Francis Nwafor, MD
Urology · Waxahachie, TXNPI 1679699714
Payments from drug & device makers
Across 229 payments — averaging $37.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Coloplast$2K
- Medtronic$1K
- Astellas Pharma US Inc$752
- Procept Biorobotics Corporation$678
- Sumitomo Pharma America, Inc.$474
- Boston Scientific$405
- plus $3K from 31 others
What the payments were for
- Travel & lodging$1,43517%
- Food & beverage$6,89781%
- Education$2263%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Coloplast | 29 | $2,233 |
| Medtronic(2 entities) | 19 | $1,491 |
| Astellas Pharma US Inc | 31 | $752 |
| Procept Biorobotics Corporation | 10 | $678 |
| Sumitomo Pharma America, Inc. | 19 | $474 |
| Boston Scientific | 14 | $405 |
| Antares Pharma, Inc. | 13 | $376 |
| Axonics, Inc. | 16 | $328 |
| Convatec Inc. | 7 | $199 |
| Urovant Sciences Inc | 8 | $181 |
| 180 Medical, Inc. | 9 | $166 |
| Avation Medical, Inc. | 2 | $125 |
| Hollister Incorporated | 6 | $118 |
| Myovant Sciences Inc. | 5 | $107 |
| Johnson & Johnson | 6 | $100 |
| Civco Medical Instruments | 3 | $97 |
| Accord Healthcare, Inc. | 4 | $97 |
| AbbVie | 3 | $91 |
| ABC Home Medical Supply, Inc. | 4 | $87 |
| Pfizer | 2 | $58 |
| Bayer | 2 | $46 |
| Ambu Inc. | 1 | $40 |
| Cook Medical LLC | 1 | $38 |
| Urogen Pharma, Inc. | 2 | $32 |
| Alnylam Pharmaceuticals Inc. | 1 | $26 |
| Neurelis, Inc. | 1 | $23 |
| SRS Medical Systems, Inc. | 1 | $23 |
| Progenics Pharmaceuticals, Inc. | 1 | $22 |
| Endo USA, Inc. | 1 | $21 |
| Laborie Medical Technologies Corp. | 1 | $20 |
| Janssen Scientific Affairs, LLC | 1 | $20 |
| Dendreon Pharmaceuticals LLC | 1 | $18 |
| Neotract Inc. | 1 | $17 |
| Avadel Specialty Pharmaceuticals, LLC | 1 | $16 |
| Ferring Pharmaceuticals Inc. | 1 | $16 |
| Allegis Pharmaceuticals, LLC | 1 | $11 |
| Uc-care (USA), Inc | 1 | $6 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$8,558 in reported general payments places this provider in the 70th percentile of 878 urology providers in Texas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| GemtesaVibegron | 33 | $18,620 |
| MyrbetriqMirabegron | 21 | $10,402 |
| Bethanechol Chloride | 50 | $3,094 |
| NitrofurantoinNitrofurantoin Macrocrystal | 74 | $2,470 |
| Tamsulosin Hcl | 192 | $2,431 |
| Estradiol | 29 | $1,980 |
| Testosterone Cypionate | 27 | $1,553 |
| Finasteride | 88 | $1,350 |
| Ciprofloxacin Hcl | 161 | $793 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 17 | $571 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 109 | $535 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 20 | $530 |
| Bicalutamide | 29 | $404 |
| CeftriaxoneCeftriaxone Sodium | 29 | $99 |
| Amitriptyline Hcl | 15 | $65 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Sumitomo Pharma America, Inc.Gemtesa | $474 | $18,62033 claims |
| Astellas Pharma US IncMyrbetriq | $752 | $10,40221 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 70th percentile of 878 urology providers in Texas.
Other urology in Waxahachie
- Zvi SchiffmanHouston$17.8M
- Jose de la CerdaSan Antonio$9M
- Daniel SaltzsteinSan Antonio$5.8M
- Jose KaramHouston$5.7M
- Daniel ZainfeldSan Antonio$4.7M
- Brian MazzarellaLakeway$4.5M
- Andrew von EschenbachMontgomery$3.2M
- Raj SatkunasivamHouston$2.6M
- Alan SkolnickHouston$2.4M
- Homa PorterDallas$1.8M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.