Active NPI 1386726453 Individual Practitioner Male Practitioner

Dr. Ralph A Highshaw , MD

Urology • Palm Coast, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Highshaw, MD is a certified Urology practicing in Palm Coast, FL. With approximately 33 years of clinical experience since graduating from University Of Southern California Keck School Of Medicine in 1993, Dr. Highshaw delivers high-quality medical care to the local community at 61 MEMORIAL MEDICAL PKWY STE 3807.

Dr. Highshaw is affiliated with Florida Hospital Healthcare Partners, Inc 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, new patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

61 Memorial Medical Pkwy Ste 3807

Palm Coast, FL 321645982

Telephone 3865861705

Fax 3865861706

Associated Practice Facility / Clinic

🏢 Sacred Heart Health System, Inc. Facility NPI 1619928165

Medicare Profile & Education

Medical School

University Of Southern California Keck School Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Palm Coast, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs -2.4 yrs vs City Avg

City Avg: 35.4 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

6 Specialists

Practicing in Palm Coast, FL (1082 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Highshaw (33 Years) 33 Yrs

Palm Coast Specialty Average (35.4 Years) 35.4 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	190	114	$535.00	$180.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	162	162	$661.00	$220.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	77	$382.00	$128.19
81003 Automated urinalysis test	48	37	$7.00	$2.17
99213 Established patient office or other outpatient visit, typically 15 minutes	43	38	$270.00	$90.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$500.00	$167.06
52000 Diagnostic exam of bladder and urethra using an endoscope	30	27	$709.00	$233.74
51798 Ultrasound measurement of bladder capacity after voiding	30	29	$32.00	$10.70
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	20	$524.52	$156.96
76872 Ultrasound scan of pelvic region through rectum	20	20	$97.00	$32.16
55700 Biopsy of prostate gland	19	19	$395.00	$132.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$526.00	$173.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$396.00	$129.06
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$1256.00	$401.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$661.00	$218.65

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	70	50	$223.78	$115.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$199.11	$109.97
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$159.66	$88.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$297.75	$160.98
52000 Diagnostic exam of bladder and urethra using an endoscope	15	15	$242.14	$155.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$351.38	$135.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	141	109	$274.00	$82.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	94	$390.00	$117.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	37	$116.11	$35.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	37	$217.11	$71.68
99221 Initial hospital inpatient care per day, typically 30 minutes	42	42	$308.00	$103.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$412.11	$132.02
52000 Diagnostic exam of bladder and urethra using an endoscope	33	26	$698.00	$164.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	28	$541.41	$168.07
74420 Imaging of urinary tract	23	19	$76.00	$24.15
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	20	$1353.73	$132.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$507.56	$159.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$339.00	$101.41
76872 Ultrasound scan of pelvic region through rectum	14	14	$367.64	$96.19
55700 Biopsy of prostate gland	14	14	$753.00	$210.76
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$2250.00	$756.40

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	206	130	$328.00	$94.69
99213 Established patient office or other outpatient visit, typically 15 minutes	101	76	$226.00	$64.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	40	$441.00	$132.29
52000 Diagnostic exam of bladder and urethra using an endoscope	55	50	$631.84	$141.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	32	$222.00	$72.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	43	$425.00	$139.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	34	$122.00	$39.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$500.00	$156.71
99221 Initial hospital inpatient care per day, typically 30 minutes	28	26	$316.00	$106.06
74420 Imaging of urinary tract	28	25	$77.68	$26.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$632.00	$193.49
76872 Ultrasound scan of pelvic region through rectum	17	16	$252.82	$84.68
55700 Biopsy of prostate gland	17	16	$753.59	$192.82
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	14	$1398.94	$127.97
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	15	$1313.67	$434.59
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$878.58	$216.83

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	180	113	$207.24	$93.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	160	101	$268.85	$128.33
99213 Established patient office or other outpatient visit, typically 15 minutes	51	44	$140.18	$61.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	47	47	$424.70	$191.70
52000 Diagnostic exam of bladder and urethra using an endoscope	38	33	$277.45	$124.91
74420 Imaging of urinary tract	35	28	$79.00	$26.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$421.00	$135.16
99221 Initial hospital inpatient care per day, typically 30 minutes	21	20	$313.00	$103.69
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	16	$1321.00	$419.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$121.00	$40.06
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	15	$1466.38	$121.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$316.00	$148.32
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$2303.00	$763.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$178.60	$90.26

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	124	79	$195.15	$88.37
99213 Established patient office or other outpatient visit, typically 15 minutes	89	65	$130.81	$60.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	43	$69.92	$33.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	31	$259.21	$126.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$410.67	$138.04
74420 Imaging of urinary tract	27	22	$54.00	$17.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$231.00	$96.06
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	16	$1460.00	$139.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$304.76	$146.66
52000 Diagnostic exam of bladder and urethra using an endoscope	16	16	$203.50	$99.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$596.75	$204.56
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$1360.86	$449.42
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$118.15	$60.06
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$313.00	$102.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	87	$30.89	$25.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	68	$420.00	$135.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$139.34	$129.63
99213 Established patient office or other outpatient visit, typically 15 minutes	67	53	$54.49	$50.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	53	$87.56	$77.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$91.35	$76.78
74420 Imaging of urinary tract	38	35	$54.00	$17.57
52356 Crushing of stone of ureter with insertion of stent using an endoscope	24	24	$1368.67	$448.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	19	$221.00	$72.30
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$313.00	$102.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$201.25	$170.55
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$74.93	$53.97

Medical Specialties & State Licenses

CMS Verified: 2023-10-25

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME129129

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.

Hospital & Practice Group Affiliations

Florida Hospital Healthcare Partners, Inc

60 Memorial Medical Pkwy, Palm Coast, FL 321645980

Phone: 3865862000

Secondary Practice Locations

4511 N Davis Hwy # C1

Pensacola, FL 325032720

Phone: 8504161950

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Arnaldo Trabucco , MD

Urology

NPI 1104892611

Doctor of Medicine (M.D.)

Andrea Husen , APRN

Nurse Practitioner - Family

NPI 1588201875

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location October 25, 2023

Registered at 61 MEMORIAL MEDICAL PKWY STE 3807, PALM COAST, FL 321645982 (Tel: 3865861705)

📍

Updated Practice Location April 14, 2022

Registered at 4511 N DAVIS HWY # C1, PENSACOLA, FL 325032720 (Tel: 8504161950)

📍

Updated Business Mailing Address April 14, 2022

Registered at 4205 BELFORT RD STE 4015, JACKSONVILLE, FL 322163623 (Tel: 9044506063)

✅

NPI Profile Active November 09, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2016

Registered at 6748 GALL BLVD, ZEPHYRHILLS, FL 335422544 (Tel: 8137791209)

📍

Updated Business Mailing Address November 09, 2016

Registered at 6748 GALL BLVD, ZEPHYRHILLS, FL 335422544 (Tel: 8137791209)

👤

Provider Name / Credentials Updated November 09, 2016

Recorded as RALPH HIGHSHAW, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2016

Urology (License #ME129129 in FL)

🟢

Initial NPI Registration & Enumeration October 19, 2006

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: 1386726453

Entity Type:

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

Enumeration Date: October 19, 2006

Last Update: October 25, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4205 Belfort Rd Ste 4015

Jacksonville, FL 322163623

Phone: 9044506063

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.