Active NPI 1164786091 Individual Practitioner Male Practitioner

Dr. Roger Chen , MD

Urology • Newnan, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Roger Chen, MD is a certified Urology practicing in Newnan, GA. With approximately 14 years of clinical experience since graduating from Wayne State University School Of Medicine in 2012, Dr. Chen delivers high-quality medical care to the local community at 775 POPLAR RD STE 160.

Dr. Chen is affiliated with Prisma Health Medical Group-Midlands and accepts Medicare assignment.

Frequently performed procedures and clinical services include automated urinalysis test, ultrasound measurement of bladder capacity after voiding, established 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

775 Poplar Rd Ste 160

Newnan, GA 302658302

Telephone 7707155192

Fax 7067212548

Associated Practice Facility / Clinic

🏢 American Transitional Hospitals, Inc. Facility NPI 1649276338

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Newnan, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -13.0 yrs vs City Avg

City Avg: 27.0 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

7 Specialists

Practicing in Newnan, GA (422 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chen (14 Years) 14 Yrs

Newnan Specialty Average (27.0 Years) 27.0 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	628	402	$9.00	$2.18
51798 Ultrasound measurement of bladder capacity after voiding	486	343	$59.00	$10.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	475	311	$384.78	$120.90
99213 Established patient office or other outpatient visit, typically 15 minutes	135	121	$265.93	$83.68
52000 Diagnostic exam of bladder and urethra using an endoscope	86	71	$652.00	$218.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$587.70	$154.85
36415 Insertion of needle into vein for collection of blood sample	45	45	$23.00	$8.48
99442 Telephone medical discussion with physician, 11-20 minutes	22	21	$255.00	$81.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$468.00	$119.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	15	$135.00	$46.34
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	11	$1107.69	$114.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$370.00	$98.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	669	402	$9.00	$2.19
51798 Ultrasound measurement of bladder capacity after voiding	502	359	$59.00	$9.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	463	301	$370.00	$119.61
99213 Established patient office or other outpatient visit, typically 15 minutes	176	155	$253.00	$84.60
52000 Diagnostic exam of bladder and urethra using an endoscope	92	79	$652.00	$221.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$561.00	$157.14
36415 Insertion of needle into vein for collection of blood sample	38	35	$23.00	$8.01
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	30	27	$921.26	$284.33
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	21	$939.13	$88.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$468.00	$124.02
99442 Telephone medical discussion with physician, 11-20 minutes	20	18	$255.00	$81.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	14	$135.00	$48.17
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	17	16	$1319.29	$229.09
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	16	$1464.00	$384.09
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$2566.00	$679.36
99221 Initial hospital inpatient care per day, typically 30 minutes	13	12	$348.00	$80.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	784	451	$9.00	$2.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	548	353	$370.00	$121.54
51798 Ultrasound measurement of bladder capacity after voiding	481	349	$59.00	$9.41
99213 Established patient office or other outpatient visit, typically 15 minutes	196	176	$253.00	$84.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	119	119	$561.00	$160.54
52000 Diagnostic exam of bladder and urethra using an endoscope	114	105	$652.00	$225.26
36415 Insertion of needle into vein for collection of blood sample	36	36	$23.00	$2.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	23	$468.00	$131.07
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	24	24	$2566.00	$669.18
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	18	$963.00	$98.10
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$929.00	$291.39
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$155.00	$52.84
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$111.00	$30.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	641	365	$9.00	$2.24
51798 Ultrasound measurement of bladder capacity after voiding	270	202	$59.00	$9.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	197	$370.00	$123.66
99213 Established patient office or other outpatient visit, typically 15 minutes	254	201	$253.00	$87.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	142	142	$561.00	$161.52
52000 Diagnostic exam of bladder and urethra using an endoscope	89	83	$648.34	$219.06
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	22	$1086.92	$118.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	24	$468.00	$132.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	20	$135.00	$37.43
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	22	22	$614.00	$31.57
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$348.00	$98.38
51797 Insertion of device into abdomen with pressure and urine flow rate study	20	20	$779.00	$174.67
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	17	$929.00	$297.38
74420 Imaging of urinary tract	17	16	$89.00	$23.58
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	17	17	$2566.00	$705.87
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	13	$1464.00	$408.67
99442 Telephone medical discussion with physician, 11-20 minutes	14	13	$255.00	$88.04
52005 Insertion of tube into ureter using an endoscope through bladder area	12	12	$832.00	$122.84
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	12	12	$1153.00	$348.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$370.00	$107.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	544	312	$9.00	$2.23
99213 Established patient office or other outpatient visit, typically 15 minutes	268	213	$253.00	$72.17
51798 Ultrasound measurement of bladder capacity after voiding	205	159	$59.00	$9.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	132	$370.00	$105.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$561.00	$160.47
52000 Diagnostic exam of bladder and urethra using an endoscope	85	77	$652.00	$198.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	27	$468.00	$137.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$370.00	$104.24
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	15	$956.25	$114.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$135.00	$39.26
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$2566.00	$671.25
74420 Imaging of urinary tract	11	11	$89.00	$25.53
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$929.00	$280.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	495	265	$9.37	$2.43
99213 Established patient office or other outpatient visit, typically 15 minutes	306	206	$232.00	$70.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	153	153	$513.65	$159.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	103	$334.67	$102.95
52000 Diagnostic exam of bladder and urethra using an endoscope	115	100	$640.31	$178.61
51798 Ultrasound measurement of bladder capacity after voiding	114	89	$59.00	$11.69
81002 Urinalysis, manual test	56	49	$11.02	$3.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	47	$432.80	$133.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$324.38	$104.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	30	$132.06	$41.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	15	$118.74	$38.97
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	19	19	$900.11	$260.19
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	18	18	$549.17	$30.45
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	16	$877.41	$124.50
51797 Insertion of device into abdomen with pressure and urine flow rate study	17	17	$702.24	$120.28
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	13	$1417.68	$425.27
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	13	13	$1172.08	$340.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	295	162	$10.00	$2.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	107	$295.00	$102.37
99213 Established patient office or other outpatient visit, typically 15 minutes	119	89	$199.00	$68.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	117	117	$456.00	$155.05
52000 Diagnostic exam of bladder and urethra using an endoscope	80	69	$628.00	$156.22
81002 Urinalysis, manual test	41	33	$11.00	$3.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	21	$111.00	$38.19
51798 Ultrasound measurement of bladder capacity after voiding	24	23	$59.00	$14.40
99221 Initial hospital inpatient care per day, typically 30 minutes	22	21	$280.00	$99.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$297.00	$103.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$380.00	$133.68
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	17	17	$410.12	$25.46
51797 Insertion of device into abdomen with pressure and urine flow rate study	15	15	$449.33	$71.07
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$746.00	$235.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	92	54	$10.00	$3.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$456.00	$153.79
51798 Ultrasound measurement of bladder capacity after voiding	36	26	$59.00	$17.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	18	$295.00	$101.86
52000 Diagnostic exam of bladder and urethra using an endoscope	22	22	$628.00	$154.58
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$199.00	$69.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$297.00	$102.38

Medical Specialties & State Licenses

CMS Verified: 2025-12-01

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License GA 005629

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 SC 95847

Hospital & Practice Group Affiliations

Prisma Health Medical Group-Midlands

1301 Taylor St, Columbia, SC 292012946

Phone: 8034344790

Secondary Practice Locations

1301 Taylor St Ste 1a

Columbia, SC 292012946

Phone: 8034344790

Practice Associates & Co-Workers

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

2 Associated Practitioners

William Simpson

Urology

NPI 1508247958

Dr. Arthur Smith , MD

Urology

NPI 1710080692

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2025

Urology (License #95847 in SC)

✅

NPI Profile Active August 07, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 07, 2017

Registered at 775 POPLAR RD STE 160, NEWNAN, GA 302658302 (Tel: 7707155192)

📍

Updated Business Mailing Address August 07, 2017

Registered at 1120 15TH ST, AUGUSTA, GA 309120004

👤

Provider Name / Credentials Updated August 07, 2017

Recorded as ROGER CHEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2017

Urology (License #005629 in GA)

✅

NPI Profile Active June 26, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 26, 2012

Registered at 1120 15TH ST, AUGUSTA, GA 309120004 (Tel: 7067212519)

📍

Updated Business Mailing Address June 26, 2012

Registered at 1120 15TH ST, AUGUSTA, GA 309120004

👤

Provider Name / Credentials Updated June 26, 2012

Recorded as ROGER CHEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2012

Urology (License #005629 in GA)

🟢

Initial NPI Registration & Enumeration June 26, 2012

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: 1164786091

Entity Type:

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

Enumeration Date: June 26, 2012

Last Update: December 01, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1120 15th St

Augusta, GA 309120004

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.