Deactivated NPI 1316943210 Deactivated / Inactive NPI Male Practitioner

Dr. Charles B Idom , MD, FACS

Urology • Dalton, GA

✓ Accepts Medicare Assignment Telehealth Available

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Idom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 24, 2005

NPI Deactivation Date March 16, 2006

Total Practice Duration ~12 Years of Practice (1994 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Idom, MD, FACS was a registered Urology in Dalton, GA. Prior to record deactivation on 2006-03-16, Dr. Idom completed approximately 12 years of clinical practice following graduation from University Of Mississippi School Of Medicine in 1994.

Dr. Idom was affiliated with North Georgia Urology Center, Pc, Inc and accepted Medicare assignment . Telehealth and virtual consultation options were offered for eligible patients.

Historical Medicare Part B clinical services included low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, manual urinalysis test with examination using microscope, non-automated, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1434 Broadrick Dr

Dalton, GA 307203009

Telephone 7062785961

Fax 7062750280

Associated Practice Facility / Clinic

🏢 North Georgia Urology Center Facility NPI 1033580295

Medicare Profile & Education

Medical School

University Of Mississippi School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Dalton, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +2.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Dalton, GA (422 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

77.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Idom (32 Years) 32 Yrs

Dalton Specialty Average (29.5 Years) 29.5 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
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,000	30	$2.00	$0.13
81000 Manual urinalysis test with examination using microscope, non-automated	916	507	$11.00	$3.85
99213 Established patient office or other outpatient visit, typically 15 minutes	668	420	$176.00	$80.86
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	453	292	$40.00	$15.60
36415 Insertion of needle into vein for collection of blood sample	421	270	$20.00	$8.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	408	274	$259.00	$117.08
51798 Ultrasound measurement of bladder capacity after voiding	389	250	$67.00	$9.76
52000 Diagnostic exam of bladder and urethra using an endoscope	154	125	$680.00	$213.39
J0696 Injection, ceftriaxone sodium, per 250 mg	136	34	$52.00	$0.44
74018 X-ray of abdomen, 1 view	129	88	$84.00	$26.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	113	52	$97.00	$46.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	94	41	$60.00	$12.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$401.31	$152.91
51702 Simple insertion of temporary bladder tube	68	20	$197.49	$56.02
76872 Ultrasound scan of pelvic region through rectum	64	64	$457.00	$121.12
74176 Ct scan of abdomen and pelvis without contrast	64	59	$861.00	$170.20
99442 Telephone medical discussion with physician, 11-20 minutes	56	53	$200.00	$62.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	47	$500.00	$163.36
52332 Insertion of stent in urinary duct (ureter) using an endoscope	49	34	$1726.00	$110.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$263.09	$102.24
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	32	32	$451.00	$51.49
55700 Biopsy of prostate gland	32	32	$892.00	$215.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	25	$349.00	$169.24
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	24	21	$1387.00	$113.92
52353 Crushing of stone of ureter using an endoscope	21	18	$1485.00	$354.97
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	19	19	$243.00	$28.01
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	19	19	$1263.00	$307.39
51741 Electronic assessment of bladder emptying	18	18	$598.00	$6.27
74177 Ct scan of abdomen and pelvis with contrast	14	14	$1100.00	$277.53
99441 Telephone medical discussion with physician, 5-10 minutes	14	14	$150.00	$33.08
74178 Ct scan of abdomen and pelvis before and after contrast	13	13	$1200.00	$310.82
74420 Imaging of urinary tract	13	12	$92.00	$22.92
0421T Waterjet destruction of prostrate accessed through the urethra	12	12	$2632.00	$654.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$338.00	$123.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	4,100	36	$2.00	$0.15
81000 Manual urinalysis test with examination using microscope, non-automated	1,317	600	$11.00	$3.86
99213 Established patient office or other outpatient visit, typically 15 minutes	696	455	$176.00	$82.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	558	340	$259.00	$118.30
36415 Insertion of needle into vein for collection of blood sample	494	303	$17.84	$8.20
51798 Ultrasound measurement of bladder capacity after voiding	416	267	$67.00	$9.35
74018 X-ray of abdomen, 1 view	191	100	$84.00	$26.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	154	51	$97.00	$47.61
52000 Diagnostic exam of bladder and urethra using an endoscope	142	122	$680.00	$214.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	140	34	$60.00	$13.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$400.03	$155.62
J0696 Injection, ceftriaxone sodium, per 250 mg	84	21	$52.00	$0.52
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	75	13	$285.00	$64.76
74176 Ct scan of abdomen and pelvis without contrast	63	61	$861.00	$174.40
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	59	14	$3422.00	$771.87
51702 Simple insertion of temporary bladder tube	57	19	$200.00	$56.44
76872 Ultrasound scan of pelvic region through rectum	56	54	$445.14	$121.13
52332 Insertion of stent in urinary duct (ureter) using an endoscope	51	34	$1726.00	$99.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	47	$500.00	$165.75
99442 Telephone medical discussion with physician, 11-20 minutes	44	39	$200.00	$62.91
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	31	26	$1387.00	$56.51
52353 Crushing of stone of ureter using an endoscope	30	25	$1485.00	$341.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$262.57	$101.96
95971 Electronic analysis and programming of implanted simple spinal cord or peripheral neurostimulator generator system during or after surgery, first hour	28	12	$123.00	$45.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	24	$349.00	$163.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$338.00	$124.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	15	$178.00	$75.59
55700 Biopsy of prostate gland	21	21	$892.00	$223.14
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$451.00	$54.00
74420 Imaging of urinary tract	21	17	$92.00	$23.30
74178 Ct scan of abdomen and pelvis before and after contrast	18	17	$1194.44	$321.88
74177 Ct scan of abdomen and pelvis with contrast	17	15	$1100.00	$287.49
51701 Insertion of temporary bladder tube	15	14	$171.00	$41.37
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	14	14	$4562.00	$1140.17
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$3068.08	$663.19
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$1043.00	$293.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	27,905	20	$0.18	$0.03
J0897 Injection, denosumab, 1 mg	9,300	17	$41.00	$21.51
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	4,150	40	$2.00	$0.12
81000 Manual urinalysis test with examination using microscope, non-automated	1,678	717	$11.00	$3.91
99213 Established patient office or other outpatient visit, typically 15 minutes	932	545	$176.00	$84.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	557	348	$259.00	$118.42
36415 Insertion of needle into vein for collection of blood sample	546	335	$8.18	$2.94
51798 Ultrasound measurement of bladder capacity after voiding	479	273	$67.00	$9.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	224	52	$60.00	$13.29
74018 X-ray of abdomen, 1 view	192	114	$84.00	$27.85
52000 Diagnostic exam of bladder and urethra using an endoscope	140	117	$680.00	$224.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	139	139	$401.49	$158.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	116	30	$97.00	$36.92
84153 Psa (prostate specific antigen) measurement, total	108	99	$63.00	$18.28
J0696 Injection, ceftriaxone sodium, per 250 mg	87	23	$52.00	$0.50
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	74	13	$285.00	$68.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	66	$104.41	$52.25
51702 Simple insertion of temporary bladder tube	69	28	$181.16	$57.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$267.83	$104.20
74176 Ct scan of abdomen and pelvis without contrast	67	60	$861.00	$175.91
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	64	16	$3422.00	$819.35
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	61	11	$2067.62	$163.67
76872 Ultrasound scan of pelvic region through rectum	59	55	$457.00	$128.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	37	$500.00	$188.56
51741 Electronic assessment of bladder emptying	29	28	$598.00	$6.44
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	29	28	$243.00	$30.75
52356 Crushing of stone of ureter with insertion of stent using an endoscope	28	20	$1628.00	$368.40
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	27	26	$1263.00	$341.77
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	27	20	$1387.00	$118.49
51700 Simple bladder irrigation and/or instillation	26	17	$259.00	$70.29
84403 Testosterone (hormone) level, total	24	19	$150.00	$25.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$349.00	$170.76
74177 Ct scan of abdomen and pelvis with contrast	19	19	$1100.00	$289.38
74420 Imaging of urinary tract	18	15	$92.00	$23.88
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	18	$1043.00	$274.87
74178 Ct scan of abdomen and pelvis before and after contrast	18	17	$1200.00	$332.54
55700 Biopsy of prostate gland	17	17	$892.00	$227.48
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	17	$415.71	$54.48
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	16	16	$4562.00	$1202.57
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	16	13	$110.00	$28.42
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	13	$1726.00	$119.74
51701 Insertion of temporary bladder tube	14	14	$171.00	$42.17
84154 Psa (prostate specific antigen) measurement, free	11	11	$63.00	$18.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	36,475	18	$0.18	$0.03
J0897 Injection, denosumab, 1 mg	8,880	14	$41.00	$20.59
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,800	56	$2.00	$0.12
81000 Manual urinalysis test with examination using microscope, non-automated	1,641	660	$11.00	$3.89
99213 Established patient office or other outpatient visit, typically 15 minutes	996	547	$176.00	$85.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	541	348	$259.00	$121.20
36415 Insertion of needle into vein for collection of blood sample	498	308	$8.24	$2.94
51798 Ultrasound measurement of bladder capacity after voiding	485	268	$67.00	$9.08
84153 Psa (prostate specific antigen) measurement, total	272	190	$63.00	$18.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	268	64	$60.00	$13.08
74018 X-ray of abdomen, 1 view	185	121	$84.00	$26.90
52000 Diagnostic exam of bladder and urethra using an endoscope	177	154	$680.00	$212.72
J0696 Injection, ceftriaxone sodium, per 250 mg	159	37	$52.00	$0.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	146	146	$410.81	$159.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	109	39	$97.00	$37.19
76872 Ultrasound scan of pelvic region through rectum	83	77	$457.00	$124.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$264.83	$106.31
81002 Urinalysis, manual test	79	47	$9.00	$3.35
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	77	19	$3422.00	$906.02
74176 Ct scan of abdomen and pelvis without contrast	73	68	$861.00	$184.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	53	$104.00	$52.93
84403 Testosterone (hormone) level, total	56	38	$150.00	$25.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	46	$500.00	$193.65
84154 Psa (prostate specific antigen) measurement, free	42	34	$63.00	$18.39
74178 Ct scan of abdomen and pelvis before and after contrast	38	38	$1200.00	$338.25
51702 Simple insertion of temporary bladder tube	35	15	$150.00	$57.25
51701 Insertion of temporary bladder tube	34	32	$171.00	$42.20
55700 Biopsy of prostate gland	32	32	$892.00	$226.81
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	32	32	$411.00	$53.26
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	30	21	$1387.00	$69.96
52356 Crushing of stone of ureter with insertion of stent using an endoscope	29	21	$1628.00	$406.09
74420 Imaging of urinary tract	26	23	$92.00	$24.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$349.00	$161.51
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	19	19	$4562.00	$1283.33
74177 Ct scan of abdomen and pelvis with contrast	18	17	$1100.00	$294.19
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	16	$1726.00	$116.73
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	16	$1043.00	$295.50
51741 Electronic assessment of bladder emptying	16	16	$598.00	$5.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	35,925	13	$0.18	$0.03
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,800	52	$2.00	$0.11
J0897 Injection, denosumab, 1 mg	5,461	15	$41.00	$19.66
81000 Manual urinalysis test with examination using microscope, non-automated	1,373	627	$11.00	$3.88
99213 Established patient office or other outpatient visit, typically 15 minutes	829	484	$176.00	$70.53
36415 Insertion of needle into vein for collection of blood sample	503	302	$9.05	$2.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	488	332	$259.00	$102.85
84153 Psa (prostate specific antigen) measurement, total	397	249	$63.00	$17.92
51798 Ultrasound measurement of bladder capacity after voiding	321	200	$67.00	$9.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	231	41	$60.00	$13.50
52000 Diagnostic exam of bladder and urethra using an endoscope	193	169	$680.00	$194.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	173	61	$97.00	$38.98
74018 X-ray of abdomen, 1 view	142	101	$84.00	$26.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$411.35	$158.52
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	95	14	$695.53	$222.55
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	83	76	$36.00	$14.16
84403 Testosterone (hormone) level, total	76	55	$150.00	$25.10
J0696 Injection, ceftriaxone sodium, per 250 mg	72	18	$52.00	$0.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	72	64	$500.00	$199.91
74176 Ct scan of abdomen and pelvis without contrast	66	61	$861.00	$184.17
81002 Urinalysis, manual test	64	43	$9.00	$3.19
51702 Simple insertion of temporary bladder tube	63	25	$150.00	$58.22
76872 Ultrasound scan of pelvic region through rectum	57	56	$457.00	$128.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$262.57	$103.69
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	51	11	$3422.00	$915.17
51741 Electronic assessment of bladder emptying	47	47	$128.30	$4.57
51701 Insertion of temporary bladder tube	43	34	$171.00	$42.49
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	43	16	$110.00	$29.47
84154 Psa (prostate specific antigen) measurement, free	35	34	$63.00	$17.88
74178 Ct scan of abdomen and pelvis before and after contrast	32	31	$1200.00	$333.21
51797 Insertion of device into abdomen with pressure and urine flow rate study	29	29	$473.59	$110.94
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	29	29	$343.14	$13.20
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	22	22	$1277.50	$225.43
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	20	18	$1387.00	$112.30
74177 Ct scan of abdomen and pelvis with contrast	19	18	$1100.00	$270.00
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	16	$1726.00	$109.27
51700 Simple bladder irrigation and/or instillation	18	11	$259.00	$71.53
55700 Biopsy of prostate gland	17	17	$892.00	$230.58
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$398.00	$54.92
86316 Analysis for detection of tumor marker	16	16	$130.00	$20.65
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	15	$1628.00	$421.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$349.00	$141.09
74420 Imaging of urinary tract	13	11	$92.00	$25.28
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$1036.75	$279.21
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	11	11	$5450.00	$1462.41
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	11	11	$4562.00	$1268.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	33,354	15	$0.18	$0.03
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,835	56	$2.00	$0.11
81000 Manual urinalysis test with examination using microscope, non-automated	1,536	651	$11.00	$3.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	690	445	$259.00	$102.74
99213 Established patient office or other outpatient visit, typically 15 minutes	682	445	$176.00	$70.52
36415 Insertion of needle into vein for collection of blood sample	458	267	$9.26	$2.90
84153 Psa (prostate specific antigen) measurement, total	362	220	$63.00	$19.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	215	44	$60.28	$15.37
52000 Diagnostic exam of bladder and urethra using an endoscope	202	168	$600.71	$175.46
74018 X-ray of abdomen, 1 view	188	107	$84.00	$25.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	161	69	$97.00	$38.76
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	155	23	$590.00	$222.38
51798 Ultrasound measurement of bladder capacity after voiding	117	93	$67.00	$11.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$397.00	$156.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	100	41	$178.00	$71.45
J0696 Injection, ceftriaxone sodium, per 250 mg	86	21	$52.00	$0.58
51741 Electronic assessment of bladder emptying	65	64	$204.00	$4.93
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	62	32	$91.35	$28.68
74176 Ct scan of abdomen and pelvis without contrast	61	57	$861.00	$186.79
81002 Urinalysis, manual test	61	38	$9.00	$3.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	50	$500.00	$198.67
84403 Testosterone (hormone) level, total	49	38	$150.00	$27.54
J3315 Injection, triptorelin pamoate, 3.75 mg	47	13	$750.00	$240.76
51702 Simple insertion of temporary bladder tube	41	15	$150.00	$58.12
76872 Ultrasound scan of pelvic region through rectum	38	37	$361.47	$118.91
84154 Psa (prostate specific antigen) measurement, free	37	31	$63.00	$20.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$260.97	$103.93
74178 Ct scan of abdomen and pelvis before and after contrast	36	33	$1200.00	$320.78
51700 Simple bladder irrigation and/or instillation	34	17	$259.00	$69.61
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	28	$48.00	$21.27
51701 Insertion of temporary bladder tube	33	31	$171.00	$42.89
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	33	33	$485.00	$13.68
51797 Insertion of device into abdomen with pressure and urine flow rate study	33	33	$320.00	$87.89
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	25	25	$431.80	$54.35
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	20	$1726.00	$104.69
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	23	19	$1371.00	$204.49
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	22	21	$898.45	$250.57
55700 Biopsy of prostate gland	21	21	$892.00	$239.41
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	20	20	$1207.00	$204.14
95971 Electronic analysis and programming of implanted simple spinal cord or peripheral neurostimulator generator system during or after surgery, first hour	19	13	$123.00	$49.57
74177 Ct scan of abdomen and pelvis with contrast	18	18	$1100.00	$296.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$349.00	$140.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$338.00	$134.66
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	15	12	$1093.00	$232.90
88112 Cell examination of specimen, selective cellular enhancement technique	14	14	$161.00	$28.10
74420 Imaging of urinary tract	13	12	$84.00	$25.44
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	13	13	$1114.00	$210.17
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$1579.92	$421.28
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$3184.00	$733.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	26,426	19	$0.18	$0.02
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,765	39	$1.96	$0.12
81000 Manual urinalysis test with examination using microscope, non-automated	1,635	756	$11.00	$3.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	722	477	$259.00	$101.90
99213 Established patient office or other outpatient visit, typically 15 minutes	672	491	$176.00	$68.52
36415 Insertion of needle into vein for collection of blood sample	451	288	$8.37	$2.91
84153 Psa (prostate specific antigen) measurement, total	355	239	$63.00	$22.16
J3315 Injection, triptorelin pamoate, 3.75 mg	351	42	$754.13	$281.14
74018 X-ray of abdomen, 1 view	230	142	$84.00	$25.08
52000 Diagnostic exam of bladder and urethra using an endoscope	196	174	$589.00	$154.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	181	46	$60.33	$18.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	166	166	$397.00	$157.56
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	147	19	$500.00	$119.15
88112 Cell examination of specimen, selective cellular enhancement technique	98	85	$161.00	$27.84
88344 Special stained specimen slides to examine tissue	96	17	$402.69	$39.18
51798 Ultrasound measurement of bladder capacity after voiding	94	83	$67.00	$14.41
84154 Psa (prostate specific antigen) measurement, free	93	75	$63.00	$22.07
74176 Ct scan of abdomen and pelvis without contrast	90	85	$859.34	$186.17
J0696 Injection, ceftriaxone sodium, per 250 mg	90	23	$52.00	$0.61
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	88	43	$76.00	$27.79
51741 Electronic assessment of bladder emptying	84	83	$204.00	$5.95
51701 Insertion of temporary bladder tube	66	57	$171.00	$44.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	26	$178.00	$71.19
81002 Urinalysis, manual test	62	50	$9.00	$3.35
88120 Cell examination of urine, manual	56	45	$1452.00	$57.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	16	$97.00	$38.43
51797 Insertion of device into abdomen with pressure and urine flow rate study	45	45	$320.00	$68.34
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	45	45	$485.00	$16.03
52332 Insertion of stent in urinary duct (ureter) using an endoscope	40	30	$1726.00	$99.28
86316 Analysis for detection of tumor marker	35	34	$130.00	$25.19
51702 Simple insertion of temporary bladder tube	35	16	$150.00	$59.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	31	$500.00	$198.39
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	31	31	$1207.00	$202.89
76872 Ultrasound scan of pelvic region through rectum	30	29	$328.97	$90.25
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	25	$48.00	$20.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	27	$349.00	$138.96
84403 Testosterone (hormone) level, total	25	24	$115.84	$30.23
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	25	22	$1341.00	$356.60
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	24	$489.00	$56.76
74178 Ct scan of abdomen and pelvis before and after contrast	20	19	$1200.00	$301.42
55700 Biopsy of prostate gland	19	19	$892.00	$238.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$338.00	$133.87
74177 Ct scan of abdomen and pelvis with contrast	18	16	$1211.11	$287.94
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	17	$883.00	$235.79
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	18	18	$1137.00	$251.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	13	$257.00	$101.96
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	14	14	$1114.00	$201.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$260.00	$103.25
50590 Shock wave crushing of kidney stones	13	13	$2129.00	$539.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	29,151	18	$0.18	$0.02
J0897 Injection, denosumab, 1 mg	4,680	15	$35.98	$16.25
81000 Manual urinalysis test with examination using microscope, non-automated	1,860	893	$10.11	$4.14
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,498	37	$3.07	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	840	530	$253.55	$99.78
99213 Established patient office or other outpatient visit, typically 15 minutes	636	493	$172.61	$68.64
36415 Insertion of needle into vein for collection of blood sample	463	290	$26.76	$2.89
84153 Psa (prostate specific antigen) measurement, total	395	262	$90.34	$24.44
J3315 Injection, triptorelin pamoate, 3.75 mg	308	46	$718.81	$340.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	243	42	$60.00	$22.90
52000 Diagnostic exam of bladder and urethra using an endoscope	224	204	$682.84	$149.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	213	213	$392.44	$156.12
J0696 Injection, ceftriaxone sodium, per 250 mg	206	35	$52.00	$0.65
74000 X-ray of abdomen, single view	182	110	$84.91	$21.71
51701 Insertion of temporary bladder tube	147	116	$187.52	$44.70
88344 Special stained specimen slides to examine tissue	132	22	$196.61	$39.01
51798 Ultrasound measurement of bladder capacity after voiding	125	115	$66.24	$17.17
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	108	53	$109.39	$29.75
84154 Psa (prostate specific antigen) measurement, free	106	85	$91.02	$24.50
51741 Electronic assessment of bladder emptying	105	99	$249.35	$7.04
88112 Cell examination of specimen, selective cellular enhancement technique	93	84	$233.53	$27.15
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	76	20	$361.80	$112.52
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	75	17	$1236.00	$217.56
88120 Cell examination of urine, manual	74	64	$1415.68	$57.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	72	37	$92.07	$38.14
76872 Ultrasound scan of pelvic region through rectum	62	56	$260.82	$88.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	53	$339.34	$134.80
J1335 Injection, ertapenem sodium, 500 mg	59	13	$70.00	$48.40
84403 Testosterone (hormone) level, total	53	39	$89.92	$34.16
51720 Instillation of anti-cancer drug into bladder	53	16	$368.92	$76.84
51797 Insertion of device into abdomen with pressure and urine flow rate study	52	49	$389.31	$92.06
51702 Simple insertion of temporary bladder tube	51	26	$212.94	$58.86
52332 Insertion of stent in urinary duct (ureter) using an endoscope	50	36	$1757.98	$84.43
74176 Ct scan of abdomen and pelvis without contrast	49	49	$747.33	$183.27
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	48	48	$601.79	$27.78
J9031 Bcg (intravesical) per instillation	48	15	$333.81	$121.94
86316 Analysis for detection of tumor marker	43	43	$130.00	$27.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	30	$173.29	$69.10
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	40	15	$172.68	$67.61
81002 Urinalysis, manual test	38	38	$6.50	$3.34
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	37	31	$563.24	$56.81
74178 Ct scan of abdomen and pelvis before and after contrast	33	33	$1234.18	$318.87
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	32	26	$1270.88	$324.93
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	31	28	$1204.16	$260.56
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	29	28	$48.00	$18.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$329.31	$132.84
55700 Biopsy of prostate gland	26	26	$803.38	$233.97
51700 Simple bladder irrigation and/or instillation	25	14	$282.04	$66.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	23	$245.13	$101.23
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	23	23	$619.61	$177.87
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	23	23	$1104.61	$274.22
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	20	$852.14	$226.83
74177 Ct scan of abdomen and pelvis with contrast	19	19	$1190.21	$274.07
74420 Imaging of urinary tract	15	15	$339.00	$16.55
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$2853.21	$783.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$256.64	$102.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$486.00	$197.44

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License GA 050482

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

00931312A (GA)

Commercial Insurance / Payer ID Railroad Medicare

340019475 (GA)

Hospital & Practice Group Affiliations

North Georgia Urology Center, Pc, Inc

1434 Broadrick Dr, Dalton, GA 307203009

Phone: 7062785961114

Practice Associates & Co-Workers

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

2 Associated Practitioners

Denise White , PA-C

Physician Assistant

NPI 1033429709

Physician Assistant (Certified)

Dr. Joseph Veys , MD

Urology

NPI 1861464208

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Business Mailing Address September 11, 2017

Registered at 1434 BROADRICK DR, DALTON, GA 307203009 (Tel: 7062785961)

📍

Updated Practice Location September 11, 2017

Registered at 1434 BROADRICK DR, DALTON, GA 307203009 (Tel: 7062785961)

👤

Provider Name / Credentials Updated September 11, 2017

Recorded as CHARLES IDOM, M.D., FACS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2017

Urology (License #050482 in GA)

📍

Updated Practice Location August 21, 2012

Registered at 1434 BROADRICK DR, DALTON, GA 307203009 (Tel: 7062785961)

📍

Updated Business Mailing Address August 21, 2012

Registered at PO BOX 2249, DALTON, GA 307222249 (Tel: 7062785961)

👤

Provider Name / Credentials Updated August 21, 2012

Recorded as CHARLES IDOM, M.D., FACS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2012

Urology (License #050482 in GA)

🔄

NPI Profile Reactivated March 31, 2006

Record officially reactivated for active practice on March 31, 2006

⚠️

NPI Profile Deactivated March 16, 2006

Record deactivated on March 16, 2006

🟢

Initial NPI Registration & Enumeration June 24, 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: 1316943210

Entity Type:

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

Enumeration Date: June 24, 2005

Last Update: September 11, 2017

Deactivation Date: March 16, 2006

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1434 Broadrick Dr

Dalton, GA 307203009

Phone: 7062785961

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.