Unknown Individual – Urology Physician, NPI 1255325775
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
333 STATE ST STE 103
ERIE, PA 165071450
Phone: (814) 877-7157
Fax: (814) 877-2844
Type: Mailing
Peach Street, Peach Street Terrace, Erie, Erie County, Pennsylvania, 16508, United States
ERIE, PA 165071423
Phone: (814) 877-5700
Fax: (814) 877-5655
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $104.
Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.
Last reported payment date: 2024-02-20 • Largest payer in this snapshot: Teleflex LLC ($34).
Total Amount
$104
General + Research + Ownership
Payments
5
Total payment records
General Amount
$104
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-20
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 53 | 53 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 46 | 39 | $0 |
Insurance plans in this area (ZIP 16507)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | OH | 55700 | Biopsy of prostate gland | 20 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | WV | |
| U R O L O G Y | WV | |
| - | WV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WV | |
| Family Practice, Emergency Medicine | WV | |
| General Surgery | WV | |
| P O D I A T R Y | WV | |
| Orthopedic Surgery | MD | |
| Cardiovascular Disease (Cardiology) | WV | |
| Nurse Practitioner | WV |
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