Nathaniel Polnaszek, MD
Urology · Round Rock, TXNPI 1932384872
Payments from drug & device makers
Across 278 payments — averaging $83.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$13K
- Boston Scientific$4K
- Axonics, Inc.$1K
- Medtronic$664
- Urogen Pharma, Inc.$533
- Calyxo, Inc.$486
- plus $4K from 27 others
What the payments were for
- Travel & lodging$4582%
- Food & beverage$10,68046%
- Education$12,07552%
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 |
|---|---|---|
| Intuitive Surgical | 14 | $13,145 |
| Boston Scientific | 86 | $3,511 |
| Axonics, Inc. | 15 | $1,185 |
| Medtronic(2 entities) | 8 | $664 |
| Urogen Pharma, Inc. | 19 | $533 |
| Calyxo, Inc. | 4 | $486 |
| Teleflex LLC | 14 | $459 |
| 180 Medical, Inc. | 11 | $449 |
| Coloplast | 13 | $406 |
| AbbVie(2 entities) | 16 | $361 |
| Astellas Pharma US Inc | 11 | $327 |
| Myriad Genetic Laboratories, Inc. | 9 | $252 |
| Palette Life Sciences, Inc. | 1 | $155 |
| Clarus Therapeutics Inc. | 7 | $153 |
| Endo Pharmaceuticals Inc. | 10 | $140 |
| Pfizer | 3 | $128 |
| Tolmar, Inc. | 6 | $112 |
| Ferring Pharmaceuticals Inc. | 5 | $101 |
| Sumitomo Pharma America, Inc. | 4 | $96 |
| Neotract Inc. | 6 | $87 |
| BD | 1 | $80 |
| Caldera Medical, Inc | 1 | $62 |
| Conmed Corporation | 1 | $58 |
| Bayer | 2 | $47 |
| Immunitybio, Inc. | 2 | $41 |
| Procept Biorobotics Corporation | 1 | $33 |
| Antares Pharma, Inc. | 2 | $31 |
| EDAP Technomed Inc | 1 | $25 |
| Hollister Incorporated | 1 | $22 |
| Urovant Sciences Inc | 1 | $21 |
| Travere Therapeutics, Inc. | 1 | $15 |
| Cook Medical LLC | 1 | $15 |
| Endo USA, Inc. | 1 | $15 |
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.
- Da Vinci Surgical System$12,900
- Axonics$690
- INTERSTIM$550
- CVAC Aspiration System$397
- AMS 700$379
- Axonics r-SNM System$361
- Bulkamid$295
- GENERAL MALE SUI$275
- LithoVue$149
- UroLift System$141
- AMS 800 Artificial Urinary Sphincter$138
- TITAN$126
- XTANDI$125
- ZUSDURI$125
- GENERAL KIDNEY STONE DISEASE$116
- AMS 700 CXR RTE KIT$114
- myRisk$113
- UroLift$112
- JELMYTO$104
How this compares
$23,213 in reported general payments places this provider in the 80th 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 |
|---|---|---|
| MyrbetriqMirabegron | 313 | $285,386 |
| GemtesaVibegron | 31 | $32,253 |
| Tamsulosin Hcl | 891 | $27,551 |
| Mirabegron ErMirabegron | 45 | $25,695 |
| Finasteride | 548 | $11,288 |
| Tolterodine Tartrate ErTolterodine Tartrate | 56 | $6,181 |
| Estradiol | 77 | $5,715 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 146 | $5,128 |
| Testosterone Cypionate | 83 | $4,549 |
| Potassium Citrate ErPotassium Citrate | 26 | $3,116 |
| Tadalafil | 11 | $3,011 |
| Oxybutynin Chloride ErOxybutynin Chloride | 74 | $2,497 |
| NitrofurantoinNitrofurantoin Macrocrystal | 44 | $2,253 |
| Solifenacin Succinate | 39 | $2,023 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 46 | $638 |
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 |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $327 | $285,386313 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $96 | $32,25331 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 80th percentile of 878 urology providers in Texas.
Other urology in Round Rock
- David CuellarRound Rock$391K
- 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
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.