Medicare Enrolled
Dr. Bradford Nelson, MD
Urology Physician · Spokane, WA
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. Nelson 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. Nelson
Dr. Bradford Nelson is an urology physician in Spokane, WA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Nelson performed 12,017 Medicare services across 1,495 unique beneficiaries.
Between the years covered by Open Payments, Dr. Nelson received a total of $4,628 from 22 pharmaceutical and/or device companies across 70 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. Nelson 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.
✓ 20 years in practice
▲ Top 6% volume in WA
$4,628 industry payments
Medicare Practice Summary
Medicare Utilization ↗12,017
Medicare services
Top 6% in WA for urology physician
1,495
Unique beneficiaries
$29
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~601 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. |
10,200 | $4 | $10 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
219 | $181 | $513 |
| 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. |
215 | $114 | $348 |
| 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. |
202 | $64 | $168 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
192 | $3 | $33 |
| 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. |
172 | $97 | $244 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
103 | $105 | $244 |
| Additional urethral implant in prostate Placement of an additional implant into the urethra within the prostate gland using an endoscope. |
90 | $710 | $1,696 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 78 | $136 | $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. |
66 | $294 | $612 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
60 | $165 | $618 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
40 | $40 | $131 |
| 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. |
35 | $78 | $243 |
| Simple change of bladder tube | 30 | $69 | $200 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
28 | $8 | $50 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
27 | $64 | $126 |
| 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. |
26 | $19 | $54 |
| Laparoscopic partial prostate removal A minimally invasive surgical procedure to remove part of the prostate gland using a laparoscope. |
23 | $815 | $3,117 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
23 | $27 | $101 |
| Endoscopic removal of bladder or urethra growth, 2.0-5.0 cm This procedure uses an endoscope to destroy or remove a growth from the bladder or urethra that measures between 2.0 and 5.0 centimeters. |
21 | $205 | $575 |
| Urethral implant insertion in prostate A single implant is placed into the urethra within the prostate gland using an endoscope. |
19 | $1,037 | $2,324 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
19 | $102 | $300 |
| 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. |
17 | $109 | $447 |
| Endoscopic removal of pelvic lymph nodes, bilateral A surgical procedure to remove lymph nodes from both sides of the pelvis using an endoscope. This minimally invasive technique involves making small incisions to access and excise the tissue. |
16 | $242 | $1,500 |
| Surgical removal of prostate and lymph nodes This procedure involves the surgical removal of the prostate gland and surrounding lymph nodes using an endoscope. |
16 | $870 | $3,631 |
| 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. |
14 | $542 | $1,336 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
14 | $19 | $75 |
| 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. |
13 | $296 | $667 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
13 | $6 | $189 |
| Simple bladder suture Suturing a simple wound, injury, or rupture of the bladder. |
13 | $314 | $1,600 |
| 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. |
13 | $531 | $1,800 |
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.
0.7% high complexity
86.9% medium
12.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$4,628
Total received (2018-2024)
Avg $661/year across 7 years
Top 27% in WA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
22
Companies
70
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
$4,616 (99.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$11 (0.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$529
2023
$2,330
2022
$612
2021
$119
2020
$113
2019
$398
2018
$527
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Sumitomo Pharma America, Inc.
$152
ABBVIE INC.
$136
UROGEN PHARMA, INC.
$125
Boston Scientific Corporation
$50
Verity Pharmaceuticals Inc.
$18
PROCEPT BioRobotics Corporation
$18
Janssen Biotech, Inc.
$16
Olympus America Inc.
$15
Top 3 companies account for 78.0% of 2024 payments
All-time payments by company (2018-2024) ›
Teleflex LLC
$2,027
Boston Scientific Corporation
$562
ABBVIE INC.
$346
BOSTON SCIENTIFIC CORPORATION
$316
NeoTract Inc.
$271
Sumitomo Pharma America, Inc.
$204
Janssen Biotech, Inc.
$177
Bayer Healthcare Pharmaceuticals Inc.
$150
UROGEN PHARMA, INC.
$125
Laborie Medical Technologies Corp.
$119
Foundation Medicine, Inc.
$66
Astellas Pharma US Inc
$54
Olympus America Inc.
$50
Axonics, Inc.
$22
Sun Pharmaceutical Industries Inc.
$22
Endo Pharmaceuticals Inc.
$19
UROVANT SCIENCES INC
$18
Verity Pharmaceuticals Inc.
$18
PROCEPT BioRobotics Corporation
$18
Intuitive Surgical, Inc.
$17
Novartis Pharmaceuticals Corporation
$16
Travere Therapeutics, Inc.
$11
Top 3 companies account for 63.4% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · ADVANCE · AFINITOR · AMS · AMS 700 · AQUABEAM SYSTEM · Axonics · BOTOX · Da Vinci Surgical System · ERLEADA · FOUNDATIONONE · GEMTESA · GENERAL BPH · General - Erectile Dysfunction · JELMYTO · LithoVue · MYRBETRIQ · Myrbetriq · ORGOVYX · SOLTIVE · Thiola · ThunderBeat · Trelstar · UROLIFT · UroLift · XIAFLEX · Xofigo · YONSA
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.
Geographic Context
Urology physicians within 10 mi
23
Per 100K population
4.2
County median income
$73,513
Nearest hospital
SHRINERS HOSPITAL FOR CHILDREN
2.3 mi
2.3 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Nelson is a mixed practice specialist, with above-average Medicare volume (top 6% in WA), with low-engagement industry engagement, with 20 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. Nelson experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Nelson performed 10,200 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. Nelson receive payments from pharmaceutical companies?
Yes. Dr. Nelson received a total of $4,628 from 22 companies across 70 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. Nelson's costs compare to other urology physicians in Spokane?
Dr. Nelson's average Medicare payment per service is $29. 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. Nelson) 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. 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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