Active NPI 1265651061 Individual Practitioner Male Practitioner

Daniel M Kaplon

Urology • Sarasota, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Daniel Kaplon is a certified Urology practicing in Sarasota, FL. With approximately 23 years of clinical experience since graduating from Pennsylvania State University College Of Medicine in 2003, Daniel Kaplon delivers high-quality medical care to the local community at 1921 WALDEMERE ST STE 310.

Daniel Kaplon is affiliated with Smh Physician Services Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, onabotulinumtoxina, 1 unit, established 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

1921 Waldemere St Ste 310

Sarasota, FL 342392941

Telephone 9419175400

Fax 9419175420

Associated Practice Facility / Clinic

🏢 Smh Physician Services Inc Facility NPI 1275022857

Medicare Profile & Education

Medical School

Pennsylvania State University College Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Sarasota, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -5.5 yrs vs City Avg

City Avg: 28.5 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

23 Specialists

Practicing in Sarasota, FL (1082 Statewide)

Telehealth Adoption Rate

21.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

59.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kaplon (23 Years) 23 Yrs

Sarasota Specialty Average (28.5 Years) 28.5 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
J0585 Injection, onabotulinumtoxina, 1 unit	2,100	12	$10.00	$6.25
99213 Established patient office or other outpatient visit, typically 15 minutes	1,656	1,287	$151.00	$87.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,399	1,050	$219.00	$124.29
81003 Automated urinalysis test	840	585	$6.00	$2.20
52000 Diagnostic exam of bladder and urethra using an endoscope	474	343	$454.00	$227.09
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg	275	19	$12.00	$3.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	173	173	$333.00	$163.56
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	132	30	$550.00	$178.06
99441 Telephone medical discussion with physician, 5-10 minutes	117	97	$96.00	$53.80
55700 Biopsy of prostate gland	77	76	$506.00	$128.11
76872 Ultrasound scan of pelvic region through rectum	77	76	$69.00	$31.22
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	76	65	$108.00	$52.25
51720 Instillation of anti-cancer drug into bladder	69	24	$216.00	$85.44
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	59	45	$1431.00	$731.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	38	$148.00	$74.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	52	$283.00	$126.14
52332 Insertion of stent in urinary duct (ureter) using an endoscope	43	36	$1270.00	$124.90
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	41	41	$726.00	$305.55
76000 Imaging guidance for procedure, 60 minutes or less	40	34	$32.00	$14.60
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	40	33	$67.00	$33.30
52356 Crushing of stone of ureter with insertion of stent using an endoscope	39	38	$882.00	$417.90
51798 Ultrasound measurement of bladder capacity after voiding	37	36	$41.00	$10.62
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	34	29	$611.00	$279.35
J3490 Unclassified drugs	33	15	$1571.52	$1005.66
51705 Removal of skin suture with change of bladder tube	32	12	$213.00	$93.88
99221 Initial hospital inpatient care per day, typically 30 minutes	30	28	$211.00	$81.88
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	29	29	$3438.00	$1141.01
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	27	27	$1561.00	$340.82
11980 Insertion of hormone pellets beneath the skin	25	13	$200.00	$91.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$91.00	$54.72
55867 Simple surgical subtotal removal of prostate using laparoscope	20	20	$2129.00	$1032.84
52287 Exam with injections of chemical for destruction of bladder using an endoscope	18	14	$637.00	$370.63
52281 Dilation of bladder canal (urethra) using an endoscope	15	14	$569.00	$149.82
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$1640.00	$705.54
74420 Imaging of urinary tract	11	11	$51.00	$23.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,800	11	$10.00	$6.23
99213 Established patient office or other outpatient visit, typically 15 minutes	1,391	1,118	$151.00	$88.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,346	1,040	$219.00	$125.11
81003 Automated urinalysis test	801	569	$6.00	$2.20
52000 Diagnostic exam of bladder and urethra using an endoscope	457	334	$454.00	$232.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	210	210	$333.00	$164.43
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg	210	13	$12.00	$3.61
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	120	104	$108.00	$51.60
76872 Ultrasound scan of pelvic region through rectum	91	91	$112.76	$31.52
55700 Biopsy of prostate gland	91	91	$506.00	$128.99
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	78	18	$550.00	$172.29
99441 Telephone medical discussion with physician, 5-10 minutes	67	54	$96.00	$54.16
51720 Instillation of anti-cancer drug into bladder	62	19	$216.00	$85.78
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	58	46	$1416.03	$754.08
52332 Insertion of stent in urinary duct (ureter) using an endoscope	47	39	$1270.00	$135.40
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	41	41	$726.00	$311.10
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	38	38	$3399.21	$1139.88
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	36	36	$1525.42	$331.99
52356 Crushing of stone of ureter with insertion of stent using an endoscope	36	34	$882.00	$428.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$280.82	$129.68
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	31	27	$611.00	$285.88
76000 Imaging guidance for procedure, 60 minutes or less	30	28	$31.77	$15.71
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	27	20	$67.00	$32.41
11980 Insertion of hormone pellets beneath the skin	26	15	$196.54	$93.55
99221 Initial hospital inpatient care per day, typically 30 minutes	26	24	$211.00	$83.48
J3490 Unclassified drugs	25	14	$1792.00	$1262.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	17	$148.00	$78.57
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	18	17	$1618.67	$725.76
52287 Exam with injections of chemical for destruction of bladder using an endoscope	17	15	$637.00	$149.31
52240 Destruction and/or removal of large growth of bladder using an endoscope	17	15	$995.24	$388.73
52287 Exam with injections of chemical for destruction of bladder using an endoscope	17	12	$637.00	$379.26
74420 Imaging of urinary tract	15	14	$51.00	$23.98
51798 Ultrasound measurement of bladder capacity after voiding	15	15	$35.80	$10.23
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	15	15	$368.73	$33.46
51797 Insertion of device into abdomen with pressure and urine flow rate study	14	14	$374.00	$173.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$86.00	$49.78
52005 Insertion of tube into ureter using an endoscope through bladder area	14	14	$696.00	$130.95
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	14	14	$620.00	$331.91
52281 Dilation of bladder canal (urethra) using an endoscope	11	11	$563.27	$150.95
55867 Simple surgical subtotal removal of prostate using laparoscope	11	11	$2129.00	$1047.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,000	15	$10.00	$6.14
J9030 Bcg live intravesical instillation, 1 mg	2,150	14	$6.00	$2.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,568	1,152	$219.00	$126.62
99213 Established patient office or other outpatient visit, typically 15 minutes	1,441	1,133	$151.00	$89.83
81003 Automated urinalysis test	977	711	$6.00	$2.21
52000 Diagnostic exam of bladder and urethra using an endoscope	514	386	$454.00	$240.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	318	318	$333.00	$166.96
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg	260	13	$12.00	$3.82
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	153	26	$550.00	$174.49
99441 Telephone medical discussion with physician, 5-10 minutes	124	97	$96.00	$54.98
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	119	98	$108.00	$54.05
76872 Ultrasound scan of pelvic region through rectum	100	100	$250.00	$32.34
55700 Biopsy of prostate gland	99	99	$506.00	$131.07
51720 Instillation of anti-cancer drug into bladder	95	26	$211.12	$86.98
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	66	48	$1398.76	$784.97
J3490 Unclassified drugs	56	20	$1140.89	$811.02
76000 Imaging guidance for procedure, 60 minutes or less	47	38	$25.00	$15.80
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	47	25	$67.00	$32.25
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	38	37	$726.00	$320.79
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	37	35	$611.00	$279.87
11980 Insertion of hormone pellets beneath the skin	36	18	$194.00	$89.95
52332 Insertion of stent in urinary duct (ureter) using an endoscope	35	25	$1270.00	$110.49
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	34	34	$3345.76	$1354.31
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	30	30	$620.00	$365.26
51798 Ultrasound measurement of bladder capacity after voiding	30	30	$35.00	$10.17
51797 Insertion of device into abdomen with pressure and urine flow rate study	29	29	$374.00	$193.92
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	29	29	$2563.17	$337.66
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	28	28	$361.00	$32.17
52356 Crushing of stone of ureter with insertion of stent using an endoscope	27	25	$882.00	$420.54
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	25	25	$1584.44	$724.12
52287 Exam with injections of chemical for destruction of bladder using an endoscope	23	15	$637.00	$392.36
52001 Irrigation and removal of multiple blood clots from bladder and urethra using an endoscope	19	13	$773.00	$265.22
51741 Electronic assessment of bladder emptying	19	19	$152.21	$7.05
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	17	$423.00	$31.35
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	17	12	$1334.00	$100.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	14	$148.00	$70.71
52240 Destruction and/or removal of large growth of bladder using an endoscope	16	14	$979.88	$395.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$283.00	$134.84
99442 Telephone medical discussion with physician, 11-20 minutes	16	16	$158.00	$90.13
52281 Dilation of bladder canal (urethra) using an endoscope	13	12	$560.00	$153.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	11	$213.00	$101.73
74420 Imaging of urinary tract	12	11	$51.00	$24.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,200	16	$10.00	$6.08
99213 Established patient office or other outpatient visit, typically 15 minutes	1,904	1,413	$151.00	$92.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,369	1,042	$219.00	$130.90
81003 Automated urinalysis test	1,226	911	$6.00	$2.24
52000 Diagnostic exam of bladder and urethra using an endoscope	572	445	$454.00	$235.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	460	460	$333.00	$170.76
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	133	24	$550.00	$167.58
51798 Ultrasound measurement of bladder capacity after voiding	107	106	$35.00	$10.02
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	99	89	$108.00	$55.32
55700 Biopsy of prostate gland	97	97	$506.00	$134.03
76872 Ultrasound scan of pelvic region through rectum	96	96	$250.00	$33.13
99443 Telephone medical discussion with physician, 21-30 minutes	95	87	$229.00	$130.06
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	90	90	$423.00	$31.77
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	65	54	$1396.00	$809.90
51720 Instillation of anti-cancer drug into bladder	52	17	$208.00	$90.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	40	$294.00	$181.11
99442 Telephone medical discussion with physician, 11-20 minutes	47	42	$158.00	$92.85
76000 Imaging guidance for procedure, 60 minutes or less	46	44	$25.00	$16.25
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	46	26	$63.22	$31.56
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	43	20	$257.00	$126.74
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	39	38	$611.00	$296.22
52356 Crushing of stone of ureter with insertion of stent using an endoscope	39	38	$882.00	$438.13
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	35	35	$3256.71	$1440.48
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	34	34	$4564.00	$347.41
11980 Insertion of hormone pellets beneath the skin	34	16	$194.00	$97.09
J3490 Unclassified drugs	33	15	$1764.85	$1252.63
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	32	32	$726.00	$316.98
52332 Insertion of stent in urinary duct (ureter) using an endoscope	32	29	$1270.00	$123.04
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	29	29	$1558.83	$759.41
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	28	28	$620.00	$371.40
51797 Insertion of device into abdomen with pressure and urine flow rate study	28	28	$374.00	$186.05
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	28	28	$351.71	$33.46
74420 Imaging of urinary tract	21	20	$51.00	$25.37
52287 Exam with injections of chemical for destruction of bladder using an endoscope	19	16	$637.00	$391.93
51741 Electronic assessment of bladder emptying	17	17	$150.00	$8.96
52315 Complicated removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	15	$853.00	$472.50
52005 Insertion of tube into ureter using an endoscope through bladder area	17	17	$696.00	$132.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$283.00	$138.69
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	$421.00	$226.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	12	$148.00	$72.95
55831 Partial removal of the prostate gland	14	14	$1992.00	$986.32
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	11	11	$521.00	$235.66
76872 Ultrasound scan of pelvic region through rectum	11	11	$233.55	$131.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,413	1,080	$128.89	$75.67
J1644 Injection, heparin sodium, per 1000 units	1,335	15	$1.00	$0.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,217	925	$180.69	$109.94
81003 Automated urinalysis test	1,091	811	$6.00	$2.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	582	582	$286.96	$166.70
52000 Diagnostic exam of bladder and urethra using an endoscope	493	380	$454.00	$211.00
99442 Telephone medical discussion with physician, 11-20 minutes	123	113	$106.47	$68.54
51798 Ultrasound measurement of bladder capacity after voiding	111	105	$35.00	$10.00
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	85	16	$538.04	$220.13
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	84	18	$257.00	$126.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	84	15	$15.00	$1.44
51700 Simple bladder irrigation and/or instillation	71	17	$190.00	$75.39
55700 Biopsy of prostate gland	60	60	$506.00	$135.65
76872 Ultrasound scan of pelvic region through rectum	60	60	$250.00	$33.77
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	55	42	$1396.00	$763.34
99443 Telephone medical discussion with physician, 21-30 minutes	55	53	$168.96	$101.80
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	52	52	$423.00	$32.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	40	$247.53	$147.86
52315 Complicated removal of foreign body, stone, or stent in urethra or bladder using an endoscope	46	43	$853.00	$477.45
76000 Imaging guidance for procedure, 60 minutes or less	42	39	$25.00	$16.25
81002 Urinalysis, manual test	39	39	$16.00	$3.41
52332 Insertion of stent in urinary duct (ureter) using an endoscope	37	33	$1270.00	$121.68
52356 Crushing of stone of ureter with insertion of stent using an endoscope	35	32	$882.00	$449.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	33	33	$108.00	$54.95
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	30	30	$4564.00	$353.40
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	29	29	$3229.66	$1511.10
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	28	16	$61.00	$31.33
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	28	25	$611.00	$299.74
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	25	25	$620.00	$351.94
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	24	24	$350.00	$34.54
51797 Insertion of device into abdomen with pressure and urine flow rate study	24	24	$374.00	$161.68
J3490 Unclassified drugs	23	14	$1766.96	$1222.75
11980 Insertion of hormone pellets beneath the skin	23	14	$194.00	$96.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$353.10	$207.92
51705 Removal of skin suture with change of bladder tube	18	11	$125.00	$96.50
51741 Electronic assessment of bladder emptying	18	18	$150.00	$9.55
74420 Imaging of urinary tract	17	16	$36.00	$26.14
52005 Insertion of tube into ureter using an endoscope through bladder area	16	16	$696.00	$135.40
76872 Ultrasound scan of pelvic region through rectum	15	14	$225.87	$131.73
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$1544.29	$775.58
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	11	11	$642.00	$307.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,586	1,180	$112.00	$73.51
81003 Automated urinalysis test	811	606	$6.00	$2.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	765	628	$166.13	$107.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	513	513	$265.00	$164.40
52000 Diagnostic exam of bladder and urethra using an endoscope	420	328	$454.00	$187.99
81002 Urinalysis, manual test	104	101	$16.00	$3.41
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	74	72	$108.00	$52.73
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	58	34	$1396.00	$722.22
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	56	13	$437.00	$215.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	39	$225.00	$144.87
52315 Complicated removal of foreign body, stone, or stent in urethra or bladder using an endoscope	35	35	$853.00	$445.29
51720 Instillation of anti-cancer drug into bladder	35	12	$200.00	$84.25
51798 Ultrasound measurement of bladder capacity after voiding	34	33	$34.38	$12.37
52356 Crushing of stone of ureter with insertion of stent using an endoscope	33	33	$882.00	$441.97
52332 Insertion of stent in urinary duct (ureter) using an endoscope	32	31	$1270.00	$125.11
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	31	31	$4564.00	$345.17
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	30	30	$3154.33	$1413.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	18	$122.00	$73.34
76000 Imaging guidance for procedure, 60 minutes or less	26	26	$24.77	$15.86
11980 Insertion of hormone pellets beneath the skin	25	11	$194.00	$92.06
J3490 Unclassified drugs	25	11	$1824.00	$1173.85
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	24	23	$611.00	$300.88
76872 Ultrasound scan of pelvic region through rectum	23	23	$234.26	$32.65
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	23	23	$423.00	$31.47
55700 Biopsy of prostate gland	23	23	$506.00	$131.99
76872 Ultrasound scan of pelvic region through rectum	23	23	$250.00	$124.37
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	20	14	$61.00	$27.47
55831 Partial removal of the prostate gland	19	19	$1992.00	$984.38
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	$330.00	$199.07
51797 Insertion of device into abdomen with pressure and urine flow rate study	16	16	$374.00	$136.33
74420 Imaging of urinary tract	16	15	$36.00	$25.94
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	16	16	$1538.00	$758.78
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	16	16	$620.00	$330.20
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	16	16	$350.00	$33.87
52281 Dilation of bladder canal (urethra) using an endoscope	13	12	$560.00	$158.40
51741 Electronic assessment of bladder emptying	13	13	$150.00	$7.80
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$454.00	$70.43
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$726.00	$269.87
50545 Removal of kidney and lymph nodes using an endoscope	12	12	$2815.00	$1354.93
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	11	11	$1334.00	$98.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,084	805	$163.53	$72.10
81003 Automated urinalysis test	925	762	$9.27	$2.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	891	718	$253.40	$106.45
81001 Manual urinalysis test with examination using microscope, automated	634	522	$13.78	$3.83
52000 Diagnostic exam of bladder and urethra using an endoscope	374	293	$571.12	$164.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	327	327	$373.86	$163.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	186	168	$127.83	$43.29
51798 Ultrasound measurement of bladder capacity after voiding	172	154	$56.99	$15.30
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	116	26	$1504.39	$211.14
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	48	46	$136.34	$53.12
74420 Imaging of urinary tract	47	42	$55.03	$17.35
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	40	34	$1857.48	$686.99
52356 Crushing of stone of ureter with insertion of stent using an endoscope	36	34	$1108.97	$439.70
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	36	26	$96.75	$29.85
52332 Insertion of stent in urinary duct (ureter) using an endoscope	32	29	$754.02	$114.76
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	31	30	$785.67	$246.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	13	$67.76	$20.09
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	28	25	$783.73	$300.70
51741 Electronic assessment of bladder emptying	28	28	$134.16	$13.29
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	24	24	$3340.34	$330.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	19	$178.34	$73.32
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	23	23	$4816.07	$1369.46
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	22	15	$389.01	$126.31
51705 Removal of skin suture with change of bladder tube	22	13	$277.67	$91.44
52315 Complicated removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	21	$853.00	$419.50
51702 Simple insertion of temporary bladder tube	21	16	$236.96	$63.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$286.81	$142.39
76872 Ultrasound scan of pelvic region through rectum	20	20	$323.07	$93.10
55831 Partial removal of the prostate gland	19	19	$2525.27	$980.03
J3490 Unclassified drugs	19	11	$2003.89	$957.08
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	18	$60.71	$21.06
81002 Urinalysis, manual test	18	17	$16.00	$3.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$295.56	$107.53
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	16	16	$2146.83	$756.99
52287 Exam with injections of chemical for destruction of bladder using an endoscope	13	11	$570.51	$155.88
51797 Insertion of device into abdomen with pressure and urine flow rate study	11	11	$392.64	$101.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,440	973	$9.79	$3.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,194	892	$319.91	$106.01
81001 Manual urinalysis test with examination using microscope, automated	1,025	733	$13.78	$4.25
99213 Established patient office or other outpatient visit, typically 15 minutes	850	675	$215.83	$71.94
52000 Diagnostic exam of bladder and urethra using an endoscope	390	294	$667.67	$162.66
51798 Ultrasound measurement of bladder capacity after voiding	311	253	$60.28	$18.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	272	272	$500.74	$163.30
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	145	28	$1540.00	$201.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	52	$129.29	$42.95
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	54	50	$164.69	$53.06
51741 Electronic assessment of bladder emptying	53	53	$132.26	$12.46
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	53	40	$2318.97	$676.54
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	48	29	$106.96	$29.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	45	$431.05	$143.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	16	$70.96	$24.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	15	$218.59	$72.25
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	36	36	$794.51	$239.07
52332 Insertion of stent in urinary duct (ureter) using an endoscope	30	26	$507.93	$125.46
51797 Insertion of device into abdomen with pressure and urine flow rate study	29	29	$415.00	$105.76
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$311.11	$102.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	19	$121.45	$38.28
51720 Instillation of anti-cancer drug into bladder	27	20	$362.75	$87.40
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	26	26	$5725.98	$1404.62
52356 Crushing of stone of ureter with insertion of stent using an endoscope	26	24	$1361.64	$435.37
55831 Partial removal of the prostate gland	25	25	$3117.79	$955.27
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	25	25	$2606.14	$346.29
74420 Imaging of urinary tract	25	24	$68.18	$17.57
J3490 Unclassified drugs	25	14	$2294.38	$981.59
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	23	$60.71	$19.73
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	23	23	$935.75	$294.60
J9031 Bcg (intravesical) per instillation	22	18	$370.46	$126.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$341.31	$107.65
11980 Insertion of hormone pellets beneath the skin	20	11	$331.96	$93.69
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	20	20	$956.45	$291.43
52240 Destruction and/or removal of large growth of bladder using an endoscope	20	18	$1673.27	$406.02
51702 Simple insertion of temporary bladder tube	19	12	$237.89	$60.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$421.41	$137.53
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$2755.66	$863.29
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	12	11	$908.77	$107.31
51701 Insertion of temporary bladder tube	12	12	$185.51	$47.16
76872 Ultrasound scan of pelvic region through rectum	12	12	$432.50	$92.63

Medical Specialties & State Licenses

CMS Verified: 2020-03-03

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME104278

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001127200 (FL)

Commercial Insurance / Payer ID Wellcare Provider #

535121 (FL)

Commercial Insurance / Payer ID Avmed Provider Id #

5899 (FL)

Commercial Insurance / Payer ID Railroad Medicare

P00835145 (FL)

Commercial Insurance / Payer ID Wellcare

1193179 (FL)

Hospital & Practice Group Affiliations

Smh Physician Services Inc

1921 Waldemere St, Sarasota, FL 342392941

Phone: 9419178565

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Francis Wren , MD

Urology

NPI 1184679581

Doctor of Medicine (M.D.)

James Thress , PA

Physician Assistant

NPI 1255341996

Physician Assistant

Dr. Kristin Baldea , MD

Urology

NPI 1265660393

Doctor of Medicine (M.D.)

Dr. Kenneth Bregg , MD

Urology

NPI 1588656904

Doctor of Medicine (M.D.)

Theresa Howard , APRN

Nurse Practitioner - Adult Health

NPI 1598548711

Advanced Practice Registered Nurse

Carlos Caballero , PA-C

Physician Assistant

NPI 1679939185

Physician Assistant (Certified)

Career & Practice History Timeline

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

17 Historical Events

📍

Updated Practice Location March 03, 2020

Registered at 1921 WALDEMERE ST STE 310, SARASOTA, FL 342392941 (Tel: 9419175400)

📍

Updated Practice Location June 19, 2018

Registered at 1921 WALDEMERE ST STE 310, SARASOTA, FL 34239 (Tel: 9419175400)

📍

Updated Business Mailing Address June 19, 2018

Registered at PO BOX 863407, ORLANDO, FL 328863407 (Tel: 9419172600)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2018

Urology (License #ME104278 in FL)

📍

Updated Practice Location March 21, 2018

Registered at 3325 S TAMIAMI TRL STE 200, SARASOTA, FL 342395114 (Tel: 9419178488)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2018

Urology (License #51434 in WI)

✅

NPI Profile Active December 06, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address December 06, 2017

Registered at 2160 COLONIAL BLVD, FORT MYERS, FL 339071410 (Tel: 2399317342)

📍

Updated Practice Location December 06, 2017

Registered at 1921 WALDEMERE ST, SUITE 310, SARASOTA, FL 342392943 (Tel: 9419178488)

👤

Provider Name / Credentials Updated December 06, 2017

Recorded as DANIEL KAPLON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2017

Urology (License #51434 in WI)

✅

NPI Profile Active April 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 21, 2016

Registered at 1921 WALDEMERE ST, SUITE 310, SARASOTA, FL 342392943 (Tel: 9419178488)

📍

Updated Business Mailing Address April 21, 2016

Registered at 2234 COLONIAL BLVD, MANAGED CARE DEPT., FORT MYERS, FL 339071412 (Tel: 2399317342)

👤

Provider Name / Credentials Updated April 21, 2016

Recorded as DANIEL KAPLON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2016

Urology (License #ME104278 in FL)

🟢

Initial NPI Registration & Enumeration April 24, 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: 1265651061

Entity Type:

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

Enumeration Date: April 24, 2007

Last Update: March 03, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 863407

Orlando, FL 328863407

Phone: 9419172600

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.