KEITH A WAGUESPACK (MD) – Urology Physician, NPI 1124014659
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
861 UROLOGY in TX
Provider Addresses for KEITH A WAGUESPACK (MD)
2021 N MacArthur Blvd Ste 450
Irving, TX 75061
Phone: (866) 367-8768
Fax: (817) 541-9301
Type: Location
5001 S COOPER ST STE 201
ARLINGTON, TX 760175993
Phone: (866) 367-8768
Fax: (817) 541-9555
Type: Mailing
2021 N MACARTHUR BLVD STE 450
IRVING, TX 75061
Phone: (866) 367-8768
Fax: (817) 541-9301
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $1,085.
Total Amount is formed as General ($1,085) + Research ($0) + Ownership ($0) = $1,085.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Janssen Biotech, Inc. ($232).
Total Amount
$1,085
General + Research + Ownership
Payments
37
Total payment records
General Amount
$1,085
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $232 |
| Astellas Pharma US Inc | $116 |
| ABBVIE INC. | $114 |
| Sumitomo Pharma America, Inc. | $90 |
| Olympus America Inc. | $84 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-06-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040616000306 | I | Urology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1952 | Leuprolide injectable, camcevi, 1 mg | 588 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 523 | 361 | $0 |
| 81003 | Automated urinalysis test | 296 | 232 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 275 | 195 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 245 | 191 | $0 |
Insurance plans in this area (ZIP 75061)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | CO | |
| U R O L O G Y | TX | |
| U R O L O G Y | TX | |
| Nurse Practitioner | TX | |
| U R O L O G Y | TX | |
| Physician Assistant | FL | |
| Interventional Radiology | TX | |
| Radiation Oncology | TX | |
| Nurse Practitioner | TX | |
| U R O L O G Y | TX |
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