Active NPI 1316946080 Individual Practitioner Male Practitioner

Dr. John Clay Mchugh , MD

Urology • Gainesville, GA

Professional Overview & Biography Verified Profile Summary

Dr. John Mchugh, MD is a registered healthcare professional specializing in Urology in Gainesville, GA. Practice services are available at 660-A LANIER PARK DRIVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

660-A Lanier Park Drive

Gainesville, GA 305012075

Telephone 7705350000

Fax 7705323911

Associated Practice Facility / Clinic

🏢 Northeast Georgia Urological Assoc., P.c. Facility NPI 1205916483

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Gainesville, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.3 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

15 Specialists

Practicing in Gainesville, GA (422 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	188	$240.00	$118.53
81003 Automated urinalysis test	205	184	$18.00	$2.16
51798 Ultrasound measurement of bladder capacity after voiding	16	15	$250.00	$9.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	448	253	$240.00	$121.09
81003 Automated urinalysis test	444	266	$18.00	$2.20
51798 Ultrasound measurement of bladder capacity after voiding	35	31	$250.00	$9.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$247.54	$159.62
52281 Dilation of bladder canal (urethra) using an endoscope	28	22	$1280.00	$310.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	685	438	$240.00	$123.90
81003 Automated urinalysis test	644	436	$18.00	$2.23
51798 Ultrasound measurement of bladder capacity after voiding	47	42	$250.00	$9.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$199.00	$161.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	21	$250.00	$173.21
52000 Diagnostic exam of bladder and urethra using an endoscope	21	11	$538.33	$220.54
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	16	16	$620.00	$156.05
52281 Dilation of bladder canal (urethra) using an endoscope	16	15	$1280.00	$317.26
55700 Biopsy of prostate gland	12	12	$419.00	$127.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,239	739	$18.00	$2.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,187	722	$240.00	$103.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	183	150	$250.00	$140.02
51798 Ultrasound measurement of bladder capacity after voiding	154	123	$250.00	$9.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$199.00	$157.99
52000 Diagnostic exam of bladder and urethra using an endoscope	28	25	$468.29	$199.01
52281 Dilation of bladder canal (urethra) using an endoscope	26	21	$1280.00	$307.06
76770 Complete ultrasound scan behind abdominal cavity	24	22	$354.00	$36.63
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	19	18	$620.00	$258.51
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	19	16	$750.00	$247.43
74018 X-ray of abdomen, 1 view	18	13	$88.00	$26.93
55700 Biopsy of prostate gland	14	14	$419.00	$132.78
76872 Ultrasound scan of pelvic region through rectum	14	14	$372.00	$33.52
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	11	11	$483.00	$140.20
76870 Ultrasound scan of scrotum	11	11	$287.00	$37.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	2,303	1,155	$18.00	$2.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,905	1,052	$240.00	$104.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	378	257	$248.92	$140.71
51798 Ultrasound measurement of bladder capacity after voiding	374	264	$250.00	$11.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	229	229	$275.69	$159.35
74018 X-ray of abdomen, 1 view	111	66	$88.00	$26.56
52000 Diagnostic exam of bladder and urethra using an endoscope	89	77	$479.37	$180.26
76770 Complete ultrasound scan behind abdominal cavity	62	50	$354.00	$38.98
99213 Established patient office or other outpatient visit, typically 15 minutes	56	55	$180.43	$71.36
52281 Dilation of bladder canal (urethra) using an endoscope	54	52	$1280.00	$286.73
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	50	22	$48.00	$21.34
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	46	46	$320.00	$200.73
52281 Dilation of bladder canal (urethra) using an endoscope	44	42	$1767.27	$151.88
51702 Simple insertion of temporary bladder tube	42	19	$192.00	$58.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	11	$60.00	$15.84
55700 Biopsy of prostate gland	31	31	$1166.16	$132.18
76872 Ultrasound scan of pelvic region through rectum	30	30	$513.57	$33.23
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	24	18	$750.00	$244.14
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	15	13	$1778.00	$292.11
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	12	12	$620.00	$258.81
76870 Ultrasound scan of scrotum	11	11	$287.00	$31.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	2,551	1,237	$18.00	$2.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,123	1,133	$240.00	$102.81
51798 Ultrasound measurement of bladder capacity after voiding	448	329	$250.00	$14.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	345	250	$250.00	$138.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	273	273	$290.00	$158.24
74176 Ct scan of abdomen and pelvis without contrast	154	147	$1200.00	$187.74
74018 X-ray of abdomen, 1 view	139	74	$88.00	$25.05
76770 Complete ultrasound scan behind abdominal cavity	120	85	$354.00	$54.84
52000 Diagnostic exam of bladder and urethra using an endoscope	109	91	$478.00	$157.11
99213 Established patient office or other outpatient visit, typically 15 minutes	98	90	$180.00	$69.56
52281 Dilation of bladder canal (urethra) using an endoscope	75	70	$1280.00	$261.73
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	71	26	$48.00	$20.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	68	22	$60.00	$19.15
52281 Dilation of bladder canal (urethra) using an endoscope	63	55	$1280.00	$151.99
51702 Simple insertion of temporary bladder tube	52	16	$192.00	$60.49
76872 Ultrasound scan of pelvic region through rectum	40	39	$372.00	$33.13
55700 Biopsy of prostate gland	39	39	$419.00	$129.57
J1580 Injection, garamycin, gentamicin, up to 80 mg	33	14	$35.00	$1.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$320.00	$199.16
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	30	22	$750.00	$247.23
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	20	13	$80.00	$28.45
50590 Shock wave crushing of kidney stones	18	14	$2273.00	$580.56
74420 Imaging of urinary tract	18	13	$230.00	$17.24
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	18	17	$1000.00	$282.30
52648 Laser vaporization of prostate including control of bleeding using an endoscope	14	14	$7000.00	$663.25
J3010 Injection, fentanyl citrate, 0.1 mg	14	14	$65.00	$0.55
76870 Ultrasound scan of scrotum	12	11	$287.00	$45.22
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	12	11	$483.00	$141.36
52353 Crushing of stone of ureter using an endoscope	11	11	$1650.00	$393.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	2,645	1,301	$18.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,997	1,129	$184.70	$101.56
51798 Ultrasound measurement of bladder capacity after voiding	595	409	$250.00	$17.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	375	247	$216.74	$136.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	300	300	$239.34	$155.89
74000 X-ray of abdomen, single view	170	104	$88.00	$21.67
74176 Ct scan of abdomen and pelvis without contrast	170	168	$1200.00	$187.09
76770 Complete ultrasound scan behind abdominal cavity	161	110	$354.00	$101.43
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	154	17	$175.00	$116.98
52000 Diagnostic exam of bladder and urethra using an endoscope	130	108	$478.00	$153.44
99213 Established patient office or other outpatient visit, typically 15 minutes	110	102	$114.91	$69.24
51702 Simple insertion of temporary bladder tube	92	33	$192.00	$58.89
52281 Dilation of bladder canal (urethra) using an endoscope	74	70	$1280.00	$148.91
52281 Dilation of bladder canal (urethra) using an endoscope	58	57	$1280.00	$245.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	22	$60.00	$23.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	44	44	$268.64	$197.62
74150 Ct scan of abdomen without contrast	42	39	$796.00	$139.04
76872 Ultrasound scan of pelvic region through rectum	41	41	$372.00	$32.73
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	41	13	$80.00	$29.97
55700 Biopsy of prostate gland	41	41	$419.00	$130.41
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	37	31	$39.49	$18.79
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	35	28	$750.00	$244.69
J1580 Injection, garamycin, gentamicin, up to 80 mg	24	14	$35.00	$1.52
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	24	19	$1000.00	$276.65
J3010 Injection, fentanyl citrate, 0.1 mg	21	19	$65.00	$0.42
J2250 Injection, midazolam hydrochloride, per 1 mg	20	19	$35.00	$0.11
76870 Ultrasound scan of scrotum	18	18	$287.00	$64.07
74420 Imaging of urinary tract	15	13	$230.00	$17.19
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	14	14	$483.00	$138.93
52000 Diagnostic exam of bladder and urethra using an endoscope	13	13	$478.00	$64.95
52648 Laser vaporization of prostate including control of bleeding using an endoscope	13	13	$7000.00	$664.63

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License GA 024023

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.

Urology

NUCC Taxonomy Code: 208800000X

State License GA 01024023

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00276152B (GA)

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. William Jones , MD

Urology

NPI 1063419281

Doctor of Medicine (M.D.)

Dr. Ronald Brock , MD

Urology

NPI 1114926912

Doctor of Medicine (M.D.)

Dr. Brent Sharpe , MD

Urology

NPI 1821041476

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 15, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 15, 2010

Registered at 660-A LANIER PARK DRIVE, GAINESVILLE, GA 305012075 (Tel: 7705350000)

📍

Updated Business Mailing Address July 15, 2010

Registered at 660-A LANIER PARK DRIVE, GAINESVILLE, GA 305012075 (Tel: 7705350000)

👤

Provider Name / Credentials Updated July 15, 2010

Recorded as JOHN MCHUGH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2010

Urology (License #024023 in GA)

🟢

Initial NPI Registration & Enumeration July 15, 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: 1316946080

Entity Type:

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

Enumeration Date: July 15, 2005

Last Update: July 15, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

660-A Lanier Park Drive

Gainesville, GA 305012075

Phone: 7705350000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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