Medicare Enrolled
Dr. Natalie Gaines, M.D.
Urology Physician · Amarillo, TX
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. Gaines 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. Gaines
Dr. Natalie Gaines is an urology physician in Amarillo, TX, with 15 years of NPI registration. Based on federal Medicare data, Dr. Gaines performed 6,678 Medicare services across 2,534 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gaines received a total of $13,126 from 39 pharmaceutical and/or device companies across 232 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. Gaines is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 15 years in practice
▲ Top 15% volume in TX
$13,126 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,678
Medicare services
Top 15% in TX for urology physician
2,534
Unique beneficiaries
$25
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~445 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. |
3,300 | $0 | $2 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
904 | $3 | $21 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
635 | $8 | $50 |
| 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. |
509 | $90 | $259 |
| 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. |
293 | $63 | $175 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
95 | $56 | $597 |
| Complex urodynamic pressure flow study A test that measures the pressure of urine flow in the bladder during voiding to evaluate how well the bladder and urethra are functioning. |
89 | $156 | $740 |
| 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. |
88 | $92 | $350 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
87 | $3 | $200 |
| 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. |
87 | $116 | $397 |
| Lower leg neurostimulator electrode insertion A procedure to place an electrode in the lower leg for neurostimulation therapy. |
83 | $85 | $310 |
| 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. |
71 | $37 | $103 |
| 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. |
57 | $25 | $400 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
46 | $74 | $276 |
| 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. |
42 | $115 | $624 |
| Sacral nerve stimulator electrode insertion A procedure to place an electrode array in the sacral area to deliver electrical stimulation to the nerves. |
42 | $284 | $1,179 |
| 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. |
31 | $196 | $650 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
27 | $5 | $20 |
| Insertion of peripheral or gastric neurostimulator generator A surgical procedure to implant the pulse generator device for a neurostimulator system. The generator is placed under the skin to deliver electrical impulses to nerves or the stomach. |
26 | $81 | $572 |
| 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. |
25 | $39 | $95 |
| 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. |
20 | $64 | $259 |
| Injection of implant material into bladder or urethra A procedure where implant material is injected beneath the lining of the bladder and/or urethra using an endoscope. |
18 | $145 | $705 |
| 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. |
18 | $120 | $380 |
| Bladder hernia repair into vaginal wall Surgical repair of a bladder hernia that has protruded into the vaginal wall. |
17 | $269 | $814 |
| 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 | $102 | $325 |
| 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. |
14 | $77 | $375 |
| 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. |
13 | $86 | $354 |
| 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. |
13 | $65 | $250 |
| Electronic analysis of implanted neurostimulator This procedure involves electronically analyzing an implanted neurostimulator generator and performing simple programming for spinal cord or peripheral nerve stimulation. |
12 | $37 | $125 |
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
60.6% medium
38.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$13,126
Total received (2018-2024)
Avg $1,875/year across 7 years
Top 16% in TX for urology physician
39
Companies
232
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
$7,209 (54.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,917 (45.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$301
2023
$1,207
2022
$1,022
2021
$564
2020
$1,574
2019
$690
2018
$7,768
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Avadel Specialty Pharmaceuticals, LLC
$7,197
CIPLA USA INC.
$1,302
Astellas Pharma US Inc
$733
Medtronic, Inc.
$709
Medtronic USA, Inc.
$577
Coloplast Corp
$361
Dendreon Pharmaceuticals LLC
$314
Myriad Genetic Laboratories, Inc.
$222
PFIZER INC.
$183
Valencia Technologies Corporation
$178
Janssen Biotech, Inc.
$137
ABBVIE INC.
$135
Intuitive Surgical, Inc.
$97
Axonics, Inc.
$97
UROVANT SCIENCES INC
$90
Allergan Inc.
$70
Sun Pharmaceutical Industries Inc.
$70
Merck Sharp & Dohme LLC
$61
Sumitomo Pharma America, Inc.
$56
TOLMAR Pharmaceuticals, Inc.
$52
UROGEN PHARMA, INC.
$45
Allergan, Inc.
$44
Amgen Inc.
$41
Boston Scientific Corporation
$39
BOSTON SCIENTIFIC CORPORATION
$37
AbbVie Inc.
$31
Blue Earth Diagnostics Limited
$30
Laborie Medical Technologies Corp.
$27
Duchesnay USA Incorporated
$26
Myovant Sciences Inc.
$25
Olympus America Inc.
$21
CooperSurgical, Inc.
$19
UroGen Pharma, Inc.
$18
Alnylam Pharmaceuticals Inc.
$16
180 Medical, Inc.
$14
Teleflex LLC
$14
Antares Pharma, Inc.
$14
TherapeuticsMD, Inc.
$13
AMAG Pharmaceuticals, Inc.
$12
Top 3 companies account for 70.3% of total payments
Associated products mentioned in payments ›
ALTIS · Advincula Delineator Uterine Manipulator · Altis · Axonics · Axumin · BOTOX · BOTOX THERAPEUTIC · BRAC CDx · BRACANALYSIS CDX · BRACAnalysis CDx · Da Vinci Surgical System · ELIGARD · ERLEADA · GEMTESA · GENERAL BPH · GENERAL PELVIC ORGAN PROLAPSE · IMVEXXY · INTERSTIM · INTERSTIM ICON · INTRAROSA · JELMYTO · KEYTRUDA · LITHOVUE · LUPRON DEPOT · MYRBETRIQ · MYRISK · Myrbetriq · NOCDURNA · Noctiva · ORGOVYX · OXLUMO · Osphena · PROLARIS · PROVENGE · PVC · Restorelle · Soltive · SpaceOAR VUE System - 10mL · SpeediCath · UroLift System · XGEVA · XTANDI · Xtandi · YONSA · ZEMDRI (PLAZOMICIN) · eCoin Device Kit
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 (55%) 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.
Equivalent to $197 per 100 Medicare services performed
Geographic Context
Urology physicians within 10 mi
10
Per 100K population
8.6
County median income
$50,448
Nearest hospital
NORTHWEST TEXAS 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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Gaines is a mixed practice specialist, with above-average Medicare volume (top 15% in TX), with speaking/promotional industry engagement in the top 16% of TX peers, with 15 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Gaines experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Gaines performed 3,300 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. Gaines receive payments from pharmaceutical companies?
Yes. Dr. Gaines received a total of $13,126 from 39 companies across 232 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. Gaines's costs compare to other urology physicians in Amarillo?
Dr. Gaines's average Medicare payment per service is $25. 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. Gaines) 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. The Transparency Score measures 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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