Medicare Enrolled

Dr. Paul Espy, M.D.

Urology Physician · Waco, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
50 HILLCREST MEDICAL BLVD STE 102, Waco, TX 76712
2542027900
In practice since 2007 (18 years)
NPI: 1215158092 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. Espy 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. Espy? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Espy

Dr. Paul Espy is an urology physician in Waco, TX, with 18 years in practice. Based on federal Medicare data, Dr. Espy performed 1,212 Medicare services across 972 unique beneficiaries.

Between the years covered by Open Payments, Dr. Espy received a total of $3,839 from 32 pharmaceutical and/or device companies across 163 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. Espy 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▲ 1,212 Medicare services$ $3,839 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,212
Medicare services
Bottom 40% in TX for urology physician
972
Unique beneficiaries
$64
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~67 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)233$78$175
Automated urinalysis222$2$19
Office visit, established patient (20-29 min)128$55$125
Bladder ultrasound after voiding100$7$44
New patient office visit (45-59 min)96$111$275
Hospital follow-up visit, moderate complexity86$59$135
Diagnostic exam of bladder and urethra using an endoscope70$161$450
Simple insertion of temporary bladder tube47$42$185
Initial hospital admission, moderate complexity37$95$236
Insertion of stent in ureter using an endoscope36$108$1,408
Complicated insertion of bladder tube23$109$318
Simple bladder irrigation and/or instillation20$47$205
Hospital follow-up visit, low complexity20$38$92
Blood draw (venipuncture)15$8$23
Crushing of stone of ureter with insertion of stent using an endoscope14$304$1,045
Biopsy of prostate gland14$82$525
Office visit, established patient, complex (40-54 min)14$137$235
Other mri scan13$28$2,067
Complex measurement of pressure of urine flow in bladder with voiding pressure studies12$258$800
Electronic assessment of bladder emptying12$5$70
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.
4.1% high complexity
10.5% medium
85.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$3,839
Total received (2018-2024)
Avg $548/year across 7 years
Top 45% in TX for urology physician
32
Companies
163
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
$3,839 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$257
2023
$718
2022
$704
2021
$455
2020
$140
2019
$929
2018
$636

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$537
Astellas Pharma US Inc
$499
Axonics, Inc.
$420
Endo Pharmaceuticals Inc.
$313
BOSTON SCIENTIFIC CORPORATION
$254
Myriad Genetic Laboratories, Inc.
$224
180 Medical, Inc.
$221
Medtronic USA, Inc.
$208
Sumitomo Pharma America, Inc.
$149
ABBVIE INC.
$102
Mallinckrodt LLC
$96
Blue Earth Diagnostics Limited
$93
Janssen Biotech, Inc.
$91
Antares Pharma, Inc.
$86
COLOPLAST CORP
$61
Myovant Sciences Inc.
$52
Allergan Inc.
$49
C. R. Bard, Inc. & Subsidiaries
$48
Laborie Medical Technologies Corp.
$38
Ferring Pharmaceuticals Inc.
$33
Olympus America Inc.
$31
Medtronic, Inc.
$29
UROVANT SCIENCES INC
$27
Dendreon Pharmaceuticals LLC
$27
Accord Healthcare, Inc.
$26
Teleflex LLC
$25
AbbVie Inc.
$21
PFIZER INC.
$17
Kowa Pharmaceuticals America, Inc.
$17
Coloplast Corp
$16
Ambu Inc.
$16
TherapeuticsMD, Inc.
$13
Top 3 companies account for 37.9% of total payments
Associated products mentioned in payments ›
AMS · AMS 700 · Axonics · Axonics r-SNM System · Axumin · BOTOX · BOTOX THERAPEUTIC · Bulkamid · CAMCEVI · EXPAND 212 · Erleada · GEMTESA · GENERAL MALE SUI · GENERAL BPH · GREENLIGHT · IMVEXXY · INTERSTIM · LUPRON DEPOT · Luja Coude · MYRBETRIQ · Myrbetriq · NOCDURNA · OFIRMEV · ORGOVYX · OTREXUP · PROLARIS · PROVENGE · Porges Coloplast · Prolaris · REZUM · SEGLENTIS · SPACEOAR · SPACEOAR VUE · Saffron · SpaceOAR VUE System - 10mL · TIEMANN · TITAN · UroLift System · VERIFY · XIAFLEX · XTANDI · iTIND System · rezum Generator
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 $317 per 100 Medicare services performed
Looking for a urology physician in Waco?
Compare urology physicians in the Waco area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Urology Physicians within 10 mi
8
Per 100K population
3.0
County median income
$63,888
Nearest hospital
ASCENSION PROVIDENCE
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. Espy is a clinical cardiology specialist, with moderate Medicare volume, and low-engagement industry engagement, 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. Espy experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Espy performed 233 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. Espy receive payments from pharmaceutical companies?
Yes. Dr. Espy received a total of $3,839 from 32 companies across 163 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. Espy's costs compare to other urology physicians in Waco?
Dr. Espy's average Medicare payment per service is $64. 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. Espy) 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 →