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Dr. Nathan Wayne Hales, MD

Accepting New Patients

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

University of Texas Medical School at Houston (2003)

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

5715 Rogers Road
San Antonio, TX 78251

(210) 249-4840

Dr. Nathan Wayne Hales, MD is an otolaryngologist in San Antonio, TX specializing in otolaryngology (ear, nose, and throat). He graduated from University of Texas Medical School at Houston in 2003 and has 21 years of experience. Dr. Nathan Wayne Hales, MD is affiliated with Methodist Health System, Methodist Physicians, CHRISTUS Health, Methodist Hospital, TEXAS EAR, NOSE AND THROAT SPECIALISTS, PLLC and SAN ANTONIO HEAD AND NECK SURGICAL ASSOCIATES PA.

Office Locations

Address:

5715 Rogers Road
San Antonio, TX 78251

Address:

4775 Hamilton Wolfe
San Antonio, TX 78229

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.

In The News

“Oncology San Antonio physicians Drs. Rajiv Dahiya, a radiation oncologist, and Syed Raza, a medical oncologist, will work with Dr. Nathan Hales, an ear, nose, and throat oncologic surgeon of ENT...”—"Downtown clinic offers free cancer screenings", My San Antonio, April 2012

“Oncology San Antonio physicians Drs. Rajiv Dahiya, a radiation oncologist, and Syed Raza, a medical oncologist, will work with Dr. Nathan Hales, an ear, nose, and throat oncologic surgeon of ENT...”—"Free cancer screenings to be offered", My San Antonio, April 2012

diagnostic procedures	95
doctor visit	788
ear procedures	147
laryngeal (voice box) procedures	113
minimally invasive procedures	113
neck imaging	15
stroboscopy	62
ultrasound (sonogram)	15

**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

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

diagnostic procedures	98
dissection	14
doctor visit	967
ear procedures	158
endocrine surgery	12
excision	14
laryngeal (voice box) procedures	146
lymph node procedures	14
minimally invasive procedures	146
neck imaging	23
neck surgery	26
stroboscopy	71
ultrasound (sonogram)	23

**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

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

diagnostic procedures	50
dissection	17
doctor visit	1029
ear procedures	103
endocrine surgery	27
excision	17
laryngeal (voice box) procedures	129
lymph node procedures	17
minimally invasive procedures	129
neck surgery	44
stroboscopy	69

**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

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

diagnostic procedures	65
dissection	11
doctor visit	1059
ear procedures	114
endocrine surgery	10
excision	11
laryngeal (voice box) procedures	179
lymph node procedures	11
minimally invasive procedures	179
neck surgery	21
stroboscopy	61

**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

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

diagnostic procedures	66
dissection	19
doctor visit	1014
ear procedures	120
endocrine surgery	31
excision	19
laryngeal (voice box) procedures	165
lymph node procedures	19
minimally invasive procedures	165
neck imaging	23
neck surgery	50
stroboscopy	84
ultrasound (sonogram)	23

**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

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

diagnostic procedures	49
dissection	21
doctor visit	1045
ear procedures	94
endocrine surgery	15
excision	21
laryngeal (voice box) procedures	195
lymph node procedures	21
minimally invasive procedures	195
neck imaging	32
neck surgery	36
stroboscopy	76
ultrasound (sonogram)	32

**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

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

diagnostic procedures	41
dissection	16
doctor visit	1165
ear procedures	73
endocrine surgery	15
excision	16
laryngeal (voice box) procedures	269
lymph node procedures	16
minimally invasive procedures	269
neck imaging	38
neck surgery	31
stroboscopy	81
ultrasound (sonogram)	38

**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

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

diagnostic procedures	86
dissection	23
doctor visit	1291
ear procedures	119
endocrine surgery	9
excision	23
hospital care	41
inpatient care	41
laryngeal (voice box) procedures	188
lymph node procedures	23
minimally invasive procedures	188
neck imaging	40
neck surgery	32
stroboscopy	77
ultrasound (sonogram)	40

**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

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

diagnostic procedures	210
dissection	28
doctor visit	2618
ear procedures	260
endocrine surgery	14
excision	28
hospital care	107
inpatient care	107
laryngeal (voice box) procedures	388
lymph node procedures	28
minimally invasive procedures	388
neck imaging	98
neck surgery	42
stroboscopy	185
ultrasound (sonogram)	98

Average Medicare Procedure Volume From 2013 - 2021

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 laryngeal (voice box) procedures, minimally invasive procedures, ear procedures and diagnostic procedures.

diagnostic procedures	84
dissection	18
doctor visit	1219
ear procedures	132
endocrine surgery	17
excision	18
hospital care	74
inpatient care	74
laryngeal (voice box) procedures	196
lymph node procedures	18
minimally invasive procedures	196
neck imaging	38
neck surgery	36
ultrasound (sonogram)	38

Average Medicare Patient Data From 2013 - 2021

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

**Gender**
Male	229
Female	244

**Ethnicity**
Black / African American	16
Asian / Pacific Islander	1
Non-Hispanic White	296
Native American / Alaskan Native	0
Hispanic	141
Other	1

**Age**
75 to 84	135
85 and over	46
Less than 65	55
65 to 74	237

Average of Total of Conditions of Medicare patients treated by Dr. Nathan Wayne Hales, MD From 2013 - 2021

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	58
High Cholesterol	52
Stroke	3
Ischemic Heart Disease	29
Depression	15
Chronic Kidney Disease	27
Asthma	7
Osteoporosis	7
Heart Failure	12
Chronic Obstructive Pulmonary Disease	11
Diabetes	29
Atrial Fibrillation	7
Cancer	8
Dementia	7

Education & Training

Dr. Nathan Wayne Hales, MD graduated from University of Texas Medical School at Houston in 2003. He completed residency at University of Oklahoma Health Sciences Center. He has a state license in Texas.

Medical School: University of Texas Medical School at Houston (2003)

Residency: University of Oklahoma Health Sciences Center (2008)

Licensed In: Texas

Affiliations & Hospitals

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

Methodist Health System

Methodist Physicians

CHRISTUS Health

Methodist Hospital

TEXAS EAR, NOSE AND THROAT SPECIALISTS, PLLC

SAN ANTONIO HEAD AND NECK SURGICAL ASSOCIATES PA

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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 a medical specialist in otolaryngology (ear, nose, and throat). Dr. Hales's clinical interests include hearing loss, throat cancer, and thyroid cancer. He graduated from the University of Texas Medical School at Houston. He is affiliated with Methodist Healthcare and CHRISTUS Health. According to Doctor.com, new patients are welcome to contact his office in San Antonio, TX.

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Dr. Nathan Wayne Hales, MD

Office Locations

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

In The News

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

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

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

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

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

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

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

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

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

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

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

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

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

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

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

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

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Nathan Wayne Hales, MD From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Research Payments

Biography

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