Medicare Enrolled

Dr. Keith Waguespack, MD

Urology Physician · Irving, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
2021 N MACARTHUR BLVD STE 450, Irving, TX 75061
8663678768
In practice since 2005 (20 years)
NPI: 1124014659 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. 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 in practice. 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.

ProcedureVolumeAvg. paidAvg. submitted
Leuprolide injectable, camcevi, 1 mg588$63$195
Office visit, established patient (30-39 min)523$88$285
Automated urinalysis296$2$5
Blood draw (venipuncture)275$6$12
Bladder ultrasound after voiding245$8$24
PSA test (prostate cancer screening)238$18$41
Office visit, established patient (20-29 min)125$62$200
Office visit, established patient, complex (40-54 min)94$131$387
Leuprolide acetate (for depot suspension), 7.5 mg90$135$366
Diagnostic exam of bladder and urethra using an endoscope86$190$543
Complete blood count (CBC), automated86$6$14
Testosterone (hormone) level, total79$25$57
Detection test by nucleic acid for multiple organisms, amplified probe(s) technique75$69$274
New patient office visit (45-59 min)69$116$367
Basic metabolic blood panel53$8$19
Yeast/candida DNA test50$34$277
Detection test by nucleic acid for herpes simplex virus, amplified probe technique50$34$165
Infectious disease DNA/RNA test50$34$109
Measurement of total estradiol (hormone)33$27$62
Ultrasound scan of pelvic region through rectum31$111$315
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle29$27$75
Comprehensive metabolic blood panel28$10$23
Psa (prostate specific antigen) measurement, free25$18$41
Detection test by nucleic acid for cytomegalovirus (cmv), amplified probe technique25$34$81
Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique25$34$81
Detection test by nucleic acid for herpes virus-6, amplified probe technique25$34$81
Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique25$34$81
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique25$34$81
Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique25$34$81
Urinalysis, manual24$3$8
New patient office visit, complex (60-74 min)24$147$501
Simple bladder irrigation and/or instillation23$53$179
Electronic assessment of bladder emptying21$6$32
Hospital follow-up visit, moderate complexity21$62$179
Red blood cell concentration measurement19$2$5
Blood count, hemoglobin19$2$5
Initial hospital admission, high complexity18$133$391
Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope13$566$1,526
Initial hospital admission, moderate complexity12$102$296
Imaging of urinary tract following injection of a contrast agent11$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
Looking for a urology physician in Irving?
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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

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. Waguespack is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (speaking/promotional, top 9%), with 20 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. 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 →
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 →