Active NPI 1609133081 Individual Practitioner Male Practitioner

Dr. Ram Anil Pathak , MD

Urology • Jacksonville, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ram Pathak, MD is a certified Urology practicing in Jacksonville, FL. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Pathak delivers high-quality medical care to the local community at 4500 SAN PABLO RD S.

Dr. Pathak is affiliated with Mayo Clinic Jacksonville and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, surgical removal of prostate and surrounding lymph nodes 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

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000

Associated Practice Facility / Clinic

🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Jacksonville, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -12.4 yrs vs City Avg

City Avg: 26.4 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

64 Specialists

Practicing in Jacksonville, FL (1082 Statewide)

Telehealth Adoption Rate

37.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

88.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pathak (14 Years) 14 Yrs

Jacksonville Specialty Average (26.4 Years) 26.4 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	209	209	$743.00	$161.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	149	$473.00	$123.94
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	58	58	$10924.00	$1180.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	55	37	$469.00	$115.48
55700 Biopsy of prostate gland	53	52	$1125.00	$128.60
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	45	45	$4278.57	$328.30
51798 Ultrasound measurement of bladder capacity after voiding	40	39	$116.00	$10.64
99213 Established patient office or other outpatient visit, typically 15 minutes	38	37	$312.00	$88.30
J1580 Injection, garamycin, gentamicin, up to 80 mg	27	25	$51.64	$2.60
52000 Diagnostic exam of bladder and urethra using an endoscope	18	18	$1059.00	$219.98
99284 Emergency department visit with moderate level of medical decision making	17	17	$1433.00	$120.62
74420 Imaging of urinary tract	15	15	$587.00	$23.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$474.00	$104.16
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	13	13	$71.00	$16.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	193	193	$707.00	$160.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	125	$450.00	$124.81
99213 Established patient office or other outpatient visit, typically 15 minutes	69	52	$296.00	$88.07
55700 Biopsy of prostate gland	51	50	$1049.02	$126.99
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	48	48	$10306.00	$1181.68
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	46	46	$3624.99	$318.79
J1580 Injection, garamycin, gentamicin, up to 80 mg	35	28	$50.83	$2.76
51798 Ultrasound measurement of bladder capacity after voiding	32	27	$110.00	$10.21
52000 Diagnostic exam of bladder and urethra using an endoscope	29	22	$1004.00	$229.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	16	$452.00	$116.32
74420 Imaging of urinary tract	17	15	$615.00	$23.95
76999 Other ultrasound procedure	16	16	$1326.81	$63.21
99284 Emergency department visit with moderate level of medical decision making	12	12	$1500.00	$122.29
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$5723.96	$428.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	171	171	$652.56	$164.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	115	$373.84	$125.57
52000 Diagnostic exam of bladder and urethra using an endoscope	43	43	$858.70	$239.19
51798 Ultrasound measurement of bladder capacity after voiding	43	42	$85.09	$9.80
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$296.00	$89.63
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	27	27	$10306.00	$1456.92
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	25	$46.00	$22.27
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	25	25	$3874.74	$333.03
55700 Biopsy of prostate gland	23	23	$1046.74	$128.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$439.20	$104.11
74420 Imaging of urinary tract	19	16	$532.11	$24.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	11	$442.67	$101.67
81002 Urinalysis, manual test	17	17	$13.00	$3.48
J3260 Injection, tobramycin sulfate, up to 80 mg	15	14	$40.53	$2.21
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$1407.00	$307.72
76999 Other ultrasound procedure	15	15	$1333.00	$68.56
J1580 Injection, garamycin, gentamicin, up to 80 mg	13	13	$43.68	$2.43

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	199	160	$291.00	$125.34
52000 Diagnostic exam of bladder and urethra using an endoscope	82	70	$720.00	$225.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$441.00	$163.35
51798 Ultrasound measurement of bladder capacity after voiding	33	29	$47.00	$9.68
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$201.00	$88.69
81002 Urinalysis, manual test	27	27	$13.00	$3.39
74420 Imaging of urinary tract	15	12	$90.00	$24.54
81000 Manual urinalysis test with examination using microscope, non-automated	15	14	$15.00	$4.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	13	$550.00	$194.50

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	291	230	$293.89	$104.71
52000 Diagnostic exam of bladder and urethra using an endoscope	69	55	$849.13	$203.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$433.19	$154.58
81002 Urinalysis, manual test	32	27	$14.46	$3.37
51798 Ultrasound measurement of bladder capacity after voiding	23	22	$80.22	$9.21
74420 Imaging of urinary tract	20	19	$72.50	$25.21
81000 Manual urinalysis test with examination using microscope, non-automated	17	12	$20.82	$4.00
99443 Telephone medical discussion with physician, 21-30 minutes	12	11	$245.50	$102.68

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	265	177	$296.00	$104.26
81000 Manual urinalysis test with examination using microscope, non-automated	153	113	$31.50	$3.89
81002 Urinalysis, manual test	85	69	$15.75	$3.41
52000 Diagnostic exam of bladder and urethra using an endoscope	78	63	$990.00	$181.22
51798 Ultrasound measurement of bladder capacity after voiding	48	41	$105.00	$11.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$420.00	$157.11
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	23	23	$2126.00	$256.50
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	13	$4112.22	$108.84
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$218.00	$71.78
74420 Imaging of urinary tract	14	12	$55.00	$25.56
81015 Urinalysis using microscope	13	13	$27.00	$3.13
76872 Ultrasound scan of pelvic region through rectum	12	12	$374.00	$122.63
55700 Biopsy of prostate gland	11	11	$961.00	$242.26
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$377.00	$55.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	118	98	$31.50	$3.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	66	$296.00	$103.08
81002 Urinalysis, manual test	64	53	$15.75	$3.30
52000 Diagnostic exam of bladder and urethra using an endoscope	54	51	$990.00	$158.32
51798 Ultrasound measurement of bladder capacity after voiding	46	40	$105.00	$14.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$420.00	$157.52
99213 Established patient office or other outpatient visit, typically 15 minutes	36	36	$218.00	$68.44
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	17	$3953.34	$118.76
52240 Destruction and/or removal of large growth of bladder using an endoscope	12	11	$4027.00	$386.78
51700 Simple bladder irrigation and/or instillation	12	12	$273.00	$68.75
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$2126.00	$236.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$179.55	$155.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$142.33	$102.31

Medical Specialties & State Licenses

CMS Verified: 2022-03-17

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME120400

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 NC 2017-00795

Hospital & Practice Group Affiliations

Mayo Clinic Jacksonville

4500 San Pablo Rd S, Jacksonville, FL 322241865

Phone: 9049532000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

Dr. Ricardo Pagan , MD

Hospitalist

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

15 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2022

Urology (License #2017-00795 in NC)

📍

Updated Practice Location March 01, 2022

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍

Updated Business Mailing Address March 01, 2022

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2022

Urology (License #ME120400 in FL)

✅

NPI Profile Active June 30, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2017

Registered at 140 CHARLOIS BLVD, WINSTON SALEM, NC 271031522 (Tel: 3367164131)

📍

Updated Business Mailing Address June 30, 2017

Registered at PO BOX 602658, CHARLOTTE, NC 282602658 (Tel: (336) 716-2011)

👤

Provider Name / Credentials Updated June 30, 2017

Recorded as RAM PATHAK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2017

Urology (License #2017-00795 in NC)

✅

NPI Profile Active June 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 12, 2016

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍

Updated Business Mailing Address June 12, 2016

Registered at 4246 POINT LA VISTA RD W, JACKSONVILLE, FL 322076248 (Tel: 9045533461)

👤

Provider Name / Credentials Updated June 12, 2016

Recorded as RAM PATHAK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2016

Urology (License #ME120400 in FL)

🟢

Initial NPI Registration & Enumeration April 23, 2012

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: 1609133081

Entity Type:

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

Enumeration Date: April 23, 2012

Last Update: March 17, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Phone: 9049532000

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.