Medicare Enrolled
Dr. Keith Waguespack, MD
Urology Physician · Irving, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Waguespack 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. Waguespack
Dr. Keith Waguespack is an urology physician in Irving, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Waguespack performed 3,573 Medicare services across 2,219 unique beneficiaries.
Between the years covered by Open Payments, Dr. Waguespack received a total of $28,078 from 47 pharmaceutical and/or device companies across 293 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. Waguespack 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.
✓ 20 years in practice
▲ Top 33% volume in TX
$28,078 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,573
Medicare services
Top 33% in TX for urology physician
2,219
Unique beneficiaries
$53
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~179 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 |
|---|---|---|---|
| Leuprolide injectable, camcevi, 1 mg | 588 | $63 | $195 |
| 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. |
523 | $88 | $285 |
| 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. |
296 | $2 | $5 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
275 | $6 | $12 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
245 | $8 | $24 |
| PSA test (prostate cancer screening) | 238 | $18 | $41 |
| 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. |
125 | $62 | $200 |
| 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. |
94 | $131 | $387 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 90 | $135 | $366 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
86 | $190 | $543 |
| Complete blood count (CBC), automated An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood. |
86 | $6 | $14 |
| 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. |
79 | $25 | $57 |
| Nucleic acid test for multiple organisms A laboratory test that uses amplified probe techniques to detect the genetic material of multiple organisms in a sample. |
75 | $69 | $274 |
| 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. |
69 | $116 | $367 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
53 | $8 | $19 |
| Yeast/candida DNA test A laboratory test that uses an amplified probe technique to detect the presence of Candida species, a type of yeast, in a patient sample. |
50 | $34 | $277 |
| Herpes simplex virus nucleic acid test A laboratory test that uses an amplified probe technique to detect the genetic material of the herpes simplex virus. |
50 | $34 | $165 |
| Infectious disease DNA/RNA test A laboratory test that uses a specific technique to detect the genetic material of an organism. This method amplifies the target DNA or RNA to identify the presence of the organism. |
50 | $34 | $109 |
| Total estradiol level test A blood test that measures the total amount of estradiol, a form of estrogen, in the body. |
33 | $27 | $62 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
31 | $111 | $315 |
| 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. |
29 | $27 | $75 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
28 | $10 | $23 |
| Free PSA test A blood test that measures the amount of unbound prostate-specific antigen in the blood. |
25 | $18 | $41 |
| CMV nucleic acid detection test A laboratory test that uses amplified probe techniques to detect cytomegalovirus (CMV) genetic material in a sample. |
25 | $34 | $81 |
| VRE nucleic acid detection test A laboratory test that uses amplified probe techniques to detect vancomycin-resistant Enterococcus (VRE) DNA in a patient sample. |
25 | $34 | $81 |
| Herpes virus-6 nucleic acid test A laboratory test that uses amplified probe techniques to detect the genetic material of herpes virus-6. |
25 | $34 | $81 |
| Staphylococcus aureus DNA test A laboratory test that uses DNA amplification to detect the presence of Staphylococcus aureus bacteria in a sample. |
25 | $34 | $81 |
| Strep A nucleic acid amplification test A laboratory test that uses nucleic acid amplification to detect the presence of Group A Streptococcus bacteria. This method identifies the genetic material of the bacteria to determine if an infection is present. |
25 | $34 | $81 |
| Group B Strep DNA test A laboratory test that uses DNA amplification to detect the presence of Group B Streptococcus bacteria. |
25 | $34 | $81 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
24 | $3 | $8 |
| New patient office visit, complex (60-74 min) | 24 | $147 | $501 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
23 | $53 | $179 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
21 | $6 | $32 |
| 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. |
21 | $62 | $179 |
| Red blood cell concentration measurement A laboratory test that measures the concentration of red blood cells in the blood. |
19 | $2 | $5 |
| Hemoglobin blood test A blood test that measures the amount of hemoglobin, the protein in red blood cells that carries oxygen. |
19 | $2 | $5 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
18 | $133 | $391 |
| Transurethral prostate removal with electrocautery This procedure involves removing the prostate gland through the urethra using an endoscope and an electrocautery knife to control bleeding. |
13 | $566 | $1,526 |
| 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. |
12 | $102 | $296 |
| 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. |
11 | $19 | $173 |
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 ↗$28,078
Total received (2018-2024)
Avg $4,011/year across 7 years
Top 9% in TX for urology physician
47
Companies
293
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
$20,628 (73.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,336 (26.1%)
Scientific / Research
Research funding and grants
$114 (0.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$608
2023
$477
2022
$5,595
2021
$17,413
2020
$1,988
2019
$1,519
2018
$477
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Teleflex LLC
$20,645
NeoTract Inc.
$2,013
Astellas Pharma US Inc
$1,129
Janssen Biotech, Inc.
$606
Boston Scientific Corporation
$432
AbbVie Inc.
$340
PFIZER INC.
$235
Myovant Sciences Inc.
$212
Blue Earth Diagnostics Limited
$207
Axonics, Inc.
$178
TOLMAR Pharmaceuticals, Inc.
$172
Ferring Pharmaceuticals Inc.
$137
Antares Pharma, Inc.
$129
Olympus America Inc.
$125
ABBVIE INC.
$121
Dendreon Pharmaceuticals LLC
$121
BOSTON SCIENTIFIC CORPORATION
$114
Sumitomo Pharma America, Inc.
$111
Sun Pharmaceutical Industries Inc.
$95
UROVANT SCIENCES INC
$89
AbbVie, Inc.
$72
Merck Sharp & Dohme Corporation
$68
Agiliti Surgical, Inc.
$59
Retrophin, Inc.
$56
UROGEN PHARMA, INC.
$49
Endo Pharmaceuticals Inc.
$47
Mission Pharmacal Company
$44
UroGen Pharma, Inc.
$43
Aesculap, Inc.
$38
Amgen Inc.
$37
BioTissue Holdings, Inc.
$36
Merck Sharp & Dohme LLC
$31
Laborie Medical Technologies Corp.
$31
Palette Life Sciences, Inc.
$27
Myriad Genetic Laboratories, Inc.
$24
Bayer Healthcare Pharmaceuticals Inc.
$24
Novartis Pharmaceuticals Corporation
$23
Travere Therapeutics, Inc.
$23
ACCORD HEALTHCARE, INC.
$21
Accord Healthcare, Inc.
$21
MENARINI SILICON BIOSYSTEMS, INC.
$19
Kowa Pharmaceuticals America, Inc.
$16
Tolmar, Inc.
$13
Medtronic USA, Inc.
$12
Avadel Specialty Pharmaceuticals, LLC
$12
MEDIVATION FIELD SOLUTIONS LLC
$11
Janssen Pharmaceuticals, Inc
$9
Top 3 companies account for 84.7% of total payments
Associated products mentioned in payments ›
(815) Thiola · Androgel · Axonics · Axumin · BOTOX · Bulkamid · CAIMAN VESSEL SEALERS · CAMCEVI · CONTOUR · Cellsearch · ELIGARD · ERLEADA · Erleada · FIRMAGON · GEMTESA · GENERAL BPH · GENERAL FEMALE SUI · GENERAL THERAPIES · INTERSTIM · JELMYTO · KEYTRUDA · LITHOVUE · LUPRON DEPOT · LithoVue · Lupron · Lupron Depot · MYRBETRIQ · Myrbetriq · NEOX · NOCDURNA · Noctiva · Nubeqa · ORGOVYX · OTREXUP · Olympus Cystoscopes · POSLUMA · PROVENGE · Prolaris · Prolia · REZUM · SEGLENTIS · TRIA · UROLIFT · UROLIFT SYSTEM · Uribel · UroLift · UroLift System · Urocit-K · XGEVA · XIAFLEX · XTANDI · XYOSTED · Xtandi · YONSA · 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 →
The majority of payments (74%) 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. Total industry engagement is in the top 9% for urology physician in TX.
Equivalent to $786 per 100 Medicare services performed
Geographic Context
Urology physicians within 10 mi
175
Per 100K population
6.7
County median income
$74,149
Nearest hospital
BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING
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. Waguespack is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 9% of TX peers, with 20 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. Waguespack experienced with leuprolide injectable, camcevi, 1 mg?
Based on Medicare claims data, Dr. Waguespack performed 588 leuprolide injectable, camcevi, 1 mg 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. Waguespack receive payments from pharmaceutical companies?
Yes. Dr. Waguespack received a total of $28,078 from 47 companies across 293 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. Waguespack's costs compare to other urology physicians in Irving?
Dr. Waguespack's average Medicare payment per service is $53. 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. Waguespack) 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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