Active NPI 1225024615 Individual Practitioner Female Practitioner

Dr. Mary Melanie Waller , MD

Urology • Olney, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mary Waller, MD is a certified Urology practicing in Olney, IL. With approximately 44 years of clinical experience since graduating from Uniformed Services Uhs Fe Hebert School Of Med in 1982, Dr. Waller delivers high-quality medical care to the local community at 1200 N EAST ST.

Dr. Waller is affiliated with Richland Memorial Hospital Inc and accepts Medicare assignment.

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

1200 N East St

Olney, IL 624502432

Telephone 6183955222

Associated Practice Facility / Clinic

🏢 Weber Medical Clinic Ltd Facility NPI 1093810350

Medicare Profile & Education

Medical School

Uniformed Services Uhs Fe Hebert School Of Med

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Olney, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs Matches City Avg

City Avg: 44.0 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Olney, IL (663 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waller (44 Years) 44 Yrs

Olney Specialty Average (44.0 Years) 44.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	288	266	$222.57	$86.42
81003 Automated urinalysis test	214	161	$41.00	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	85	84	$155.00	$63.87
51798 Ultrasound measurement of bladder capacity after voiding	71	60	$190.00	$10.29
52000 Diagnostic exam of bladder and urethra using an endoscope	64	60	$1180.00	$221.39
74420 Imaging of urinary tract	53	35	$235.00	$23.23
52332 Insertion of stent in urinary duct (ureter) using an endoscope	34	23	$3039.71	$140.03
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	31	25	$93.19	$21.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$480.58	$107.07
52000 Diagnostic exam of bladder and urethra using an endoscope	24	24	$926.67	$75.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$319.41	$122.45
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	12	$5141.33	$416.77
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$140.00	$33.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	507	427	$216.01	$88.04
81003 Automated urinalysis test	394	308	$39.00	$2.20
52000 Diagnostic exam of bladder and urethra using an endoscope	86	78	$1130.00	$230.27
51798 Ultrasound measurement of bladder capacity after voiding	84	72	$180.00	$10.04
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	77	50	$91.00	$22.04
74420 Imaging of urinary tract	67	45	$225.00	$24.11
99441 Telephone medical discussion with physician, 5-10 minutes	44	39	$130.00	$53.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$462.56	$108.15
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$385.00	$70.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	36	$155.00	$54.24
52332 Insertion of stent in urinary duct (ureter) using an endoscope	35	22	$2757.71	$144.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$321.25	$124.87
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	15	$4861.50	$421.27
81002 Urinalysis, manual test	18	17	$37.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	525	422	$208.24	$88.87
81003 Automated urinalysis test	450	344	$38.00	$2.22
51798 Ultrasound measurement of bladder capacity after voiding	188	152	$175.00	$9.89
99202 New patient office or other outpatient visit, typically 20 minutes	136	136	$374.12	$71.03
99441 Telephone medical discussion with physician, 5-10 minutes	90	80	$125.00	$54.46
52000 Diagnostic exam of bladder and urethra using an endoscope	84	79	$1100.00	$237.60
81002 Urinalysis, manual test	73	56	$36.00	$3.44
74420 Imaging of urinary tract	69	41	$215.00	$24.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	61	$150.00	$55.22
51705 Removal of skin suture with change of bladder tube	53	18	$720.00	$94.55
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	53	38	$88.00	$22.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	12	$90.00	$13.91
52332 Insertion of stent in urinary duct (ureter) using an endoscope	37	22	$2870.54	$151.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	34	$290.00	$125.49
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	12	$4510.00	$416.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$443.33	$110.17
J1580 Injection, garamycin, gentamicin, up to 80 mg	11	11	$35.52	$2.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	279	237	$200.16	$90.10
81003 Automated urinalysis test	222	197	$36.00	$2.25
81002 Urinalysis, manual test	192	157	$34.00	$3.48
51798 Ultrasound measurement of bladder capacity after voiding	134	123	$165.00	$9.76
99202 New patient office or other outpatient visit, typically 20 minutes	83	83	$355.00	$71.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	68	$140.00	$54.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	64	$277.46	$126.85
52000 Diagnostic exam of bladder and urethra using an endoscope	61	55	$1050.00	$225.61
99441 Telephone medical discussion with physician, 5-10 minutes	48	46	$115.00	$55.11
51705 Removal of skin suture with change of bladder tube	28	11	$680.00	$95.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	11	$86.00	$13.83
74420 Imaging of urinary tract	23	19	$205.00	$25.00
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	13	$2802.50	$147.07
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	11	$92.80	$21.90
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$210.00	$90.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$415.71	$111.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	437	348	$24.88	$2.23
99213 Established patient office or other outpatient visit, typically 15 minutes	345	296	$196.01	$73.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	145	135	$170.74	$44.07
51798 Ultrasound measurement of bladder capacity after voiding	117	97	$114.42	$9.68
52000 Diagnostic exam of bladder and urethra using an endoscope	72	67	$953.77	$204.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	49	$279.04	$107.72
99202 New patient office or other outpatient visit, typically 20 minutes	47	47	$274.38	$74.49
81002 Urinalysis, manual test	45	39	$34.00	$3.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	14	$114.53	$13.78
74420 Imaging of urinary tract	33	26	$195.00	$25.71
51705 Removal of skin suture with change of bladder tube	31	11	$693.16	$93.60
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	23	$2453.21	$143.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$317.19	$106.17
J1580 Injection, garamycin, gentamicin, up to 80 mg	11	11	$97.87	$1.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	791	566	$10.68	$2.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	496	394	$166.83	$43.21
51798 Ultrasound measurement of bladder capacity after voiding	274	208	$70.47	$11.86
99213 Established patient office or other outpatient visit, typically 15 minutes	271	233	$226.47	$71.74
52000 Diagnostic exam of bladder and urethra using an endoscope	87	80	$700.06	$182.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	77	25	$134.82	$15.91
99202 New patient office or other outpatient visit, typically 20 minutes	67	67	$235.37	$73.67
52332 Insertion of stent in urinary duct (ureter) using an endoscope	42	26	$2559.26	$129.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$341.95	$105.10
52000 Diagnostic exam of bladder and urethra using an endoscope	18	15	$1344.71	$68.74
99224 Subsequent observation care, typically 15 minutes per day	18	18	$129.23	$39.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	12	$137.50	$38.98
J1580 Injection, garamycin, gentamicin, up to 80 mg	14	12	$69.69	$1.72
99219 Hospital observation care, typically 50 minutes	13	12	$384.37	$134.24
81002 Urinalysis, manual test	13	13	$12.25	$3.41
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	12	12	$4399.19	$361.45
55700 Biopsy of prostate gland	12	12	$1345.69	$132.81
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$332.38	$100.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	890	579	$10.68	$2.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	533	414	$166.83	$42.05
99213 Established patient office or other outpatient visit, typically 15 minutes	391	315	$226.50	$70.51
51798 Ultrasound measurement of bladder capacity after voiding	312	228	$70.47	$14.74
52000 Diagnostic exam of bladder and urethra using an endoscope	110	80	$700.06	$159.03
99202 New patient office or other outpatient visit, typically 20 minutes	86	86	$235.74	$72.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	83	29	$134.82	$19.48
52332 Insertion of stent in urinary duct (ureter) using an endoscope	39	28	$1277.93	$125.71
99224 Subsequent observation care, typically 15 minutes per day	30	22	$129.23	$39.58
81002 Urinalysis, manual test	29	29	$12.25	$3.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	13	$137.50	$38.93
55700 Biopsy of prostate gland	21	20	$761.92	$133.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$341.95	$104.56
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	18	13	$145.08	$43.83
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	13	$111.58	$32.18
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	14	14	$1099.75	$340.25
99219 Hospital observation care, typically 50 minutes	13	13	$384.37	$135.07
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$332.38	$100.89
J1580 Injection, garamycin, gentamicin, up to 80 mg	13	12	$69.69	$1.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	870	585	$10.30	$3.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	457	370	$160.75	$41.49
99213 Established patient office or other outpatient visit, typically 15 minutes	387	313	$218.78	$70.17
51798 Ultrasound measurement of bladder capacity after voiding	346	262	$68.01	$17.97
52000 Diagnostic exam of bladder and urethra using an endoscope	128	99	$673.75	$157.28
99202 New patient office or other outpatient visit, typically 20 minutes	79	79	$228.50	$71.88
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	68	17	$130.29	$23.88
74420 Imaging of urinary tract	56	39	$90.95	$17.35
52332 Insertion of stent in urinary duct (ureter) using an endoscope	32	21	$1033.50	$126.82
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	31	18	$215.18	$67.36
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	28	23	$107.41	$31.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$329.06	$103.64
55700 Biopsy of prostate gland	23	23	$733.53	$130.71
57452 Examination of the vagina and cervix using an endoscope	21	21	$296.04	$53.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	11	$236.41	$71.07
99224 Subsequent observation care, typically 15 minutes per day	19	18	$124.05	$37.58
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	18	12	$139.32	$43.70
J1580 Injection, garamycin, gentamicin, up to 80 mg	16	13	$67.20	$1.52
52000 Diagnostic exam of bladder and urethra using an endoscope	14	13	$424.06	$101.56
99217 Hospital observation care on day of discharge	14	13	$236.85	$71.39
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$813.73	$147.90
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	13	12	$1063.49	$334.73
99201 New patient office or other outpatient visit, typically 10 minutes	12	12	$131.32	$42.11

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IL 036119328

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

036119328 (IL)

Hospital & Practice Group Affiliations

Richland Memorial Hospital Inc

900 E Scott St, Olney, IL 624502576

Phone: 6183951000

Richland Memorial Hospital Inc

800 E Locust St, Olney, IL 624502553

Phone: 6183957340

Practice Associates & Co-Workers

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

23 Associated Practitioners

Dr. Pamela Curtis , AuD

Audiologist

NPI 1144334186

Doctor of Audiology

Jessica Mccorvey , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1205500246

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. William Padgett , MD

Obstetrics & Gynecology

NPI 1225046253

Doctor of Medicine (M.D.)

Dr. Arcot Suresh , MD

Internal Medicine

NPI 1265440283

Doctor of Medicine (M.D.)

Dr. Rise Hatten , MD

Obstetrics & Gynecology

NPI 1265499271

Doctor of Medicine (M.D.)

Dr. Don Hatten , MD

Obstetrics & Gynecology

NPI 1265546204

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 October 05, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location October 05, 2009

Registered at 1200 N EAST ST, OLNEY, IL 624502432 (Tel: 6183955222)

📍

Updated Business Mailing Address October 05, 2009

Registered at PO BOX 97, OLNEY, IL 624500097 (Tel: 6183957340)

👤

Provider Name / Credentials Updated October 05, 2009

Recorded as MARY WALLER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2009

Urology (License #036119328 in IL)

🟢

Initial NPI Registration & Enumeration September 21, 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: 1225024615

Entity Type:

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

Enumeration Date: September 21, 2005

Last Update: October 05, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 97

Olney, IL 624500097

Phone: 6183957340

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.