Medicare Enrolled

Dr. Nathaniel Polnaszek, MD

Urology Physician · Round Rock, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
302 UNIVERSITY BLVD, Round Rock, TX 78665
5125090200
Registered in NPPES since 2008
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 →
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What this data tells you about Dr. Polnaszek

Dr. Nathaniel Polnaszek is an urology physician in Round Rock, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Polnaszek performed 1,030 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Polnaszek received a total of $21,965 from 40 pharmaceutical and/or device companies across 248 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years of NPI registration ▲ 1,030 Medicare services $21,965 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,030
Medicare services
Bottom 35% in TX for urology physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$63
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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)
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.
403 $64 $209
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.
281 $40 $142
Cystourethroscopy
A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract.
125 $53 $581
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.
62 $86 $322
Electronic assessment of bladder emptying
A test that uses electronic monitoring to evaluate how well the bladder empties urine.
30 $3 $42
Prostate gland biopsy
A procedure to remove small samples of tissue from the prostate gland for laboratory examination.
24 $98 $746
Transrectal ultrasound of the pelvis
An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures.
24 $25 $150
Ultrasound guidance for needle placement
Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure.
24 $23 $148
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
24 $55 $210
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.
17 $551 $2,436
Cystoscopy with chemical ablation of bladder
A procedure where a camera is used to examine the bladder and a chemical agent is applied to destroy abnormal tissue.
16 $110 $886
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. These counts do not measure clinical quality or years of experience.
1.6% high complexity
7.0% medium
91.5% routine

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
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
40
Companies
248
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

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)

Boston Scientific Corporation
$584
INTUITIVE SURGICAL, INC.
$522
Axonics, Inc.
$247
180 Medical, Inc.
$207
Teleflex LLC
$133
ABBVIE INC.
$121
Tolmar, Inc.
$70
COLOPLAST CORP
$45
PROCEPT BioRobotics Corporation
$33
Sumitomo Pharma America, Inc.
$25
Hollister Incorporated
$22
UROGEN PHARMA, INC.
$18
Endo USA, Inc.
$15
Antares Pharma, Inc.
$14
Top 3 companies account for 65.8% of 2024 payments
All-time payments by company (2018-2024) ›
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 all-time 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? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for an urology physician in Round Rock?
Compare urology physicians in the Round Rock area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Urology physicians in nearby ZIP areas
52
County median income
$108,309
Nearest hospital to ZIP centroid (approximate)
BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK
3.1 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Polnaszek is a clinical cardiology specialist, with moderate Medicare volume, with 18 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. 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 403 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Polnaszek receive payments from pharmaceutical companies?
Yes. Dr. Polnaszek received a total of $21,965 from 40 companies across 248 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 $63. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →