I assume most people and businesses do this, but I try to be familiar with many different methodologies and practices as possible. I try to use the ideas and techniques that best fit the situation at hand. If I'm doing a large scale project, I try to do more work gathering requirements upfront, but if the project is much smaller I may just sit down with the project owner for a quick discussion and start designing and implementing from that.
I know some people are much more religious about this, and the idea of mixing and matching between different methodologies would be heresy, but it really does work. There are times that it is good to be strict and keep with consistent policies and procedures, but there seem to be many more occasions where flexibility is king. Within certain constraints and with a good understanding of software development, it can be very advantageous to be flexible. In days with tight schedules, limited resources, and never ending requirements we must do what we can to thrive and create great software.