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Dr. Nathan Wayne Hales, MD

Accepting New Patients

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Specializes in: Otolaryngology (Ear, Nose, and Throat)

Professional interests include: thyroid surgery, neck surgery, hyperparathyroidism, and more.

4775 Hamilton Wolfe
San Antonio, TX 78229

(210) 249-4838

Dr. Nathan Wayne Hales, MD is an otolaryngologist in San Antonio, TX specializing in otolaryngology (ear, nose, and throat). Dr. Nathan Wayne Hales, MD is affiliated with Methodist Health System, Methodist Hospital and ENT Clinics of San Antonio, PA.

Office Locations

4775 Hamilton Wolfe
San Antonio, TX 78229

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5715 Rogers Road Suite 128
San Antonio, TX 78251

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Some issues Dr. Nathan Wayne Hales, MD can help you with:

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
Graves' disease, an autoimmune disease that causes hyperthyroidism
Goiter
Thyroid nodule
Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

Thyroid Surgery

Thyroid surgery is a procedure to remove all or part of the thyroid gland. The thyroid is a small, butterfly-shaped gland in the lower neck that regulates the hormones that manage metabolism. Thyroid surgery, also known as thyroidectomy, treats thyroid disorders such as hyperthyroidism (overactive thyroid), hypothyroidism (underactive thyroid), goiters (noncancerous thyroid inflammation), and thyroid cancer. It may also be used to remove thyroid nodules or cysts that have a risk of becoming cancerous.

Both hypothyroidism and goiters are caused by an autoimmune reaction where the body produces antibodies that attack the thyroid cells for unknown reasons. The thyroid reacts by releasing too little or too much T3 and T4 thyroid hormones, impairing thyroid function and causing irregular metabolism. Goiters develop from the autoimmune reaction causing continued antibody damage to the thyroid over time. Thyroid goiters are large, swollen lumps that can be felt near the base of the neck. Obstructive goiters can cause pain, coughing, and abnormal breathing. Hypothyroidism may also be caused by iodine deficiency, as iodine is needed to produce thyroid hormones.

The exact cause of thyroid cancer and thyroid nodules or cysts is unknown. While thyroid cancer and thyroid nodules or cysts can occur in individuals with thyroid disorders, they are not associated with a malfunctioning thyroid.

Physicians may prescribe thyroid surgery if blood tests reveal patients' thyroid stimulating hormones (TSA) are outside of the acceptable range, indicating a malfunctioning thyroid. Thyroid biopsies (tissue samples) and tests for thyroid-attacking antibodies are also criteria for surgery.

An ENT or general surgeon performs thyroid surgery. While a patient is placed under anesthesia, the surgeon makes an incision at the center of the neck and removes the thyroid gland. Two alternative methods of thyroid surgery are transoral (incision through the mouth) and endoscopic, where a surgeon operates a video camera for live footage to help guide the removal process.

Thyroid surgery requires minimal aftercare. Most patients recover quickly and resume normal activities within a few days of surgery. However, thyroid surgery patients must take daily synthetic thyroid medication (levothyroxine) for life to replace their removed thyroid.

Noteworthy Medicare Patient Procedures Performed by Dr. Nathan Wayne Hales, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

diagnostic flexible laryngoscopy

endoscopy

laryngoscopy

In 2023, Dr. Nathan Wayne Hales, MD performed more diagnostic flexible laryngoscopy, endoscopy, and laryngoscopy procedures for Medicare patients than 95% of providers in related specialties within Texas.

Top 10%

By Volume:

diagnostic procedures

By Affordability:

hospital care

immittance testing

inpatient care

inpatient hospital care

stroboscopy

tympanometry

In 2023, among providers in related specialties within Texas, Dr. Nathan Wayne Hales, MD performed more diagnostic procedures procedures for Medicare patients than 90% of them and he also had a list price for hospital care, immittance testing, inpatient care, inpatient hospital care (for patient admitted to hospital), stroboscopy, and tympanometry that was lower than the list prices billed to Medicare by 90% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

ear procedures

inpatient hospital care

By Affordability:

audiometry test

diagnostic flexible laryngoscopy

diagnostic laryngoscopy

ear procedures

fiberoptic laryngoscopy

flexible laryngoscopy

pure-tone threshold audiometry

soft tissue ultrasound

speech audiometry

speech reception threshold

threshold audiometry

In 2012, among providers in related specialties within Texas, Dr. Nathan Wayne Hales, MD performed more ear procedures, and inpatient hospital care (for patient admitted to hospital) procedures for Medicare patients than 75% of them and he also had a list price for audiometry test, diagnostic flexible laryngoscopy, diagnostic laryngoscopy, ear procedures, fiberoptic laryngoscopy, flexible laryngoscopy, hearing evaluation, hearing test, laryngeal (voice box) procedures, laryngoscopy, neck ultrasound, pure-tone audiometry, pure-tone threshold audiometry, soft tissue ultrasound, speech audiometry, speech reception threshold (SRT), and threshold audiometry that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Nathan Wayne Hales, MD treated as an otolaryngologist in San Antonio, TX during 2012 were minimally invasive procedures, skin testing, allergy testing and ear procedures.

Volume of procedures performed by Dr. Nathan Wayne Hales, MD for Medicare patients.

allergy testing	554
diagnostic procedures	75
doctor visit	730
ear procedures	123
laryngeal (voice box) procedures	110
minimally invasive procedures	664
skin testing	554

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Nathan Wayne Hales, MD treated as an otolaryngologist in San Antonio, TX during 2013 were ear procedures, minimally invasive procedures, laryngeal (voice box) procedures and diagnostic procedures.

Volume of procedures performed by Dr. Nathan Wayne Hales, MD for Medicare patients.

diagnostic procedures	97
doctor visit	794
ear procedures	150
laryngeal (voice box) procedures	114
minimally invasive procedures	114
neck imaging	16
stroboscopy	63
ultrasound (sonogram)	16

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Nathan Wayne Hales, MD.

**Gender**
Male	171
Female	222

**Ethnicity**
Non-Hispanic White	236
Black	23
Hispanic	124
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	198
From 75 to 84	112
85 and over	35
Less than 65	48

Conditions of Medicare patients treated by Dr. Nathan Wayne Hales, MD in 2013

Hypertension	73
High Cholesterol	63
Stroke	4
Ischemic Heart Disease	37
Depression	21
Chronic Kidney Disease	27
Asthma	8
Osteoperosis	8
Atrial Fibrilation	7
Heart Failure	16
Chronic Obstructive Pulmonary Disease	15
Diabetes	41
Dementia	7
Cancer	12

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Nathan Wayne Hales, MD treated as an otolaryngologist in San Antonio, TX during 2014 were ear procedures, minimally invasive procedures, laryngeal (voice box) procedures and diagnostic procedures.

Volume of procedures performed by Dr. Nathan Wayne Hales, MD for Medicare patients.

diagnostic procedures	100
dissection	15
doctor visit	973
ear procedures	161
endocrine surgery	14
excision	15
laryngeal (voice box) procedures	147
lymph node procedures	15
minimally invasive procedures	147
neck imaging	24
neck surgery	29
stroboscopy	72
ultrasound (sonogram)	24

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Nathan Wayne Hales, MD.

**Gender**
Male	225
Female	246

**Ethnicity**
Non-Hispanic White	298
Black	0
Hispanic	144
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	224
From 75 to 84	136
85 and over	54
Less than 65	57

Conditions of Medicare patients treated by Dr. Nathan Wayne Hales, MD in 2014

Hypertension	71
High Cholesterol	62
Stroke	4
Ischemic Heart Disease	36
Depression	18
Chronic Kidney Disease	29
Asthma	9
Osteoperosis	10
Atrial Fibrilation	10
Heart Failure	17
Chronic Obstructive Pulmonary Disease	15
Diabetes	38
Dementia	8
Cancer	10

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Nathan Wayne Hales, MD treated as an otolaryngologist in San Antonio, TX during 2015 were minimally invasive procedures, laryngeal (voice box) procedures, ear procedures and stroboscopy.

Volume of procedures performed by Dr. Nathan Wayne Hales, MD for Medicare patients.

diagnostic procedures	52
dissection	18
doctor visit	1035
ear procedures	106
endocrine surgery	29
excision	18
laryngeal (voice box) procedures	130
lymph node procedures	18
minimally invasive procedures	130
neck surgery	47
stroboscopy	70

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Nathan Wayne Hales, MD.

**Gender**
Male	494
Female	572

**Ethnicity**
Non-Hispanic White	652
Black	0
Hispanic	348
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	516
From 75 to 84	312
85 and over	94
Less than 65	144

Conditions of Medicare patients treated by Dr. Nathan Wayne Hales, MD in 2015

Hypertension	73
High Cholesterol	65
Stroke	4
Ischemic Heart Disease	40
Depression	20
Chronic Kidney Disease	30
Asthma	16
Osteoperosis	10
Atrial Fibrilation	10
Heart Failure	15
Chronic Obstructive Pulmonary Disease	18
Diabetes	41
Dementia	8
Cancer	10

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Nathan Wayne Hales, MD treated as an otolaryngologist in San Antonio, TX during 2016 were minimally invasive procedures, laryngeal (voice box) procedures, ear procedures and diagnostic procedures.

Volume of procedures performed by Dr. Nathan Wayne Hales, MD for Medicare patients.

diagnostic procedures	67
dissection	12
doctor visit	1065
ear procedures	117
endocrine surgery	12
excision	12
laryngeal (voice box) procedures	180
lymph node procedures	12
minimally invasive procedures	180
neck surgery	24
stroboscopy	62

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Nathan Wayne Hales, MD.

**Gender**
Male	264
Female	279

**Ethnicity**
Non-Hispanic White	342
Black	29
Hispanic	159
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	282
From 75 to 84	140
85 and over	56
Less than 65	65

Conditions of Medicare patients treated by Dr. Nathan Wayne Hales, MD in 2016

Hypertension	71
High Cholesterol	64
Stroke	4
Ischemic Heart Disease	37
Depression	19
Chronic Kidney Disease	36
Asthma	18
Osteoperosis	9
Atrial Fibrilation	9
Heart Failure	16
Chronic Obstructive Pulmonary Disease	16
Diabetes	36
Dementia	9
Cancer	10

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Nathan Wayne Hales, MD treated as an otolaryngologist in San Antonio, TX during 2017 were minimally invasive procedures, laryngeal (voice box) procedures, ear procedures and stroboscopy.

Volume of procedures performed by Dr. Nathan Wayne Hales, MD for Medicare patients.

diagnostic procedures	68
dissection	20
doctor visit	1020
ear procedures	123
endocrine surgery	33
excision	20
laryngeal (voice box) procedures	166
lymph node procedures	20
minimally invasive procedures	166
neck imaging	24
neck surgery	53
stroboscopy	85
ultrasound (sonogram)	24

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Nathan Wayne Hales, MD.

**Gender**
Male	262
Female	277

**Ethnicity**
Non-Hispanic White	337
Black	29
Hispanic	156
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	269
From 75 to 84	153
85 and over	57
Less than 65	60

Conditions of Medicare patients treated by Dr. Nathan Wayne Hales, MD in 2017

Hypertension	72
High Cholesterol	58
Stroke	4
Ischemic Heart Disease	35
Depression	19
Chronic Kidney Disease	37
Asthma	8
Osteoperosis	11
Atrial Fibrilation	8
Heart Failure	14
Chronic Obstructive Pulmonary Disease	15
Diabetes	35
Dementia	11
Cancer	11

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Nathan Wayne Hales, MD treated as an otolaryngologist in San Antonio, TX during 2018 were minimally invasive procedures, laryngeal (voice box) procedures, ear procedures and stroboscopy.

Volume of procedures performed by Dr. Nathan Wayne Hales, MD for Medicare patients.

diagnostic procedures	51
dissection	22
doctor visit	1051
ear procedures	97
endocrine surgery	17
excision	22
laryngeal (voice box) procedures	196
lymph node procedures	22
minimally invasive procedures	196
neck imaging	33
neck surgery	39
stroboscopy	77
ultrasound (sonogram)	33

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Nathan Wayne Hales, MD.

**Gender**
Male	258
Female	250

**Ethnicity**
Non-Hispanic White	321
Black	28
Hispanic	145
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	262
From 75 to 84	134
85 and over	56
Less than 65	56

Conditions of Medicare patients treated by Dr. Nathan Wayne Hales, MD in 2018

Hypertension	75
High Cholesterol	69
Stroke	4
Ischemic Heart Disease	38
Depression	19
Chronic Kidney Disease	37
Asthma	7
Osteoperosis	10
Atrial Fibrilation	9
Heart Failure	15
Chronic Obstructive Pulmonary Disease	14
Diabetes	33
Dementia	13
Cancer	11

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Nathan Wayne Hales, MD treated as an otolaryngologist in San Antonio, TX during 2019 were minimally invasive procedures, laryngeal (voice box) procedures, stroboscopy and ear procedures.

Volume of procedures performed by Dr. Nathan Wayne Hales, MD for Medicare patients.

diagnostic procedures	43
dissection	17
doctor visit	1171
ear procedures	76
endocrine surgery	17
excision	17
laryngeal (voice box) procedures	270
lymph node procedures	17
minimally invasive procedures	270
neck imaging	39
neck surgery	34
stroboscopy	82
ultrasound (sonogram)	39

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Nathan Wayne Hales, MD.

**Gender**
Male	301
Female	288

**Ethnicity**
Non-Hispanic White	369
Black	31
Hispanic	165
Asian	12
Other	12
Native American	0

**Age**
From 65 to 74	301
From 75 to 84	167
85 and over	56
Less than 65	65

Conditions of Medicare patients treated by Dr. Nathan Wayne Hales, MD in 2019

Hypertension	74
High Cholesterol	68
Stroke	4
Ischemic Heart Disease	39
Depression	17
Chronic Kidney Disease	40
Asthma	8
Osteoperosis	10
Atrial Fibrilation	11
Heart Failure	15
Chronic Obstructive Pulmonary Disease	13
Diabetes	32
Dementia	10
Cancer	11

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Nathan Wayne Hales, MD treated as an otolaryngologist in San Antonio, TX during 2020 were laryngeal (voice box) procedures, minimally invasive procedures, ear procedures and diagnostic procedures.

Volume of procedures performed by Dr. Nathan Wayne Hales, MD for Medicare patients.

diagnostic procedures	88
dissection	24
doctor visit	1297
ear procedures	122
endocrine surgery	11
excision	24
hospital care	42
inpatient care	42
laryngeal (voice box) procedures	189
lymph node procedures	24
minimally invasive procedures	189
neck imaging	41
neck surgery	35
stroboscopy	78
ultrasound (sonogram)	41

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Nathan Wayne Hales, MD.

**Gender**
Male	318
Female	312

**Ethnicity**
Non-Hispanic White	411
Black	23
Hispanic	174
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	318
From 75 to 84	199
85 and over	52
Less than 65	61

Conditions of Medicare patients treated by Dr. Nathan Wayne Hales, MD in 2020

Hypertension	73
High Cholesterol	71
Stroke	4
Ischemic Heart Disease	37
Depression	19
Chronic Kidney Disease	39
Asthma	5
Osteoperosis	9
Atrial Fibrilation	8
Heart Failure	14
Chronic Obstructive Pulmonary Disease	13
Diabetes	34
Dementia	7
Cancer	11

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Nathan Wayne Hales, MD treated as an otolaryngologist in San Antonio, TX during 2021 were laryngeal (voice box) procedures, minimally invasive procedures, ear procedures and diagnostic procedures.

Volume of procedures performed by Dr. Nathan Wayne Hales, MD for Medicare patients.

diagnostic procedures	117
dissection	15
doctor visit	1385
ear procedures	145
excision	15
hospital care	77
inpatient care	77
laryngeal (voice box) procedures	215
lymph node procedures	15
minimally invasive procedures	215
neck imaging	60
neck surgery	15
stroboscopy	117
ultrasound (sonogram)	60

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Nathan Wayne Hales, MD.

**Gender**
Male	324
Female	349

**Ethnicity**
Non-Hispanic White	449
Black	33
Hispanic	159
Asian	0
Other	16
Native American	0

**Age**
From 65 to 74	311
From 75 to 84	251
85 and over	58
Less than 65	53

Conditions of Medicare patients treated by Dr. Nathan Wayne Hales, MD in 2021

Hypertension	75
High Cholesterol	74
Stroke	5
Ischemic Heart Disease	38
Depression	19
Chronic Kidney Disease	39
Asthma	6
Osteoperosis	11
Atrial Fibrilation	11
Heart Failure	16
Chronic Obstructive Pulmonary Disease	11
Diabetes	32
Dementia	10
Cancer	12

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Nathan Wayne Hales, MD treated as an otolaryngologist in San Antonio, TX during 2022 were laryngeal (voice box) procedures, minimally invasive procedures, ear procedures and diagnostic procedures.

Volume of procedures performed by Dr. Nathan Wayne Hales, MD for Medicare patients.

diagnostic procedures	95
dissection	14
doctor visit	1239
ear procedures	118
endocrine surgery	16
excision	14
hospital care	31
inpatient care	31
laryngeal (voice box) procedures	174
lymph node procedures	14
minimally invasive procedures	174
neck imaging	39
neck surgery	30
stroboscopy	69
ultrasound (sonogram)	39

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Nathan Wayne Hales, MD.

**Gender**
Male	339
Female	323

**Ethnicity**
Non-Hispanic White	457
Black	22
Hispanic	159
Asian	0
Other	12
Native American	0

**Age**
From 65 to 74	336
From 75 to 84	229
85 and over	58
Less than 65	39

Conditions of Medicare patients treated by Dr. Nathan Wayne Hales, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	32
Depression	16
Chronic Kidney Disease	27
Asthma	10
Osteoperosis	15
Atrial Fibrilation	18
Heart Failure	14
Chronic Obstructive Pulmonary Disease	14
Diabetes	31
Dementia	5
Cancer	16

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Nathan Wayne Hales, MD for Medicare patients.

The highest averages for the top procedures that Dr. Nathan Wayne Hales, MD treated as an otolaryngologist in San Antonio, TX were allergy testing, skin testing, minimally invasive procedures and laryngeal (voice box) procedures.

allergy testing	554
diagnostic procedures	77
dissection	17
doctor visit	1069
ear procedures	121
endocrine surgery	18
excision	17
hospital care	50
inpatient care	50
laryngeal (voice box) procedures	171
lymph node procedures	17
minimally invasive procedures	222
neck imaging	34
neck surgery	34
skin testing	554
ultrasound (sonogram)	34

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Nathan Wayne Hales, MD.

**Gender**
Male	268
Female	283

**Ethnicity**
Black / African American	19
Asian / Pacific Islander	1
Non-Hispanic White	352
Native American / Alaskan Native	0
Hispanic	157
Other	3

**Age**
75 to 84	166
85 and over	52
Less than 65	58
65 to 74	274

Average of Total of Conditions of Medicare patients treated by Dr. Nathan Wayne Hales, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Nathan Wayne Hales, MD treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	66
High Cholesterol	60
Stroke	4
Ischemic Heart Disease	33
Depression	17
Chronic Kidney Disease	31
Asthma	8
Osteoporosis	9
Heart Failure	13
Chronic Obstructive Pulmonary Disease	13
Diabetes	32
Atrial Fibrillation	9
Dementia	8
Cancer	10

Education & Training

He completed residency at University of Oklahoma Health Sciences Center. He is certified by the American Board of Otolaryngology and has a state license in Texas.

Residency: University of Oklahoma Health Sciences Center (2008)

Board Certification: American Board of Otolaryngology

Licensed In: Texas

Affiliations & Hospitals

Dr. Nathan Wayne Hales, MD is associated with these hospitals and organizations:

Methodist Health System

Methodist Hospital

ENT Clinics of San Antonio, PA

Ratings & Reviews

Dr. Nathan Wayne Hales, MD has an exceptional overall rating with an average of 5.0 out of 5 stars based on 1 ratings. We collect ratings and reviews of Dr. Nathan Wayne Hales, MD from all over the web to help you find the right in San Antonio, TX.

Overall Rating

(1 Rating)

Leave a Review

Reviews Left On DocSpot

Overall Rating: 5.0 2025-02-02

Dr. Hales performed my surgery for thyroidectomy several years ago. I had Hashimoto's Thyroiditis (syndrome). He removed my thyroid quickly and with no issues.  Dr. Hales was able to make a minimal cut which resulted in quick healing and little to no scar. Wonderful bedside manor, very kind and very knowledgeable.  I recommend Dr Hales 100%

General Payments

These charts describe general payments received by Dr. Nathan Wayne Hales, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Intuitive Surgical, Inc.	$842 Da Vinci Surgical System $842
Aqua Pharmaceuticals	$198 Acticlate $198
E.R. Squibb & Sons, L.L.C.	$118 ERBITUX $77	OPDIVO $41
Novartis Pharmaceuticals Corporation	$99 TASIGNA $74	NON BRAND $25
Acclarent, Inc	$91 Rhinology $91
Other	$132 ERBITUX $34	VYXEOS $28	Checkpoint Stimulators $25	FISHER & PAYKEL HEALTHCARE $17	Provox Vega $16	Other $11

**Types of Payments**
Education	$750
Food and Beverage	$731

Research Payments

Dr. Nathan Wayne Hales, MD has received 4 research payments totaling $154,239.

Biography

Dr. Nathan Hales is an otolaryngology (ear, nose, and throat) specialist in San Antonio, TX. Dr. Hales is conversant in Spanish. These areas are among his clinical interests: hyperparathyroidism, thyroid cancer, and thyroid surgery. He is affiliated with Methodist Hospital. He obtained his medical school training at the University of Texas Medical School at Houston and performed his residency at the University of Oklahoma Health Sciences Center. Dr. Hales's distinctions include: Texas Super Doctors and Texas Rising Stars. According to Doctor.com, new patients are welcome to contact his office in San Antonio, TX.