Medicare Enrolled

Dr. Nathaniel Polnaszek, MD

Urology Physician · Round Rock, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
302 UNIVERSITY BLVD, Round Rock, TX 78665
5125090200
In practice since 2008 (18 years)
NPI: 1932384872 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. Polnaszek 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. Polnaszek? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Polnaszek

Dr. Nathaniel Polnaszek is an urology physician in Round Rock, TX, with 18 years in practice. Based on federal Medicare data, Dr. Polnaszek performed 379 Medicare services across 343 unique beneficiaries.

Between the years covered by Open Payments, Dr. Polnaszek received a total of $21,965 from 40 pharmaceutical and/or device companies across 248 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. Polnaszek 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.

✓ 18 years in practice▲ 379 Medicare services$ $21,965 industry payments

Medicare Practice Summary

Medicare Utilization ↗
379
Medicare services
Bottom 18% in TX for urology physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
343
Unique beneficiaries
$75
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~21 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
Office visit, established patient (30-39 min)104$64$209
Office visit, established patient (20-29 min)84$40$142
Electronic assessment of bladder emptying30$3$42
Biopsy of prostate gland24$98$746
Ultrasound scan of pelvic region through rectum24$25$150
Ultrasonic guidance for needle placement24$23$148
New patient office visit (30-44 min)24$55$210
New patient office visit (45-59 min)20$84$322
Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope17$551$2,436
Exam with injections of chemical for destruction of bladder using an endoscope16$110$886
Diagnostic exam of bladder and urethra using an endoscope12$56$581
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 ↗
$21,965
Total received (2018-2024)
Avg $3,138/year across 7 years
Top 11% in TX for urology physician
40
Companies
248
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
$12,465 (56.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$9,500 (43.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,056
2023
$1,260
2022
$1,906
2021
$1,470
2020
$13,120
2019
$1,316
2018
$836

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Intuitive Surgical, Inc.
$12,527
Boston Scientific Corporation
$2,562
Axonics, Inc.
$1,005
BOSTON SCIENTIFIC CORPORATION
$918
INTUITIVE SURGICAL, INC.
$522
Medtronic USA, Inc.
$517
Astellas Pharma US Inc
$498
Teleflex LLC
$419
180 Medical, Inc.
$346
UroGen Pharma, Inc.
$298
NeoTract Inc.
$264
Myriad Genetic Laboratories, Inc.
$234
ABBVIE INC.
$188
Axonics Modulation Technologies, Inc.
$180
Palette Life Sciences, Inc.
$155
Clarus Therapeutics Inc.
$153
Endo Pharmaceuticals Inc.
$140
PFIZER INC.
$128
COLOPLAST CORP
$126
Coloplast Corp
$102
Allergan, Inc.
$89
Becton, Dickinson and Company
$80
Tolmar, Inc.
$70
CONMED Corporation
$58
Sumitomo Pharma America, Inc.
$46
Cook Medical LLC
$38
Augmenix, Inc.
$36
AbbVie, Inc.
$34
PROCEPT BioRobotics Corporation
$33
EDAP TECHNOMED INC
$25
AbbVie Inc.
$22
Hollister Incorporated
$22
UROVANT SCIENCES INC
$21
UROGEN PHARMA, INC.
$18
Medtronic, Inc.
$17
Covidien LP
$16
Travere Therapeutics, Inc.
$15
Endo USA, Inc.
$15
Antares Pharma, Inc.
$14
Cook Incorporated
$14
Top 3 companies account for 73.3% of total payments
Associated products mentioned in payments ›
ADVANCE · ADVANTAGE FIT · AIRSEAL · AMS · AMS 700 · AMS 700 CXR RTE KIT · AMS 700 CXR RTE Kit · AMS 800 Artificial Urinary Sphincter · AMS Ambicor · AQUABEAM SYSTEM · ARISTA AH FLEXITIP · AVEED · AdVance XP · Altis · Axonics · Axonics r-SNM System · BOTOX · BRACAnalysis CDx · Bulkamid · COOK MEDICAL DILATION/ACCESS · COOK MEDICAL UROLOGY · Cook Medical Stents · Da Vinci Surgical System · EDEX · ELIGARD · GEMTESA · GENERAL BPH · GENERAL KIDNEY STONE DISEASE · GENERAL - BPH · GENERAL - ERECTILE DYSFUNCTION · GENERAL - MALE SUI · GENERAL KIDNEY STONE DISEASE · GENTLECATH · GENTLECATH GLIDE · General - BPH · General - Male SUI · INTERSTIM · JATENZO · JELMYTO · LITHOVUE · LUPRON DEPOT · LithoVue · Luja Coude · Lupron Depot · MYRBETRIQ · MYRISK · Myrbetriq · PROLARIS · Prolaris · Restorelle · Rezum Generator · SENSOR · SPACEOAR VUE · Solyx SIS System · SpaceOAR · SpaceOAR VUE System - 10mL · SpeediCath · Thiola · Titan · UROLIFT · UroLift · UroLift System · VaPro Pocket · XIAFLEX · XTANDI · XYOSTED · Xtandi · iDrive Ultra
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 (57%) 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 $5,796 per 100 Medicare services performed
Looking for a urology physician in Round Rock?
Compare urology physicians in the Round Rock area by procedure volume, costs, and industry payment transparency.
Browse urology physicians nearby

Geographic Context

Urology Physicians within 10 mi
52
Per 100K population
8.1
County median income
$108,309
Nearest hospital
BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK
3.1 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. Polnaszek is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (speaking/promotional, top 11%), with 18 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. Polnaszek experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Polnaszek performed 104 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. Polnaszek receive payments from pharmaceutical companies?
Yes. Dr. Polnaszek received a total of $21,965 from 40 companies across 248 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. Polnaszek's costs compare to other urology physicians in Round Rock?
Dr. Polnaszek's average Medicare payment per service is $75. 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. Polnaszek) 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 →