Active NPI 1073519310 Individual Practitioner Male Practitioner

Dr. Kenneth A Essig , MD

Urology • Winter Haven, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Essig, MD is a certified Urology practicing in Winter Haven, FL. With approximately 38 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1988, Dr. Essig delivers high-quality medical care to the local community at 7599 CYPRESS GARDENS BLVD.

Dr. Essig is affiliated with Baycare Medical Group, 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, diagnostic exam of bladder and urethra using an endoscope, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7599 Cypress Gardens Blvd

Winter Haven, FL 338843263

Telephone 8638452688

Fax 8632916050

Associated Practice Facility / Clinic

🏢 Baycare Medical Group Inc Facility NPI 1316517352

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Winter Haven, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +0.6 yrs vs City Avg

City Avg: 37.4 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

8 Specialists

Practicing in Winter Haven, FL (1082 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

61.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Essig (38 Years) 38 Yrs

Winter Haven Specialty Average (37.4 Years) 37.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	294	195	$221.00	$82.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	82	$312.00	$120.23
52000 Diagnostic exam of bladder and urethra using an endoscope	84	67	$569.00	$227.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$273.00	$108.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$409.00	$163.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$433.00	$128.18
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	16	$383.00	$130.69
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$766.00	$305.13
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$1023.00	$426.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$162.00	$54.63
55700 Biopsy of prostate gland	11	11	$582.00	$232.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	278	173	$220.81	$83.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$275.84	$110.27
52000 Diagnostic exam of bladder and urethra using an endoscope	81	65	$578.46	$227.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	50	$310.83	$119.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$409.58	$161.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	46	$162.00	$53.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$433.00	$129.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	212	162	$227.00	$82.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	106	$320.00	$119.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$422.00	$163.16
52000 Diagnostic exam of bladder and urethra using an endoscope	90	74	$610.00	$239.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$283.00	$104.88
51798 Ultrasound measurement of bladder capacity after voiding	46	44	$26.00	$10.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$433.00	$134.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$162.00	$55.85
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	14	$396.00	$154.25
52648 Laser vaporization of prostate including control of bleeding using an endoscope	13	13	$1770.00	$665.94
55700 Biopsy of prostate gland	11	11	$612.00	$243.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$498.00	$197.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	213	159	$222.93	$85.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	97	$322.83	$123.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$422.81	$163.97
52000 Diagnostic exam of bladder and urethra using an endoscope	69	54	$577.13	$232.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$280.17	$107.08
51798 Ultrasound measurement of bladder capacity after voiding	30	28	$25.00	$10.00
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	12	12	$966.25	$379.93
51700 Simple bladder irrigation and/or instillation	11	11	$195.55	$78.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	447	262	$188.00	$74.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$271.00	$106.33
52000 Diagnostic exam of bladder and urethra using an endoscope	90	69	$523.08	$208.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	62	$273.00	$107.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$416.00	$163.40
51798 Ultrasound measurement of bladder capacity after voiding	50	48	$25.00	$9.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	22	$433.00	$140.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$114.00	$45.30
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	18	17	$934.00	$371.57
51797 Insertion of device into abdomen with pressure and urine flow rate study	18	17	$401.00	$159.40
51741 Electronic assessment of bladder emptying	18	17	$18.50	$7.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	11	$185.00	$73.33
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	15	14	$85.50	$34.02
51700 Simple bladder irrigation and/or instillation	12	11	$189.00	$75.19
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$732.00	$291.16
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$1098.00	$438.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	498	306	$185.93	$73.54
52000 Diagnostic exam of bladder and urethra using an endoscope	120	93	$475.00	$183.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$273.00	$108.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	90	$272.88	$105.45
51798 Ultrasound measurement of bladder capacity after voiding	94	88	$31.00	$12.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$415.00	$163.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	25	$186.00	$73.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$350.00	$136.70
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	30	30	$895.00	$338.93
51741 Electronic assessment of bladder emptying	27	27	$18.50	$6.93
51797 Insertion of device into abdomen with pressure and urine flow rate study	27	27	$345.00	$129.39
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	25	25	$85.50	$33.02
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	17	$1101.00	$412.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$112.00	$44.70
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$680.70	$258.34
55700 Biopsy of prostate gland	12	12	$631.00	$250.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	477	282	$163.00	$71.89
52000 Diagnostic exam of bladder and urethra using an endoscope	160	123	$373.00	$164.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	144	144	$243.00	$106.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	81	$241.00	$105.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$370.00	$164.29
J9031 Bcg (intravesical) per instillation	68	14	$285.00	$133.68
51720 Instillation of anti-cancer drug into bladder	67	13	$190.00	$84.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	61	$162.00	$43.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	56	$433.00	$138.08
51798 Ultrasound measurement of bladder capacity after voiding	57	52	$35.00	$15.34
51702 Simple insertion of temporary bladder tube	44	13	$144.00	$63.52
51741 Electronic assessment of bladder emptying	39	39	$18.00	$7.88
51797 Insertion of device into abdomen with pressure and urine flow rate study	39	39	$254.00	$111.63
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	39	39	$766.00	$337.13
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	33	33	$78.00	$34.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	18	$165.00	$73.38
64581 Incision to insert sacral nerve neurostimulator electrodes	19	11	$1565.00	$615.82
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	14	$949.83	$404.73
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	13	$986.10	$109.45
76872 Ultrasound scan of pelvic region through rectum	14	14	$214.00	$94.39
55700 Biopsy of prostate gland	12	12	$564.00	$248.92
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	12	12	$577.00	$257.14
52648 Laser vaporization of prostate including control of bleeding using an endoscope	11	11	$4119.18	$715.21
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	11	11	$602.00	$97.76
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$134.00	$59.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	595	353	$165.00	$71.92
52000 Diagnostic exam of bladder and urethra using an endoscope	198	150	$372.00	$162.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	186	186	$245.69	$106.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	97	$242.00	$105.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$373.00	$161.87
51720 Instillation of anti-cancer drug into bladder	64	11	$200.00	$87.32
J9031 Bcg (intravesical) per instillation	64	11	$273.00	$126.47
51798 Ultrasound measurement of bladder capacity after voiding	62	59	$43.00	$18.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	50	$124.76	$42.90
51741 Electronic assessment of bladder emptying	47	46	$34.47	$7.86
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	47	46	$762.00	$333.58
51797 Insertion of device into abdomen with pressure and urine flow rate study	47	46	$250.00	$109.54
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	36	36	$157.00	$34.31
99221 Initial hospital inpatient care per day, typically 30 minutes	33	32	$360.64	$102.63
52332 Insertion of stent in urinary duct (ureter) using an endoscope	28	28	$1054.93	$125.54
52356 Crushing of stone of ureter with insertion of stent using an endoscope	26	25	$985.00	$430.86
51700 Simple bladder irrigation and/or instillation	22	18	$164.00	$71.63
50590 Shock wave crushing of kidney stones	21	17	$1582.86	$558.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$406.56	$137.53
52648 Laser vaporization of prostate including control of bleeding using an endoscope	14	14	$4111.00	$702.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$165.00	$72.25

Medical Specialties & State Licenses

CMS Verified: 2022-08-19

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME 73354

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

014245200 (FL)

Hospital & Practice Group Affiliations

Baycare Medical Group, Inc.

200 Ave F Ne, Winter Haven, FL 338814131

Baycare Medical Group, Inc.

2461 Enterprise Rd, Clearwater, FL 337631726

Phone: 7277255060

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Betina Laiolo , MD

Family Medicine

NPI 1275716573

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address August 19, 2022

Registered at 7599 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 338843263 (Tel: 8638452688)

✅

NPI Profile Active September 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 02, 2016

Registered at 7599 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 338843263 (Tel: 8632924652)

📍

Updated Business Mailing Address September 02, 2016

Registered at PO BOX 10744, CLEARWATER, FL 337578744 (Tel: 7275320002)

👤

Provider Name / Credentials Updated September 02, 2016

Recorded as KENNETH ESSIG, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2016

Urology (License #ME 73354 in FL)

🟢

Initial NPI Registration & Enumeration June 22, 2005

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: 1073519310

Entity Type:

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

Enumeration Date: June 22, 2005

Last Update: August 19, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7599 Cypress Gardens Blvd

Winter Haven, FL 338843263

Phone: 8638452688

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.