Active NPI 1295786242 Individual Practitioner Male Practitioner

Dr. Howard B Epstein , MD

Urology • St Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Howard Epstein, MD is a certified Urology practicing in St Augustine, FL. With approximately 43 years of clinical experience since graduating from University Of Florida College Of Medicine in 1983, Dr. Epstein delivers high-quality medical care to the local community at 240 SOUTHPARK CIR E.

Dr. Epstein is affiliated with Advanced Urology Institute Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include automated urinalysis test, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

240 Southpark Cir E

St Augustine, FL 320865137

Telephone 9048241450

Associated Practice Facility / Clinic

🏢 Advanced Urology Institute Llc Facility NPI 1932557451

Medicare Profile & Education

Medical School

University Of Florida College Of Medicine

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in St Augustine, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs Matches City Avg

City Avg: 43.0 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

3 Specialists

Practicing in St Augustine, FL (1082 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Epstein (43 Years) 43 Yrs

St Augustine Specialty Average (43.0 Years) 43.0 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
81003 Automated urinalysis test	623	437	$5.00	$2.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	277	246	$140.34	$57.87
99213 Established patient office or other outpatient visit, typically 15 minutes	277	231	$215.77	$93.30
36415 Insertion of needle into vein for collection of blood sample	187	143	$9.91	$6.78
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	179	46	$156.12	$64.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	109	$317.01	$131.71
52000 Diagnostic exam of bladder and urethra using an endoscope	81	67	$592.79	$240.68
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	79	36	$118.56	$49.26
51798 Ultrasound measurement of bladder capacity after voiding	76	59	$26.37	$11.26
76770 Complete ultrasound scan behind abdominal cavity	71	71	$234.58	$108.53
51702 Simple insertion of temporary bladder tube	67	25	$154.54	$63.00
51705 Removal of skin suture with change of bladder tube	63	15	$241.10	$99.00
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	59	55	$37.15	$16.85
52332 Insertion of stent in urinary duct (ureter) using an endoscope	41	21	$388.71	$160.95
74420 Imaging of urinary tract	38	24	$174.05	$25.00
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	17	17	$160.24	$34.80
51700 Simple bladder irrigation and/or instillation	17	15	$191.41	$75.04
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	17	15	$82.06	$35.41
76872 Ultrasound scan of pelvic region through rectum	16	14	$147.38	$33.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$279.67	$115.18
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	11	$1064.07	$437.48
55700 Biopsy of prostate gland	13	13	$329.92	$136.45
76775 Limited ultrasound scan behind abdominal cavity	12	12	$117.00	$58.55
51741 Electronic assessment of bladder emptying	11	11	$36.00	$7.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	2,720	12	$8.00	$4.05
81003 Automated urinalysis test	1,718	956	$5.00	$2.19
99213 Established patient office or other outpatient visit, typically 15 minutes	853	624	$227.00	$89.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	515	385	$320.00	$126.88
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	305	70	$159.00	$62.32
51798 Ultrasound measurement of bladder capacity after voiding	264	176	$26.00	$10.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	217	191	$142.00	$56.00
52000 Diagnostic exam of bladder and urethra using an endoscope	139	122	$610.00	$233.57
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	120	27	$336.00	$172.68
51705 Removal of skin suture with change of bladder tube	112	30	$243.00	$96.33
51702 Simple insertion of temporary bladder tube	91	46	$156.00	$60.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$422.00	$165.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$283.00	$112.49
36415 Insertion of needle into vein for collection of blood sample	75	66	$6.00	$5.88
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	70	38	$81.00	$32.99
74420 Imaging of urinary tract	59	41	$170.00	$24.40
76872 Ultrasound scan of pelvic region through rectum	53	51	$75.49	$32.09
51700 Simple bladder irrigation and/or instillation	50	32	$193.00	$74.66
55700 Biopsy of prostate gland	43	43	$333.00	$127.34
52332 Insertion of stent in urinary duct (ureter) using an endoscope	42	26	$396.00	$166.37
52356 Crushing of stone of ureter with insertion of stent using an endoscope	27	24	$1061.00	$427.21
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	23	23	$1866.00	$738.11
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	15	$57.00	$22.56
52000 Diagnostic exam of bladder and urethra using an endoscope	15	14	$207.00	$73.59
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	15	15	$162.00	$31.96
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$809.00	$316.70
52281 Dilation of bladder canal (urethra) using an endoscope	14	13	$387.00	$153.59
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	13	13	$920.00	$357.24
51797 Insertion of device into abdomen with pressure and urine flow rate study	12	12	$489.00	$187.57
76775 Limited ultrasound scan behind abdominal cavity	12	12	$117.00	$58.56
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	11	11	$450.00	$163.02
52204 Biopsy of the bladder using an endoscope	11	11	$360.00	$142.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	2,720	14	$8.00	$4.00
81003 Automated urinalysis test	1,588	923	$5.00	$2.22
99213 Established patient office or other outpatient visit, typically 15 minutes	996	685	$227.52	$91.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	368	301	$322.09	$128.51
51798 Ultrasound measurement of bladder capacity after voiding	279	201	$25.63	$10.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	270	249	$141.31	$56.64
52000 Diagnostic exam of bladder and urethra using an endoscope	138	124	$598.23	$244.97
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	135	31	$392.93	$175.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$282.40	$113.13
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	75	44	$80.64	$32.48
51705 Removal of skin suture with change of bladder tube	71	30	$243.41	$97.71
51702 Simple insertion of temporary bladder tube	67	42	$156.87	$62.63
36415 Insertion of needle into vein for collection of blood sample	66	63	$6.00	$2.96
76872 Ultrasound scan of pelvic region through rectum	63	60	$68.79	$32.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$422.33	$169.20
55700 Biopsy of prostate gland	52	52	$334.04	$128.44
74420 Imaging of urinary tract	49	40	$170.00	$24.95
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	42	26	$159.00	$63.35
52332 Insertion of stent in urinary duct (ureter) using an endoscope	34	26	$396.71	$158.69
51700 Simple bladder irrigation and/or instillation	34	28	$194.06	$76.22
51720 Instillation of anti-cancer drug into bladder	27	14	$219.74	$87.77
52204 Biopsy of the bladder using an endoscope	25	21	$361.04	$139.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	24	$454.00	$182.38
52356 Crushing of stone of ureter with insertion of stent using an endoscope	23	18	$1064.13	$426.43
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	21	21	$1867.90	$746.74
51102 Aspiration of bladder with insertion of bladder tube to skin surface	15	15	$369.80	$117.01
52000 Diagnostic exam of bladder and urethra using an endoscope	14	14	$206.29	$74.79
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	13	12	$451.85	$135.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	2,400	12	$8.00	$3.98
81003 Automated urinalysis test	1,676	1,011	$4.53	$2.25
J9030 Bcg live intravesical instillation, 1 mg	950	11	$5.00	$2.85
99213 Established patient office or other outpatient visit, typically 15 minutes	918	673	$222.01	$92.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	580	466	$138.61	$56.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	370	319	$315.32	$131.17
51798 Ultrasound measurement of bladder capacity after voiding	285	213	$25.09	$10.12
52000 Diagnostic exam of bladder and urethra using an endoscope	154	137	$577.36	$235.76
51705 Removal of skin suture with change of bladder tube	154	34	$243.61	$98.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	138	138	$281.04	$114.31
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	133	29	$454.58	$177.59
36415 Insertion of needle into vein for collection of blood sample	86	77	$6.00	$3.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$421.99	$169.72
76872 Ultrasound scan of pelvic region through rectum	79	72	$81.91	$33.40
51702 Simple insertion of temporary bladder tube	71	38	$157.44	$63.61
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	67	41	$79.76	$32.32
55700 Biopsy of prostate gland	65	65	$336.02	$133.78
52332 Insertion of stent in urinary duct (ureter) using an endoscope	62	45	$398.32	$125.99
74420 Imaging of urinary tract	35	29	$170.00	$25.40
51720 Instillation of anti-cancer drug into bladder	32	18	$221.97	$90.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	31	$443.25	$179.37
52204 Biopsy of the bladder using an endoscope	29	24	$362.38	$139.88
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	21	21	$1880.86	$751.52
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	18	$1070.50	$433.73
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	20	19	$782.00	$317.28
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	20	19	$631.90	$255.42
52000 Diagnostic exam of bladder and urethra using an endoscope	18	18	$206.44	$69.77
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	17	17	$911.65	$357.45
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$55.43	$22.41
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$182.00	$73.91
87086 Bacterial colony count, urine	13	13	$16.31	$8.07
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	12	11	$777.83	$314.79
55876 Placement of device in prostate for radiation therapy	11	11	$258.45	$51.88
55874 Injection of biodegradable material next to prostate	11	11	$422.82	$169.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,268	857	$5.06	$2.23
99213 Established patient office or other outpatient visit, typically 15 minutes	1,234	829	$188.55	$75.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	188	$272.74	$109.76
51798 Ultrasound measurement of bladder capacity after voiding	198	157	$27.45	$10.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	148	148	$270.94	$108.74
51705 Removal of skin suture with change of bladder tube	147	38	$240.48	$96.62
52000 Diagnostic exam of bladder and urethra using an endoscope	136	115	$520.41	$210.93
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	112	30	$423.00	$221.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	97	$113.71	$45.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	98	89	$367.69	$145.65
36415 Insertion of needle into vein for collection of blood sample	74	64	$6.00	$2.98
76872 Ultrasound scan of pelvic region through rectum	67	59	$72.61	$34.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$415.67	$164.97
51702 Simple insertion of temporary bladder tube	61	25	$154.34	$61.68
55700 Biopsy of prostate gland	56	56	$345.89	$135.21
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	53	40	$77.89	$31.26
52332 Insertion of stent in urinary duct (ureter) using an endoscope	50	34	$408.00	$129.00
52204 Biopsy of the bladder using an endoscope	37	27	$373.00	$143.19
51720 Instillation of anti-cancer drug into bladder	34	13	$212.00	$81.34
52356 Crushing of stone of ureter with insertion of stent using an endoscope	32	24	$1099.06	$428.58
87086 Bacterial colony count, urine	30	30	$17.10	$8.04
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	28	28	$1896.21	$757.74
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	24	24	$718.00	$285.96
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	22	$57.00	$22.92
51700 Simple bladder irrigation and/or instillation	22	21	$189.77	$75.94
52000 Diagnostic exam of bladder and urethra using an endoscope	21	19	$214.00	$77.87
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	20	20	$826.00	$331.63
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	20	20	$168.85	$33.37
51797 Insertion of device into abdomen with pressure and urine flow rate study	20	20	$362.50	$153.63
51102 Aspiration of bladder with insertion of bladder tube to skin surface	18	16	$384.00	$128.68
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	16	13	$939.00	$387.85
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	16	16	$469.00	$183.41
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	14	11	$798.00	$308.63
52281 Dilation of bladder canal (urethra) using an endoscope	13	12	$399.62	$160.85
84153 Psa (prostate specific antigen) measurement, total	13	13	$37.69	$18.28
52276 Incision of the bladder canal (urethra) using an endoscope	12	12	$710.67	$241.55
52001 Irrigation and removal of multiple blood clots from bladder and urethra using an endoscope	12	11	$758.00	$296.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,925	1,137	$6.00	$2.44
99213 Established patient office or other outpatient visit, typically 15 minutes	1,519	992	$184.24	$74.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	304	267	$270.43	$108.28
51798 Ultrasound measurement of bladder capacity after voiding	223	172	$50.00	$12.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	211	211	$271.52	$108.53
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	186	45	$423.00	$225.50
52000 Diagnostic exam of bladder and urethra using an endoscope	147	123	$443.63	$188.47
87086 Bacterial colony count, urine	116	104	$20.00	$8.79
51705 Removal of skin suture with change of bladder tube	83	36	$232.28	$92.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	83	78	$363.93	$146.13
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	83	83	$792.23	$321.99
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	83	83	$170.90	$33.68
51797 Insertion of device into abdomen with pressure and urine flow rate study	83	83	$303.65	$131.81
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	62	47	$76.00	$30.24
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	60	20	$120.75	$19.51
76872 Ultrasound scan of pelvic region through rectum	58	55	$84.45	$33.99
36415 Insertion of needle into vein for collection of blood sample	53	52	$6.00	$2.94
52332 Insertion of stent in urinary duct (ureter) using an endoscope	51	34	$407.06	$127.95
52204 Biopsy of the bladder using an endoscope	48	35	$370.38	$143.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	44	$110.02	$44.87
55700 Biopsy of prostate gland	44	44	$341.02	$132.54
84153 Psa (prostate specific antigen) measurement, total	43	38	$46.00	$20.03
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	41	39	$56.02	$22.36
51702 Simple insertion of temporary bladder tube	37	29	$157.76	$61.82
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	34	34	$1919.00	$762.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$412.73	$165.68
52000 Diagnostic exam of bladder and urethra using an endoscope	28	27	$218.86	$76.06
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	26	25	$649.08	$272.27
52276 Incision of the bladder canal (urethra) using an endoscope	21	20	$698.00	$274.31
81015 Urinalysis using microscope	20	19	$8.00	$3.32
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	17	17	$799.00	$309.07
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	16	13	$937.00	$373.58
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	15	$1101.00	$425.29
51102 Aspiration of bladder with insertion of bladder tube to skin surface	14	13	$376.71	$146.31
76872 Ultrasound scan of pelvic region through rectum	13	13	$238.69	$125.46
55874 Injection of biodegradable material next to prostate	13	13	$8838.77	$3385.05
A4648 Tissue marker, implantable, any type, each	12	12	$200.00	$133.91
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$261.00	$103.92
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	12	11	$761.00	$303.45
51700 Simple bladder irrigation and/or instillation	12	12	$186.33	$74.46
55876 Placement of device in prostate for radiation therapy	12	12	$353.83	$72.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,594	987	$6.14	$2.70
99213 Established patient office or other outpatient visit, typically 15 minutes	1,530	1,029	$182.07	$72.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	246	246	$270.26	$107.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	194	$268.13	$106.63
51798 Ultrasound measurement of bladder capacity after voiding	207	161	$45.56	$15.28
52000 Diagnostic exam of bladder and urethra using an endoscope	144	127	$414.91	$163.19
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	138	35	$424.24	$212.26
51705 Removal of skin suture with change of bladder tube	108	36	$230.00	$90.36
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	98	96	$179.89	$34.06
51797 Insertion of device into abdomen with pressure and urine flow rate study	98	96	$276.31	$109.48
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	98	96	$774.40	$306.96
52332 Insertion of stent in urinary duct (ureter) using an endoscope	95	63	$413.55	$119.18
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	93	87	$52.87	$21.04
84153 Psa (prostate specific antigen) measurement, total	61	57	$46.82	$22.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	58	$362.00	$144.01
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	55	17	$171.78	$65.67
52204 Biopsy of the bladder using an endoscope	53	37	$369.11	$139.62
51702 Simple insertion of temporary bladder tube	52	34	$160.83	$63.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	45	$109.00	$43.28
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	46	36	$76.33	$29.85
76872 Ultrasound scan of pelvic region through rectum	45	42	$89.29	$33.84
57160 Fitting and insertion of vaginal support device	45	14	$190.36	$73.00
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	42	41	$619.98	$246.31
36415 Insertion of needle into vein for collection of blood sample	42	41	$6.00	$2.94
52356 Crushing of stone of ureter with insertion of stent using an endoscope	40	33	$1084.28	$433.64
55706 Needle stereotactic and image-guided biopsy of prostate gland	37	37	$963.22	$376.56
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	36	24	$790.19	$311.36
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	36	35	$1893.00	$748.48
51700 Simple bladder irrigation and/or instillation	30	26	$184.70	$71.93
57150 Irrigation of vagina and/or application of drug to treat infection	30	13	$113.20	$22.53
74420 Imaging of urinary tract	23	20	$36.00	$17.61
52000 Diagnostic exam of bladder and urethra using an endoscope	21	20	$214.00	$85.30
52276 Incision of the bladder canal (urethra) using an endoscope	20	17	$689.00	$264.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$412.00	$164.00
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	19	17	$924.00	$379.34
52281 Dilation of bladder canal (urethra) using an endoscope	16	16	$395.00	$157.80
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	14	$394.00	$157.28
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	13	11	$533.00	$204.81
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$257.33	$102.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,568	1,068	$182.91	$71.82
81003 Automated urinalysis test	1,403	965	$9.00	$3.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	274	274	$273.86	$107.34
51798 Ultrasound measurement of bladder capacity after voiding	200	147	$48.00	$18.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	195	180	$269.92	$104.94
52000 Diagnostic exam of bladder and urethra using an endoscope	149	129	$424.17	$158.99
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	138	37	$453.13	$210.30
36415 Insertion of needle into vein for collection of blood sample	131	125	$6.00	$2.92
51705 Removal of skin suture with change of bladder tube	106	35	$229.90	$89.24
84153 Psa (prostate specific antigen) measurement, total	101	96	$51.00	$24.50
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	97	95	$766.95	$293.90
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	97	95	$262.02	$33.77
51797 Insertion of device into abdomen with pressure and urine flow rate study	96	94	$273.47	$106.42
52332 Insertion of stent in urinary duct (ureter) using an endoscope	72	50	$1182.78	$122.79
51702 Simple insertion of temporary bladder tube	61	34	$159.67	$62.11
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	59	18	$168.88	$66.47
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	56	46	$50.00	$19.70
57160 Fitting and insertion of vaginal support device	56	19	$193.82	$70.81
87086 Bacterial colony count, urine	53	46	$22.66	$10.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	45	$108.96	$42.87
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	46	37	$80.83	$31.67
55706 Needle stereotactic and image-guided biopsy of prostate gland	42	42	$971.00	$369.89
76872 Ultrasound scan of pelvic region through rectum	42	42	$105.95	$33.42
74420 Imaging of urinary tract	38	33	$42.16	$17.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	35	$363.89	$143.05
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	33	32	$618.85	$243.30
51700 Simple bladder irrigation and/or instillation	32	27	$183.75	$71.67
57150 Irrigation of vagina and/or application of drug to treat infection	32	13	$114.81	$22.49
52356 Crushing of stone of ureter with insertion of stent using an endoscope	30	25	$1095.00	$445.11
52204 Biopsy of the bladder using an endoscope	29	23	$542.17	$139.17
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$262.30	$102.43
52000 Diagnostic exam of bladder and urethra using an endoscope	27	23	$285.30	$98.15
52648 Laser vaporization of prostate including control of bleeding using an endoscope	25	25	$1912.48	$705.75
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	24	21	$809.13	$313.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$415.00	$153.89
87088 Bacterial urine culture	19	16	$23.00	$10.88
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	19	16	$19.00	$9.27
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$412.44	$151.98
52005 Insertion of tube into ureter using an endoscope through bladder area	16	16	$389.63	$122.53
87077 Bacterial culture for aerobic isolates	15	14	$23.00	$10.86
51102 Aspiration of bladder with insertion of bladder tube to skin surface	15	15	$393.13	$139.26
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	15	14	$931.20	$378.71
52281 Dilation of bladder canal (urethra) using an endoscope	14	14	$461.57	$139.20
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	13	13	$24.00	$11.62
52001 Irrigation and removal of multiple blood clots from bladder and urethra using an endoscope	12	12	$788.17	$297.55
64581 Incision to insert sacral nerve neurostimulator electrodes	12	12	$1739.00	$674.80
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	11	$2214.00	$858.88
64561 Insertion of sacral nerve neurostimulator electrode array	11	11	$1365.27	$298.77

Medical Specialties & State Licenses

CMS Verified: 2021-03-26

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME44446

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

Commercial Insurance / Payer ID United Healthcare

1900410

Commercial Insurance / Payer ID Blue Shield

07083

Hospital & Practice Group Affiliations

Advanced Urology Institute Llc

240 Southpark Cir E, Saint Augustine, FL 320865137

Phone: 9048241450

Practice Associates & Co-Workers

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

4 Associated Practitioners

Katherine Gardner , NP

Nurse Practitioner - Family

NPI 1366883209

Nurse Practitioner

Dean Zimmermann , PA-C

Physician Assistant

NPI 1417580416

Physician Assistant (Certified)

Dr. Gordon Fifer , MD

Urology

NPI 1497729933

Doctor of Medicine (M.D.)

Dr. Billy Vanasupa , DO

Urology

NPI 1689774507

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 11, 2019

Registered at 240 SOUTHPARK CIR E, ST AUGUSTINE, FL 320865137 (Tel: 9048241450)

📍

Updated Business Mailing Address June 11, 2019

Registered at 12109 COUNTY ROAD 103, OXFORD, FL 344842951 (Tel: 3522058981)

✅

NPI Profile Active July 21, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 21, 2010

Registered at 2460 OLD MOULTRIE RD, SUITE 5, ST AUGUSTINE, FL 320864197 (Tel: 9047947870)

📍

Updated Business Mailing Address July 21, 2010

Registered at 545 HEALTH BLVD, DAYTONA BEACH, FL 321141493 (Tel: 3862398500)

👤

Provider Name / Credentials Updated July 21, 2010

Recorded as HOWARD EPSTEIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2010

Urology (License #ME44446 in FL)

🟢

Initial NPI Registration & Enumeration May 15, 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: 1295786242

Entity Type:

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

Enumeration Date: May 15, 2006

Last Update: March 26, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12109 County Road 103

Oxford, FL 344842951

Phone: 3522058981

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.