Nathan Wayne Hales, M.D.
Nathan Wayne Hales is an Otolaryngology specialist based in San Antonio, TX with over 23 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.
With over 23 years in otolaryngology, Nathan Wayne Hales, M.D. is a long-established otolaryngology specialist in San Antonio. Trained at University of Texas Medical School at Houston (class of 2003), he has been practicing for over 23 years. CMS Medicare data shows his patients commonly have hypertension, high cholesterol, and arthritis. CMS MIPS quality score: 85.87/100 (2023).
At a glance
- Uses generic medications more than 92% of reporting doctors in Texas
- Federal MIPS score higher than 67% of MIPS-scored doctors in Texas
- Virtual visits available — no app or travel required
Older · 975dNPPES updated 2023-09-22 · verify NPI on CMS · Verify license at Texas Medical Board
Contact & Location
Practice Location
4775 Hamilton Wolfe Rd Ste 1, San Antonio, TX 78229-3456
How Does This Doctor Compare?
Based on Medicare data, this doctor has an average quality score compared to other doctors in Texas, favors affordable generic drugs over brand-name ones.
MIPS Score
202385.87/100
Texas avg: 79.1 · US avg: 83.6
✓ Higher than most doctors nationally(+2.3 pts)
Average range among MIPS-scored doctors in TexasHow the government rates this doctor's Medicare care quality. Scores above 75 are considered good.
Opioid Rx
↓ Lower = better22.18%
Texas avg: 5.2 · US avg: 5.1
⚠ Lower than most doctors nationally(+17.1 pts)
22.18% of this doctor's prescriptions are opioid pain medications. Lower means more cautious prescribing.
Generic Rx
↑ Higher = better96.6%
Texas avg: 83.8 · US avg: 82.8
✓ Higher than most doctors nationally(+13.8 pts)
Top 8% of reporting doctors in TexasHow often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.
Medicare Patients
765
Unique beneficiaries
High volumePrescription Recipients
208
Patients prescribed
Prescriptions Written
523
Total claims
Total Medicare drug cost: $11k
Percentile rankings compared against 4,889 reporting peers in Texas.
Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.
What This Doctor Treats Most
Based on Medicare claims data — here's what patients commonly see this doctor for
Based on Medicare data, this doctor primarily manages Hypertension, High Cholesterol, and Arthritis.
High blood pressure — a leading risk factor for heart disease and stroke
US avg: 70.2%↑ More patients than average (+5%) — a focus area for this doctor
Elevated cholesterol or triglycerides that increase heart disease risk
US avg: 70.4%↑ More patients than average (+5%) — a focus area for this doctor
Joint inflammation causing pain, swelling, and stiffness
US avg: 49.3%↓ Fewer patients than average (-1%) — less common here
Reduced blood flow to the heart muscle, commonly known as coronary artery disease
US avg: 31.7%↑ More patients than average (+1%) — a focus area for this doctor
A condition where the body cannot properly regulate blood sugar levels
US avg: 34.5%↓ Fewer patients than average (-3%) — less common here
Gradual loss of kidney function over time, often linked to diabetes or hypertension
US avg: 29.6%↓ Fewer patients than average (-2%) — less common here
Excessive worry or fear that interferes with daily life
US avg: 34.1%↓ Fewer patients than average (-11%) — less common here
Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.
$268 received from industry
11 transactions reported in 2024 ·Low tier
Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.
Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Nathan Wayne Hales's NPI.
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Background & Specialty
Education, training, and specialty classification from CMS NPPES and Medicare records.
Graduated medical school · 2003
Mcgovern Medical School at Uthealth Houston
Board certified · Sep 21, 2023
Self-reported via NPPES
23 years in practice
Experienced
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Taxonomy: 207Y00000X
Education & Training
University of Texas Medical School at Houston (Class of 2003)
Mailing address
10740 N Gessner Rd Ste 310, Houston, TX 77064-1240
Differs from practice location
Virtual Otolaryngology Care With Nathan Wayne Hales
NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.
Schedule a virtual visit with Nathan Wayne Hales for blood pressure monitoring, cholesterol management, arthritis follow-ups — no travel to San Antonio required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.
Frequently Asked Questions
Common questions about Nathan Wayne Hales
NPI records show Dr. Hales as active with telehealth listed in San Antonio, TX. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (210) 616-0283.
Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.
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Contact Nathan Wayne Hales
Practice Location
4775 Hamilton Wolfe Rd Ste 1, San Antonio, TX 78229-3456
Mailing Address
10740 N Gessner Rd Ste 310, Houston, TX 77064-1240
This is a provider directory. Contact the office directly to schedule appointments.
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