Medicare Enrolled
Dr. Robert Bruce, MD
Urology Physician · Round Rock, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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. Bruce 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. Bruce
Dr. Robert Bruce is an urology physician in Round Rock, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Bruce performed 16,297 Medicare services across 2,757 unique beneficiaries.
Between the years covered by Open Payments, Dr. Bruce received a total of $8,312 from 40 pharmaceutical and/or device companies across 242 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. Bruce 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 5% volume in TX
$8,312 industry payments
Medicare Practice Summary
Medicare Utilization ↗16,297
Medicare services
Top 5% in TX for urology physician
2,757
Unique beneficiaries
$16
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~815 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 |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
9,300 | $5 | $14 |
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
2,500 | $0 | $1 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
823 | $46 | $77 |
| 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. |
717 | $2 | $7 |
| 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. |
484 | $91 | $249 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
397 | $8 | $15 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
303 | $36 | $77 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
286 | $0 | $3 |
| 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. |
260 | $63 | $168 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
216 | $8 | $44 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
133 | $39 | $205 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
104 | $4 | $134 |
| Complex urodynamic pressure flow study A test that measures the pressure of urine flow in the bladder during voiding to evaluate how well the bladder and urethra are functioning. |
81 | $103 | $501 |
| Abdominal device insertion with pressure and urine flow study A procedure involving the placement of a device into the abdomen, accompanied by a study to measure pressure and urine flow rate. |
81 | $49 | $180 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
77 | $176 | $477 |
| Non-needle muscle activity measurement of bladder and bowel openings This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles. |
74 | $13 | $313 |
| 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. |
66 | $112 | $380 |
| 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. |
63 | $299 | $726 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
50 | $9 | $59 |
| CT scan of abdomen and pelvis, without contrast A computed tomography scan that creates detailed images of the abdominal and pelvic organs. The procedure is performed without the use of intravenous contrast dye. |
32 | $76 | $409 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
29 | $55 | $194 |
| Urethral sling procedure for female incontinence A surgical procedure that creates a supportive sling around the urethra to help control urinary leakage in women. |
27 | $374 | $1,658 |
| Limited abdominal ultrasound A focused ultrasound examination of the abdomen to evaluate specific organs or areas. This procedure uses sound waves to create images of internal structures. |
26 | $27 | $152 |
| 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. |
20 | $18 | $179 |
| 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. |
20 | $133 | $336 |
| Insertion of temporary bladder tube | 18 | $29 | $127 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
18 | $5 | $16 |
| 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. |
17 | $86 | $250 |
| CT scan of abdomen and pelvis with contrast A CT scan of the abdomen and pelvis using contrast dye before and after administration to visualize internal structures. |
16 | $182 | $764 |
| Ureteral stent insertion via endoscope A flexible tube is inserted into the ureter using an endoscope to keep the passage open and allow urine to flow from the kidney to the bladder. |
13 | $93 | $1,145 |
| Repair of rectocele Surgical repair of a bulge where the rectum protrudes into the back wall of the vagina. |
12 | $251 | $1,615 |
| 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. |
12 | $125 | $468 |
| Vaginal defect repair using endoscope A surgical procedure to repair a defect in the vagina using an endoscope, which is a thin, flexible tube with a camera used to view the inside of the body. |
11 | $364 | $2,112 |
| Vaginal defect repair using endoscope A surgical procedure to repair a defect in the vagina using an endoscope, which is a thin, lighted tube inserted into the body to visualize the area. |
11 | $761 | $2,240 |
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.
0.5% high complexity
77.2% medium
22.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$8,312
Total received (2018-2024)
Avg $1,187/year across 7 years
Top 23% in TX for urology physician
40
Companies
242
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
$8,312 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,306
2023
$1,220
2022
$953
2021
$612
2020
$281
2019
$2,284
2018
$656
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$1,799
BLUEWIND MEDICAL
$1,397
Coloplast Corp
$657
Medtronic, Inc.
$566
ABBVIE INC.
$561
AbbVie Inc.
$509
Allergan, Inc.
$379
Janssen Biotech, Inc.
$331
Sumitomo Pharma America, Inc.
$262
Astellas Pharma US Inc
$252
Endo Pharmaceuticals Inc.
$221
Caldera Medical, Inc
$208
PFIZER INC.
$196
Allergan Inc.
$128
AbbVie, Inc.
$118
PROCEPT BioRobotics Corporation
$68
Stimwave Technologies Incorporated
$65
Merck Sharp & Dohme LLC
$56
Dendreon Pharmaceuticals LLC
$56
Antares Pharma, Inc.
$50
ConvaTec Inc.
$46
UROVANT SCIENCES INC
$38
Innovation Technologies Inc
$36
Teleflex LLC
$33
BOSTON SCIENTIFIC CORPORATION
$29
Myovant Sciences Inc.
$24
COLOPLAST CORP
$21
Avadel Specialty Pharmaceuticals, LLC
$21
UROGEN PHARMA, INC.
$20
AstraZeneca Pharmaceuticals LP
$20
Hollister Incorporated
$17
Endo USA, Inc.
$16
Axonics, Inc.
$15
NeoTract Inc.
$15
Myriad Genetic Laboratories, Inc.
$14
Bayer HealthCare Pharmaceuticals Inc.
$14
Ferring Pharmaceuticals Inc.
$14
Medtronic USA, Inc.
$13
Retrophin, Inc.
$12
Laborie Medical Technologies Corp.
$10
Top 3 companies account for 46.4% of total payments
Associated products mentioned in payments ›
(815) Thiola · ADSTILADRIN · ALTIS · AMS · AMS 800 Artificial Urinary Sphincter · AQUABEAM ROBOTIC SYSTEM · AVEED · Altis · Axonics r-SNM System · BOTOX · BOTOX THERAPEUTIC · Desara · EDEX · ERLEADA · Erleada · GEMTESA · GENERAL BPH · GENERAL PELVIC ORGAN PROLAPSE · GENTLECATH · INTERSTIM · IRRISEPT · JELMYTO · LUPRON DEPOT · LYNPARZA · Lupron · Lupron Depot · MYRBETRIQ · Myrbetriq · NOCDURNA · Noctiva · ORGOVYX · PROVENGE · Prolaris · RESTORELLE · REVI · SUTENT · UROLIFT · UroLift · UroLift System · VaPro Plus Pocket · XIAFLEX · XTANDI · XYOSTED · Xofigo · Xtandi · ZYTIGA
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 $51 per 100 Medicare services performed
Geographic Context
Urology physicians within 10 mi
65
Per 100K population
10.1
County median income
$108,309
Nearest hospital
ROUND ROCK MEDICAL CENTER
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. Bruce is a mixed practice specialist, with above-average Medicare volume (top 5% in TX), with low-engagement industry engagement, 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. Bruce experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Bruce performed 9,300 botox injection, per unit 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. Bruce receive payments from pharmaceutical companies?
Yes. Dr. Bruce received a total of $8,312 from 40 companies across 242 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. Bruce's costs compare to other urology physicians in Round Rock?
Dr. Bruce's average Medicare payment per service is $16. 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. Bruce) 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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