Medicare Enrolled

Dr. Natalie Gaines, M.D.

Urology Physician · Amarillo, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Speaking/Promotional
1900 MEDI PARK DR, Amarillo, TX 79106
8063559447
In practice since 2010 (15 years)
NPI: 1376855312 verify on NPPES ↗
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 →
Are you Dr. Gaines? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Gaines

Dr. Natalie Gaines is an urology physician in Amarillo, TX, with 15 years in practice. 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.

ProcedureVolumeAvg. paidAvg. submitted
Contrast dye for imaging (iodine-based)3,300$0$2
Urinalysis with microscopic exam904$3$21
Bladder ultrasound after voiding635$8$50
Office visit, established patient (30-39 min)509$90$259
Office visit, established patient (20-29 min)293$63$175
Diagnostic exam of bladder and urethra using an endoscope95$56$597
Complex measurement of pressure of urine flow in bladder with voiding pressure studies89$156$740
Insertion of device into abdomen with pressure and urine flow rate study88$92$350
Electronic assessment of bladder emptying87$3$200
New patient office visit (45-59 min)87$116$397
Insertion of lower leg neurostimulator electrode83$85$310
Office visit, established patient (10-19 min)71$37$103
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings57$25$400
Complete ultrasound scan behind abdominal cavity46$74$276
Exam with injections of chemical for destruction of bladder using an endoscope42$115$624
Insertion of sacral nerve neurostimulator electrode array42$284$1,179
Ct scan of abdomen and pelvis before and after contrast31$196$650
Blood creatinine level27$5$20
Insertion of peripheral or gastric neurostimulator generator26$81$572
Hospital follow-up visit, low complexity25$39$95
New patient office visit (30-44 min)20$64$259
Injection of implant material beneath lining of bladder and/or urethra using an endoscope18$145$705
Office visit, established patient, complex (40-54 min)18$120$380
Repair of bladder hernia into vaginal wall17$269$814
Initial hospital admission, moderate complexity16$102$325
Ct scan of abdomen and pelvis without contrast14$77$375
Insertion of stent in ureter using an endoscope13$86$354
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes13$65$250
Electronic analysis of implanted neurostimulator generator with simple spinal cord or peripheral nerve stimulator programming12$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.
0.2% high complexity
61.2% 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
Looking for a urology physician in Amarillo?
Compare urology physicians in the Amarillo area by procedure volume, costs, and industry payment transparency.
Browse urology physicians nearby

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

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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), and high industry engagement (speaking/promotional, top 16%), with 15 years of practice experience.

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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →