Dr. Keith A Waguespack , MD
Urology โข Irving, TX
2021 N Macarthur Blvd Ste 450
Irving, TX 75061
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on September 20, 2005; this date does not establish years in practice.
-
Published CMS data list 5,556 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- J1952 โ Leuprolide injectable, camcevi, 1 mg: 1,386 service units.
- G2211 โ Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 777 service units.
- 99214 โ Established patient outpatient office visit: 711 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 42 records in the table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 1,088 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Tamsulosin Hcl โ 356 prescription fills, including refills.
- Finasteride โ 191 prescription fills, including refills.
- Oxybutynin Chloride Er (Oxybutynin Chloride) โ 118 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 17 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
More Medicare Part B services than 75% of clinicians listed under Urology in Texas (2024, 608 clinicians with data). Median for this group: 1,751. Middle half: 623 to 4,690.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 2,425 in 2020 to 5,556 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
2021 N Macarthur Blvd Ste 450
Irving, TX 75061
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Urology Partners Of North Texas, Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Texas Southwestern Medical School At Dallas
1999
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
674 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $286,834 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $216,391 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
2,393 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$895,824 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $961.58 across 26 records.
By nature of payment
- Food and Beverage: $961.58 across 26 records.
Reporting-company totals (3 largest of 14)
- Boston Scientific Corporation: $227.74 across 5 records.
- UROGEN PHARMA, INC.: $119.48 across 1 record.
- INTUITIVE SURGICAL, INC.: $113.16 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
27 years (graduated 1999)
CMS Doctors and Clinicians data list 1999 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Waguespack has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Waguespack as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Irving and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Urology in Texas (2024, 608 clinicians with data). Median for this group: 1,751. Middle half: 623 to 4,690.
Too few clinicians listed under Urology in Irving have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Urology in Texas (2024, 608 clinicians with data). Median for this group: $130,907. Middle half: $56,287 to $242,595.
Too few clinicians listed under Urology in Irving have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Urology in Texas (2024, 608 clinicians with data). Median for this group: $98,400. Middle half: $41,252 to $185,944.
Too few clinicians listed under Urology in Irving have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Urology in Texas (2024, 667 clinicians with data). Median for this group: 1,254. Middle half: 393 to 2,342.
Too few clinicians listed under Urology in Irving have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Urology in Texas (2024, 667 clinicians with data). Median for this group: $146,128. Middle half: $29,835 to $354,962.
Too few clinicians listed under Urology in Irving have Medicare Part D data for 2024 to compare.
6 active clinicians are listed under Urology with a practice address in Irving, TX (961 in Texas).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services increased 129% from 2,425 in 2020 to 5,556 in 2024.
- 2020: 2,425
- 2021: 3,212
- 2022: 2,621
- 2023: 3,573
- 2024: 5,556
-
Medicare-allowed amount
Medicare-allowed amount varied from year to year: $302,716 in 2020 and $286,834 in 2024.
- 2020: $302,716
- 2021: $351,203
- 2022: $180,352
- 2023: $245,742
- 2024: $286,834
-
Paid by Medicare
Paid by Medicare decreased 10% from $239,282 in 2020 to $216,391 in 2024.
- 2020: $239,282
- 2021: $275,439
- 2022: $136,961
- 2023: $189,657
- 2024: $216,391
-
Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 1,003 in 2020 and 1,088 in 2024.
- 2020: 1,003
- 2021: 1,044
- 2022: 976
- 2023: 1,114
- 2024: 1,088
-
30-day fills
30-day fills increased 15% from 2,075 in 2020 to 2,393 in 2024.
- 2020: 2,075
- 2021: 2,287
- 2022: 2,351
- 2023: 2,496
- 2024: 2,393
-
Part D drug cost
Part D drug cost increased 103% from $441,816 in 2020 to $895,824 in 2024.
- 2020: $441,816
- 2021: $368,701
- 2022: $524,180
- 2023: $799,391
- 2024: $895,824
-
Industry payments (Open Payments)
Industry payments (Open Payments) decreased 94% from $17,413.16 in 2021 to $961.58 in 2025.
- 2021: $17,413.16
- 2022: $5,595.23
- 2023: $476.65
- 2024: $607.92
- 2025: $961.58
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 26 records totaling $961.58.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
SpaceOAR VUE System - 10mL | General | $129.06 |
| UROGEN PHARMA, INC. |
Food and Beverage
In-kind items and services
|
JELMYTO | General | $119.48 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
|
Da Vinci Surgical System | General | $113.16 |
| Olympus America Inc. |
Food and Beverage
In-kind items and services
|
iTIND System | General | $53.81 |
| Olympus America Inc. |
Food and Beverage
In-kind items and services
|
iTIND System | General | $52.88 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
SpaceOAR VUE System - 10mL | General | $36.01 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $32.57 |
| Laborie Medical Technologies Corp. |
Food and Beverage
Cash or cash equivalent
|
โ | General | $30.56 |
| Ferring Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
ADSTILADRIN | General | $29.51 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
SpaceOAR VUE System - 10mL | General | $28.43 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $27.27 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
XTANDI | General | $26.35 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
Xtandi | General | $26.10 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
|
ORGOVYX | General | $24.67 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
XTANDI | General | $23.96 |
| SUN PHARMACEUTICAL INDUSTRIES INC. |
Food and Beverage
In-kind items and services
|
YONSA | General | $22.77 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $22.48 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
|
ORGOVYX | General | $20.49 |
| ACCORD HEALTHCARE, INC. |
Food and Beverage
In-kind items and services
|
Camcevi | General | $20.26 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
|
ORGOVYX | General | $19.98 |
| Myriad Genetic Laboratories, Inc. |
Food and Beverage
In-kind items and services
|
MYRISK | General | $18.87 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Therapies | General | $18.46 |
| Blue Earth Diagnostics |
Food and Beverage
In-kind items and services
|
POSLUMA | General | $17.67 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
Xtandi | General | $16.52 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
SpaceOAR VUE System - 10mL | General | $15.78 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
J1952
Leuprolide injectable, camcevi, 1 mg
|
1,386 | 23 | $149.62 | $57.56 |
|
G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
777 | 545 | $40.07 | $14.92 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
711 | 498 | $318.14 | $117.80 |
|
81003
Automated urinalysis test
|
493 | 368 | $13.82 | $2.17 |
|
51798
Ultrasound measurement of bladder capacity after voiding
|
392 | 300 | $27.45 | $10.37 |
|
36415
Insertion of needle into vein for collection of blood sample
|
214 | 149 | $24.41 | $8.65 |
|
84153
Psa (prostate specific antigen) measurement, total
|
201 | 146 | $71.69 | $17.97 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
104 | 23 | $14.01 | $0.45 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
99 | 92 | $222.57 | $84.39 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
87 | 87 | $411.31 | $151.87 |
|
84403
Testosterone (hormone) level, total
|
83 | 58 | $107.59 | $25.29 |
|
87801
Detection test by nucleic acid for multiple organisms, amplified probe(s) technique
|
78 | 24 | $438.75 | $68.80 |
|
52000
Diagnostic exam of bladder and urethra using an endoscope
|
67 | 61 | $584.58 | $218.24 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
67 | 49 | $447.22 | $163.70 |
|
85027
Complete blood cell count (red cells, white blood cell, platelets), automated test
|
65 | 54 | $28.44 | $6.28 |
|
87481
Detection test for candida species (yeast), amplified probe technique
|
52 | 24 | $219.31 | $34.39 |
|
87529
Detection test by nucleic acid for herpes simplex virus, amplified probe technique
|
52 | 24 | $219.31 | $34.39 |
|
87798
Detection test by nucleic acid for organism, amplified probe technique
|
52 | 24 | $219.31 | $34.39 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
44 | 39 | $39.85 | $8.18 |
|
99426
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month
|
37 | 14 | $152.26 | $56.85 |
|
76872
Ultrasound scan of pelvic region through rectum
|
35 | 35 | $449.58 | $126.80 |
|
96402
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
|
35 | 23 | $86.88 | $32.26 |
|
96372
Injection of drug or substance under skin or into muscle
|
29 | 25 | $35.24 | $13.14 |
|
51741
Electronic assessment of bladder emptying
|
27 | 26 | $34.41 | $6.54 |
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
27 | 17 | $191.62 | $69.13 |
(top 25 shown)
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 356 | 30,325 | $5,402.90 | 149 |
| Finasteride | Finasteride | 191 | 16,029 | $2,417.63 | 67 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 118 | 7,229 | $1,899.03 | 57 |
| Tramadol Hcl | Tramadol Hcl | 81 | 406 | $163.99 | 77 |
| Levofloxacin | Levofloxacin | 53 | 219 | $98.90 | 47 |
| Xtandi | Enzalutamide | 50 | 1,500 | $677,001.73 | โ |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 40 | 2,660 | $718.21 | 13 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 35 | 120 | $102.28 | 35 |
| Testosterone Cypionate | Testosterone Cypionate | 31 | 1,949 | $1,399.96 | 12 |
| Myrbetriq | Mirabegron | 26 | 1,800 | $26,452.28 | โ |
| Anastrozole | Anastrozole | 24 | 1,991 | $52.84 | โ |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 20 | 114 | $142.48 | 19 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 14 | 116 | $120.51 | 12 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 13 | 172 | $61.08 | 13 |
| Desmopressin Acetate | Desmopressin Acetate | 13 | 870 | $1,024.63 | โ |
| Erleada | Apalutamide | 12 | 360 | $178,393.19 | โ |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 11 | 395 | $372.68 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20040616000306
TX
2567446628
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Urology Partners Of North Texas, Pllc
2021 N Macarthur Blvd, Irving, TX 750612219
Phone: 8663678768
Secondary Practice Locations
2021 N Macarthur Blvd Ste 450
Irving, TX 75061
Phone: 8663678768
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Urology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Urology
Doctor of Medicine (M.D.)
Radiology - Radiation Oncology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2021 N MACARTHUR BLVD STE 450, IRVING, TX 75061 (Tel: 8663678768)
Registered at 5001 S COOPER ST STE 201, ARLINGTON, TX 760175993 (Tel: 8663678768)
NPI status registered as active in NPPES database
Registered at 7200 N STATE HIGHWAY 161, STE 200, IRVING, TX 750393830 (Tel: 9724014940)
Registered at 7200 STATE HIGHWAY 161, SUITE 200, IRVING, TX 750394132 (Tel: 9724014940)
Recorded as KEITH WAGUESPACK, MD
Urology (license number reported to NPPES: TX L7918)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Urology Specialists in Irving
Healthcare providers in IrvingMailing Address
5001 S Cooper St Ste 201
Arlington, TX 760175993
Phone: 8663678768