Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447368626 Individual Practitioner Male Practitioner

Dr. Darrell J Carmen , MD

Urology • Riverdale, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Darrell Carmen, MD is a certified Urology practicing in Riverdale, GA. With approximately 36 years of clinical experience since graduating from Louisiana State University School Of Medicine In Shreveport in 1990, Dr. Carmen delivers high-quality medical care to the local community at 33 UPPER RIVERDALE RD SW.

Dr. Carmen maintains professional affiliations with Georgia Urology, Pa, Urological Professional Services, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psa (prostate specific antigen) measurement, total, 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, 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

33 Upper Riverdale Rd Sw
Suite 105

Riverdale, GA 302742626

Telephone 7709910020
Fax 7709949729
Associated Practice Facility / Clinic
🏢 Georgia Urology Pa Facility NPI 1245250646

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In Shreveport

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Riverdale, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs +14.5 yrs vs City Avg
City Avg: 21.5 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Riverdale, GA (422 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
73.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carmen (36 Years) 36 Yrs
Riverdale Specialty Average (21.5 Years) 21.5 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
84153 Psa (prostate specific antigen) measurement, total
393 283 $109.00 $17.93
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
377 291 $50.00 $16.11
99213 Established patient office or other outpatient visit, typically 15 minutes
374 266 $165.00 $88.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
188 153 $233.00 $125.28
81003 Automated urinalysis test
174 140 $21.07 $2.20
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies
51 51 $425.80 $270.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
51 12 $41.00 $14.06
51797 Insertion of device into abdomen with pressure and urine flow rate study
50 50 $355.68 $131.73
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings
50 50 $285.32 $25.31
51741 Electronic assessment of bladder emptying
37 36 $159.16 $5.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
31 31 $350.00 $165.12
81002 Urinalysis, manual test
30 30 $21.00 $3.41
52000 Diagnostic exam of bladder and urethra using an endoscope
27 27 $696.00 $78.35
84403 Testosterone (hormone) level, total
26 26 $111.00 $25.29
J1580 Injection, garamycin, gentamicin, up to 80 mg
20 18 $44.00 $2.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
15 15 $241.00 $105.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
15 13 $136.00 $76.67
55700 Biopsy of prostate gland
14 14 $606.00 $81.76
51700 Simple bladder irrigation and/or instillation
13 12 $244.00 $75.42
52005 Insertion of tube into ureter using an endoscope through bladder area
12 12 $984.00 $101.19

Medical Specialties & State Licenses

CMS Verified: 2020-08-11
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License GA 039749

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
000655223A (GA)
Commercial Insurance / Payer ID Railroad Medicare
340010024 (GA)

Hospital & Practice Group Affiliations

Urological Professional Services, Llc

4450 Calibre Xing Nw, Acworth, GA 301014103

Phone: 7706071893

Georgia Urology, Pa

900 Towne Lake Pkwy, Woodstock, GA 301891603

Phone: 6784949201

Georgia Urology, Pa

5730 Glenridge Dr, Atlanta, GA 303285579

Phone: 4042561844

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1265441349

Doctor of Medicine (M.D.)

Cynthia Decamp , FNP

Nurse Practitioner

NPI 1346326493

Family Nurse Practitioner

NPI 1801824933

Doctor of Medicine (M.D.)

Anastasiya Drogoul , NP

Nurse Practitioner - Family

NPI 1922623610

Nurse Practitioner

NPI 1972969012

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2015

Registered at 33 UPPER RIVERDALE RD SW, SUITE 105, RIVERDALE, GA 302742626 (Tel: 7709910020)

📍
Updated Business Mailing Address January 15, 2015

Registered at 1930 BRANNAN RD, MCDONOUGH, GA 302534310 (Tel: 6782844040)

👤
Provider Name / Credentials Updated January 15, 2015

Recorded as DARRELL CARMEN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2015

Urology (License #039749 in GA)

🟢
Initial NPI Registration & Enumeration August 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447368626
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2006
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

1930 Brannan Rd

Mcdonough, GA 302534310

Phone: 6782844040

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.