Active NPI 1740400316 Individual Practitioner Male Practitioner

Dr. Ty Toshiro Higuchi , MD, PhD

Urology • Aurora, CO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ty Higuchi, MD, PhD is a certified Urology practicing in Aurora, CO. With approximately 20 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 2006, Dr. Higuchi delivers high-quality medical care to the local community at 12605 E 16TH AVE.

Dr. Higuchi is affiliated with University Physicians Incorporated and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12605 E 16th Ave

Aurora, CO 800452545

Telephone 7207771234

Associated Practice Facility / Clinic

🏢 University Of Colorado Hospital Authority Facility NPI 1477531580

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Aurora, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +3.0 yrs vs City Avg

City Avg: 17.0 Yrs

State Avg: 21.5 Yrs

Regional Practice Density

27 Specialists

Practicing in Aurora, CO (257 Statewide)

Telehealth Adoption Rate

59.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

82.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higuchi (20 Years) 20 Yrs

Aurora Specialty Average (17.0 Years) 17.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	133	$388.00	$96.18
81003 Automated urinalysis test	92	69	$12.00	$2.20
52000 Diagnostic exam of bladder and urethra using an endoscope	87	84	$921.00	$75.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	57	$496.00	$128.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$530.00	$132.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$657.36	$168.36
52000 Diagnostic exam of bladder and urethra using an endoscope	30	28	$1264.00	$228.93
51798 Ultrasound measurement of bladder capacity after voiding	26	25	$98.00	$11.71
51741 Electronic assessment of bladder emptying	26	23	$231.00	$5.40
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$263.00	$65.32
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	18	18	$642.00	$122.37
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	18	18	$386.00	$18.04
51741 Electronic assessment of bladder emptying	16	16	$331.00	$11.72
74420 Imaging of urinary tract	15	13	$98.79	$22.48
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	12	$981.58	$140.71
76872 Ultrasound scan of pelvic region through rectum	13	12	$139.00	$32.01
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$353.46	$89.56
55700 Biopsy of prostate gland	12	11	$744.00	$127.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	127	$388.00	$98.48
52000 Diagnostic exam of bladder and urethra using an endoscope	103	94	$921.00	$73.12
81003 Automated urinalysis test	85	68	$12.00	$2.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$530.00	$133.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	50	$507.72	$129.20
51741 Electronic assessment of bladder emptying	53	48	$231.00	$5.52
99213 Established patient office or other outpatient visit, typically 15 minutes	38	32	$263.00	$66.62
51798 Ultrasound measurement of bladder capacity after voiding	36	36	$98.00	$11.32
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	35	35	$642.00	$124.58
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	34	34	$386.00	$18.55
74420 Imaging of urinary tract	29	23	$102.00	$24.69
52000 Diagnostic exam of bladder and urethra using an endoscope	27	25	$1264.00	$248.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$661.00	$170.07
51741 Electronic assessment of bladder emptying	18	17	$331.00	$12.44
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$777.00	$150.55
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	12	$995.00	$127.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$572.00	$144.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$325.00	$83.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	134	$388.00	$99.77
52000 Diagnostic exam of bladder and urethra using an endoscope	114	103	$921.00	$76.91
81003 Automated urinalysis test	113	83	$12.00	$2.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$530.00	$137.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	50	$470.22	$129.61
51741 Electronic assessment of bladder emptying	57	55	$231.00	$4.93
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	47	47	$642.00	$126.88
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	42	42	$386.00	$18.85
99213 Established patient office or other outpatient visit, typically 15 minutes	40	35	$263.00	$67.94
52000 Diagnostic exam of bladder and urethra using an endoscope	40	32	$1179.03	$241.89
74420 Imaging of urinary tract	37	26	$102.00	$24.58
51798 Ultrasound measurement of bladder capacity after voiding	36	31	$98.00	$11.18
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	22	$923.36	$109.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$650.09	$170.21
51741 Electronic assessment of bladder emptying	19	16	$331.00	$11.31
52648 Laser vaporization of prostate including control of bleeding using an endoscope	17	17	$3525.00	$680.83
51705 Removal of skin suture with change of bladder tube	17	15	$343.00	$50.43
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	15	$2376.12	$442.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$325.00	$84.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$141.00	$36.73
53445 Insertion of inflatable urethra or bladder neck sphincter	12	12	$12182.00	$770.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	182	$349.33	$101.20
52000 Diagnostic exam of bladder and urethra using an endoscope	129	118	$921.00	$77.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$521.75	$138.56
81003 Automated urinalysis test	93	67	$12.00	$2.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	49	$401.14	$132.63
51741 Electronic assessment of bladder emptying	47	47	$231.00	$4.96
52000 Diagnostic exam of bladder and urethra using an endoscope	44	37	$946.50	$216.15
51798 Ultrasound measurement of bladder capacity after voiding	41	37	$98.00	$10.95
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	41	41	$642.00	$126.91
99213 Established patient office or other outpatient visit, typically 15 minutes	41	39	$224.95	$68.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$610.47	$172.75
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	32	32	$386.00	$18.67
74420 Imaging of urinary tract	32	25	$102.00	$25.48
51741 Electronic assessment of bladder emptying	27	26	$331.00	$11.30
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	19	$827.84	$116.55
51705 Removal of skin suture with change of bladder tube	21	11	$343.00	$52.70
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	19	19	$777.00	$153.39
52648 Laser vaporization of prostate including control of bleeding using an endoscope	13	13	$3525.00	$709.24
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	12	$2289.54	$380.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$550.00	$149.46
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	11	11	$1962.64	$421.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	154	$311.54	$80.25
52000 Diagnostic exam of bladder and urethra using an endoscope	131	123	$921.00	$76.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$512.00	$132.12
51741 Electronic assessment of bladder emptying	78	72	$231.00	$5.43
99213 Established patient office or other outpatient visit, typically 15 minutes	54	52	$203.00	$52.36
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	53	53	$641.62	$130.63
74420 Imaging of urinary tract	33	26	$102.00	$26.00
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	30	30	$386.00	$19.79
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	25	25	$777.00	$147.12
51705 Removal of skin suture with change of bladder tube	24	18	$343.00	$50.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$118.00	$26.22
51797 Insertion of device into abdomen with pressure and urine flow rate study	17	17	$205.00	$41.92
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	12	$845.75	$128.16
81003 Automated urinalysis test	15	13	$12.00	$2.25
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	11	$2126.00	$431.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$512.00	$168.70
52281 Dilation of bladder canal (urethra) using an endoscope	11	11	$941.00	$157.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	314	234	$310.48	$78.71
52000 Diagnostic exam of bladder and urethra using an endoscope	138	123	$921.00	$72.71
51741 Electronic assessment of bladder emptying	96	79	$231.00	$6.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$512.00	$129.76
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	45	45	$641.00	$127.97
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	34	34	$386.00	$19.28
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$203.00	$51.31
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	26	25	$784.47	$157.28
74420 Imaging of urinary tract	23	21	$81.13	$25.98
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	18	$899.38	$111.81
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$4292.00	$720.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$118.00	$25.57
54405 Insertion of multi-component inflatable penile prosthesis	14	14	$4199.68	$843.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	258	205	$322.07	$78.74
52000 Diagnostic exam of bladder and urethra using an endoscope	144	121	$919.57	$71.49
99213 Established patient office or other outpatient visit, typically 15 minutes	92	84	$208.26	$51.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$525.60	$129.97
51741 Electronic assessment of bladder emptying	64	60	$231.00	$5.49
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	49	49	$641.00	$125.75
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	41	41	$386.00	$19.25
74420 Imaging of urinary tract	41	34	$72.00	$17.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	16	$286.34	$72.35
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	20	$902.36	$127.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$309.74	$77.60
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	18	$802.83	$152.43
51705 Removal of skin suture with change of bladder tube	16	13	$358.13	$53.96
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	14	$2383.50	$444.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$121.73	$25.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$465.33	$112.12
51797 Insertion of device into abdomen with pressure and urine flow rate study	13	13	$204.00	$41.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	183	$307.94	$78.44
99213 Established patient office or other outpatient visit, typically 15 minutes	200	155	$200.35	$51.26
52000 Diagnostic exam of bladder and urethra using an endoscope	165	147	$715.00	$89.73
51741 Electronic assessment of bladder emptying	91	84	$231.00	$6.15
74420 Imaging of urinary tract	52	40	$72.00	$17.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$302.51	$76.86
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	45	44	$638.89	$130.02
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	43	42	$777.00	$154.61
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	40	40	$386.00	$19.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	22	$283.38	$72.55
52332 Insertion of stent in urinary duct (ureter) using an endoscope	33	27	$981.00	$136.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	30	$108.21	$25.65
51797 Insertion of device into abdomen with pressure and urine flow rate study	30	29	$202.67	$41.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$511.48	$130.77
51705 Removal of skin suture with change of bladder tube	18	14	$343.00	$52.08
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	16	$2105.82	$416.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$537.67	$137.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$155.00	$39.49

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License CO 51360

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License MN 49741

Urology

NUCC Taxonomy Code: 208800000X

State License OH 35.097122

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

31778275 (CO)

Medicaid State Provider ID

856638000 (MN)

Commercial Insurance / Payer ID Medicare Railroad

P00804293 (MN)

Hospital & Practice Group Affiliations

University Physicians Incorporated

12605 E 16th Ave, Aurora, CO 800452545

Phone: 7208480000

University Physicians Incorporated

1635 Aurora Ct, Aurora, CO 800452541

Phone: 7208480000

University Physicians Incorporated

13123 E 16th Ave, Aurora, CO 800457106

Phone: 7207771234

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Erin Teravest , PA

Physician Assistant - Surgical

NPI 1003014259

Physician Assistant

Melissa Frazer , AA-C

Anesthesiologist Assistant

NPI 1003044801

AAC

Kristen Holder , FNP-C, APRN-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003067026

Family Nurse Practitioner (Certified), APRNBC

Jill Marks , RN, APN

Nurse Practitioner - Pediatrics

NPI 1003074105

Registered Nurse, Advanced Practice Nurse

Dr. Timothy Vanderkooy , MD

Emergency Medicine - Pediatric Emergency Medicine

NPI 1003135104

Doctor of Medicine (M.D.)

Dr. Emily Greenwald , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1003158288

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 11, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 11, 2013

Registered at 12605 E 16TH AVE, AURORA, CO 800452545 (Tel: 7207771234)

📍

Updated Business Mailing Address June 11, 2013

Registered at PO BOX 110429, AURORA, CO 800420429 (Tel: 3034937000)

👤

Provider Name / Credentials Updated June 11, 2013

Recorded as TY HIGUCHI, M.D., PH.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2013

Urology (License #51360 in CO)

🟢

Initial NPI Registration & Enumeration April 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740400316

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 26, 2007

Last Update: June 11, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 110429

Aurora, CO 800420429

Phone: 3034937000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.