Medicare Enrolled
Dr. Francis Nwafor, MD
Pediatric Urology Physician · Waxahachie, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Nwafor 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. Nwafor
Dr. Francis Nwafor is a pediatric urology physician in Waxahachie, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Nwafor performed 44,766 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Nwafor received a total of $7,088 from 48 pharmaceutical and/or device companies across 218 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. Nwafor 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.
✓ 19 years of NPI registration
▲ Top 50% volume in TX
$7,088 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗44,766
Medicare services
Top 50% in TX for pediatric urology physician
Not available
Unique patients (not deduplicated)
$4
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 |
|---|---|---|---|
| Testosterone injection An injection of testosterone cypionate, a form of testosterone hormone. The dose is measured in milligrams. |
42,150 | $0 | $0 |
| 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. |
630 | $65 | $100 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
430 | $8 | $80 |
| 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. |
251 | $10 | $65 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
155 | $3 | $15 |
| 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. |
120 | $0 | $48 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
97 | $8 | $200 |
| Injection, garamycin, gentamicin, up to 80 mg | 79 | $2 | $15 |
| 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. |
78 | $78 | $200 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 70 | $132 | $350 |
| 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. |
67 | $131 | $400 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
65 | $52 | $146 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
64 | $157 | $435 |
| 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. |
64 | $122 | $326 |
| Limited ultrasound of pelvis A focused ultrasound exam of the pelvic area to evaluate specific structures. This procedure provides images of the pelvis to assist in medical assessment. |
57 | $37 | $100 |
| 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. |
56 | $89 | $175 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
45 | $92 | $250 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
41 | $103 | $300 |
| 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. |
35 | $25 | $417 |
| 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. |
34 | $277 | $614 |
| 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. |
34 | $148 | $350 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
31 | $41 | $200 |
| Endoscopic destruction of bladder, urethra, or gland tissue A procedure that uses an endoscope to destroy tissue in the bladder, urethra, or surrounding glands. |
28 | $539 | $1,000 |
| Shock wave crushing of kidney stones A procedure that uses shock waves to break kidney stones into smaller pieces so they can pass more easily from the body. |
26 | $424 | $2,500 |
| Prostate tissue destruction using microwave heat This procedure destroys prostate tissue by applying heat generated through microwave energy. |
21 | $1,083 | $4,728 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
21 | $163 | $476 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
17 | $42 | $398 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$7,088
Total received (2018-2024)
Avg $1,013/year across 7 years
Top 9% in TX for pediatric urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
48
Companies
218
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
$987
2023
$864
2022
$1,842
2021
$1,758
2020
$285
2019
$874
2018
$479
Payments by company (2024)
Sumitomo Pharma America, Inc.
$153
Astellas Pharma US Inc
$103
ConvaTec Inc.
$95
Hollister Incorporated
$66
ABC Home Medical Supply, Inc.
$66
ABBVIE INC.
$60
Axonics, Inc.
$54
PROCEPT BioRobotics Corporation
$47
Antares Pharma, Inc.
$46
Ambu Inc.
$40
Cook Medical LLC
$38
PFIZER INC.
$30
180 Medical, Inc.
$29
Boston Scientific Corporation
$26
COLOPLAST CORP
$25
Bayer Healthcare Pharmaceuticals Inc.
$23
Endo USA, Inc.
$21
CIVCO Medical Instruments
$20
Medtronic, Inc.
$16
ACCORD HEALTHCARE, INC.
$16
Avation Medical, Inc.
$15
Top 3 companies account for 35.6% of 2024 payments
All-time payments by company (2018-2024) ›
COLOPLAST CORP
$1,247
Coloplast Corp
$931
Medtronic, Inc.
$918
Astellas Pharma US Inc
$653
Sumitomo Pharma America, Inc.
$416
Boston Scientific Corporation
$286
Axonics, Inc.
$264
180 Medical, Inc.
$188
UROVANT SCIENCES INC
$181
PROCEPT BioRobotics Corporation
$173
ConvaTec Inc.
$162
BOSTON SCIENTIFIC CORPORATION
$152
Antares Pharma, Inc.
$138
Janssen Biotech, Inc.
$126
Hollister Incorporated
$118
PFIZER INC.
$107
Myovant Sciences Inc.
$107
Accord Healthcare, Inc.
$81
ABC Home Medical Supply, Inc.
$66
Axonics Modulation Technologies, Inc.
$64
ABBVIE INC.
$60
Endo Pharmaceuticals Inc.
$52
Ambu Inc.
$40
Cook Medical LLC
$38
Hitachi Healthcare Americas Corp.
$35
Avadel Specialty Pharmaceuticals, LLC
$33
UroGen Pharma, Inc.
$32
Olympus America Inc.
$26
Alnylam Pharmaceuticals Inc.
$26
Medtronic USA, Inc.
$24
Neurelis, Inc.
$23
SRS Medical Systems, Inc.
$23
Bayer HealthCare Pharmaceuticals Inc.
$23
Bayer Healthcare Pharmaceuticals Inc.
$23
Progenics Pharmaceuticals, Inc.
$22
Endo USA, Inc.
$21
Duchesnay USA Incorporated
$20
Laborie Medical Technologies Corp.
$20
Janssen Scientific Affairs, LLC
$20
CIVCO Medical Instruments
$20
MEDIVATION FIELD SOLUTIONS LLC
$19
Dendreon Pharmaceuticals LLC
$18
NeoTract Inc.
$17
TOLMAR Pharmaceuticals, Inc.
$17
ACCORD HEALTHCARE, INC.
$16
Ferring Pharmaceuticals Inc.
$16
Avation Medical, Inc.
$15
Augmenix, Inc.
$13
Top 3 companies account for 43.7% of all-time payments
Associated products mentioned in payments ›
ALTIS · AMS · AMS 700 · AMS 700 CXR RTE KIT · AQUABEAM ROBOTIC SYSTEM · AQUABEAM SYSTEM · Axonics · Axonics r-SNM System · Bulkamid · CAMCEVI · ELIGARD · ENDOUROLOGY · ERLEADA · Erleada · GEMTESA · GENERAL THERAPIES · GENERAL BPH · GENERAL - THERAPIES · GENTLECATH · GENTLECATH GLIDE · GentleCath · INTERSTIM · ImaJin · Infyna Chic · JELMYTO · LITHOVUE · LUPRON DEPOT · MYRBETRIQ · Myrbetriq · NOCDURNA · Noctiva · Nubeqa · ORGOVYX · OXLUMO · Olympus Cysto-Resection · Osphena · PREMARIN · PROVENGE · PYLARIFY · Porges Coloplast · RESONANCE · REZUM · SPACEOAR VUE · SpaceOAR · TITAN · TLANDO · Titan · UPHOLD LITE · UroCuff · UroLift · VALTOCO · VaPro · Vivally · XIAFLEX · XTANDI · XYOSTED · Xtandi
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 →
Geographic Context
Pediatric urology physicians in nearby ZIP areas
1
County median income
$95,898
Nearest hospital to ZIP centroid (approximate)
BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE
0.0 mi
0.0 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. Nwafor is a mixed practice specialist, with moderate Medicare volume, with 19 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. Nwafor experienced with testosterone injection?
Based on Medicare claims data, Dr. Nwafor performed 42,150 testosterone injection 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. Nwafor receive payments from pharmaceutical companies?
Yes. Dr. Nwafor received a total of $7,088 from 48 companies across 218 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. Nwafor's costs compare to other pediatric urology physicians in Waxahachie?
Dr. Nwafor's average Medicare payment per service is $4. 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. Nwafor) 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 →
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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.
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