Medicare Enrolled

Dr. Gavin Wagenheim, M.D.

Urology Physician · Houston, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
6431 FANNIN ST, Houston, TX 77030
7135007391
In practice since 2012 (13 years)
NPI: 1467702597 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. Wagenheim 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. Wagenheim

Dr. Gavin Wagenheim is an urology physician in Houston, TX, with 13 years of NPI registration. Based on federal Medicare data, Dr. Wagenheim performed 1,123 Medicare services across 800 unique beneficiaries.

Between the years covered by Open Payments, Dr. Wagenheim received a total of $5,398 from 45 pharmaceutical and/or device companies across 181 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. Wagenheim 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.

✓ 13 years in practice ▲ 1,123 Medicare services $5,398 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,123
Medicare services
Bottom 38% in TX for urology physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
800
Unique beneficiaries
$82
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~86 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
Office visit, established patient (30-39 min) 408 $95 $256
Automated urinalysis 111 $2 $4
Bladder ultrasound after voiding 110 $8 $24
Electronic assessment of bladder emptying 74 $9 $50
Office visit, established patient (20-29 min) 60 $62 $182
New patient office visit (45-59 min) 57 $119 $336
Office visit, established patient, complex (40-54 min) 36 $146 $360
Diagnostic exam of bladder and urethra using an endoscope 35 $165 $489
Imaging of urinary tract following injection of a contrast agent 28 $20 $48
Hospital follow-up visit, low complexity 26 $40 $99
Simple bladder irrigation and/or instillation 21 $58 $154
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 18 $66 $168
Initial hospital admission, moderate complexity 18 $98 $262
Insertion of stent in ureter using an endoscope 16 $86 $342
Complex measurement of pressure of urine flow in bladder with voiding pressure studies 15 $290 $743
Insertion of device into abdomen with pressure and urine flow rate study 15 $159 $394
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 14 $26 $238
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 13 $248 $647
Ultrasound scan of pelvic region through rectum 13 $113 $285
Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 12 $593 $1,462
New patient office visit (30-44 min) 12 $81 $226
Crushing of stone of ureter with insertion of stent using an endoscope 11 $317 $826
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.
3.6% high complexity
13.4% medium
83.0% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$5,398
Total received (2018-2024)
Avg $771/year across 7 years
Top 36% in TX for urology physician
45
Companies
181
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
$5,398 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,023
2023
$910
2022
$474
2021
$766
2020
$147
2019
$762
2018
$1,316

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
NeoTract Inc.
$1,026
Astellas Pharma US Inc
$894
Sumitomo Pharma America, Inc.
$551
Boston Scientific Corporation
$437
Teleflex LLC
$247
BOSTON SCIENTIFIC CORPORATION
$152
C. R. Bard, Inc. & Subsidiaries
$145
COLOPLAST CORP
$136
PFIZER INC.
$130
AbbVie Inc.
$129
Axonics, Inc.
$129
Endo Pharmaceuticals Inc.
$106
Davol Inc.
$93
Medtronic, Inc.
$89
Coloplast Corp
$86
Janssen Biotech, Inc.
$72
180 Medical, Inc.
$71
Acerus Pharmaceuticals Corporation
$64
C. R. BARD, INC. & SUBSIDIARIES
$61
ABBVIE INC.
$59
Antares Pharma, Inc.
$52
UroGen Pharma, Inc.
$45
Baxter Healthcare
$43
PROCEPT BioRobotics Corporation
$43
Allergan, Inc.
$40
UROVANT SCIENCES INC
$37
Stryker Corporation
$37
Progenics Pharmaceuticals, Inc.
$37
AXOGEN
$35
Activ Surgical, Inc.
$32
Ethicon US, LLC
$32
Travere Therapeutics, Inc.
$30
Allergan Inc.
$30
HealthTronics Mobile Solutions, LLC
$29
Ambu Inc.
$29
Axonics Modulation Technologies, Inc.
$25
Smith+Nephew, Inc.
$20
Cook Medical LLC
$19
Tolmar, Inc.
$18
Supernus Pharmaceuticals, Inc.
$17
AbbVie, Inc.
$16
Laborie Medical Technologies Corp.
$16
Dornier MedTech America, Inc
$13
MEDIVATION FIELD SOLUTIONS LLC
$13
Medtronic USA, Inc.
$12
Top 3 companies account for 45.8% of total payments
Associated products mentioned in payments ›
(815) Thiola · ALTIS · AQUABEAM ROBOTIC SYSTEM · AQUABEAM SYSTEM · AVANCE NERVE GRAFT · AVEED · ActivSight · Altis · Axonics · Axonics r-SNM System · BOTOX · ELIGARD · ERLEADA · Erleada · FLEXIVA · GEMTESA · GENERAL BPH · GENERAL THERAPIES · GENERAL BPH · GENERAL ERECTILE DYSFUNCTION · GRAFIX PL · Harmonic · INLAY OPTIMA · INTERSTIM · JELMYTO · LITHOCLAST · LUPRON DEPOT · Lupron Depot · MYRBETRIQ · Mobile Laser Services · Myrbetriq · NCIRCLE · NOCDURNA · Natesto · ORGOVYX · PERCLOT · PYLARIFY · Progel · Rezum Generator · SIGNIA · SPY-PHI SYSTEM · TITAN · Thiola · Titan · Tria Firm · UROLIFT · UroLift · UroLift System · Urotables & Accessories · Veozah · XIAFLEX · XTANDI · XYOSTED · Xtandi
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $481 per 100 Medicare services performed
Looking for an urology physician in Houston?
Compare urology physicians in the Houston area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Urology physicians within 10 mi
198
Per 100K population
4.2
County median income
$73,104
Nearest hospital
MEMORIAL HERMANN - TEXAS MEDICAL CENTER
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. Wagenheim is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement.

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. Wagenheim experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Wagenheim performed 408 office visit, established patient (30-39 min) 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. Wagenheim receive payments from pharmaceutical companies?
Yes. Dr. Wagenheim received a total of $5,398 from 45 companies across 181 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. Wagenheim's costs compare to other urology physicians in Houston?
Dr. Wagenheim's average Medicare payment per service is $82. 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. Wagenheim) 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 →