLEADA · ETHICON · EVENITY · Enseal X1 · Erleada · FIRMAGON · FOUNDATIONONE · Flexiva · GEMTESA · GENERAL BPH · GENERAL - KIDNEY STONE DISEASE · GENTLECATH · ILLUCCIX · IMVEXXY · JELMYTO · KEYTRUDA · LITHOVUE · LYNPARZA · MYRBETRIQ · Myrbetriq · NOCDURNA · Noctiva · Nubeqa · OPDIVO · ORGOVYX · OXLUMO · PERCLOT · PROVENGE · PYLARIFY · Prolaris · SUTENT · SpeediCath · TISSEEL · Thiola · Trelstar · UGN Laser Capital · UROLIFT · UroLift · Varian CRYOCARE TOUCH System · XGEVA · XTANDI · XYOSTED · Xofigo · Xtandi · YONSA · ZEMDRI (PLAZOMICIN) · 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 (96%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Urology physicians within 10 mi
48
Per 100K population
8.6
County median income
$83,703
Nearest hospital
PENN STATE HEALTH LANCASTER MEDICAL CENTER
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. Gaunay is a mixed practice specialist, with above-average Medicare volume (top 11% in PA), with low-engagement industry engagement in the top 19% of PA peers, with 16 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. Gaunay experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Gaunay performed 2,960 contrast dye for imaging (iodine-based) 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. Gaunay receive payments from pharmaceutical companies?
Yes. Dr. Gaunay received a total of $7,621 from 56 companies across 290 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. Gaunay's costs compare to other urology physicians in Lancaster?
Dr. Gaunay's average Medicare payment per service is $26. 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. Gaunay) 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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