Kristofer Wagner, MD
Urology · Temple, TXNPI 1174562714
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.9% of the total across 22 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 15 manufacturers reported payments, led by Cook Medical LLC at 30.5% of the total. That places this record below the midpoint for urology clinicians in TX, where the typical reported total is $3,394.
Across 22 payments — averaging $49.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cook Medical LLC$332
- Boston Scientific$213
- Photocure Inc$97
- Olympus America Inc.$95
- EDAP Technomed Inc$89
- Medtronic$80
- plus $181 from 9 others
Across 10 payments — averaging $1194.80 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Pfizer$12K
What the payments were for
- Food & beverage$1,085100%
- Education$10%
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 |
|---|---|---|
| Cook Medical LLC | 4 | $332 |
| Boston Scientific | 3 | $213 |
| Photocure Inc | 1 | $97 |
| Olympus America Inc. | 2 | $95 |
| EDAP Technomed Inc | 1 | $89 |
| Medtronic | 1 | $80 |
| Coloplast | 2 | $35 |
| Johnson & Johnson | 1 | $28 |
| Ambu Inc. | 1 | $27 |
| Urogen Pharma, Inc. | 1 | $24 |
| Convatec Inc. | 1 | $20 |
| Tolmar Pharmaceuticals, Inc. | 1 | $18 |
| Accord Healthcare, Inc. | 1 | $17 |
| AbbVie | 1 | $11 |
| Travere Therapeutics, Inc. | 1 | $1 |
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.
- LITHO 150$271
How this compares
$1,086 in reported general payments places this provider in the 25th 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 |
|---|---|---|
| XtandiEnzalutamide | 27 | $406,631 |
| MyrbetriqMirabegron | 80 | $55,450 |
| Tamsulosin Hcl | 262 | $8,231 |
| Finasteride | 204 | $5,265 |
| Potassium Citrate ErPotassium Citrate | 19 | $3,966 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 56 | $2,192 |
| Silodosin | 11 | $1,870 |
| Bicalutamide | 18 | $999 |
| Trospium Chloride | 11 | $824 |
| Allopurinol | 35 | $802 |
| Terazosin Hcl | 19 | $540 |
| Desmopressin Acetate | 16 | $472 |
| Oxybutynin Chloride | 26 | $420 |
| Oxybutynin Chloride ErOxybutynin Chloride | 13 | $404 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 14 | $336 |
Paid to pharmacies, not to this prescriber.
Other urology in Temple
- Ahmad AlzubaidiTemple$55K
- Andrew von EschenbachMontgomery$3.2M
- Brian MazzarellaLakeway$1.2M
- Arun RaiHouston$920K
- Allen MoreyDallas$914K
- Donald GriffithHouston$732K
- Michael TrotterAustin$590K
- Vitaly MargulisDallas$555K
- Daniel SaltzsteinSan Antonio$547K
- Leroy JonesSan Antonio$506K
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.