Deactivated NPI 1811105141 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Kenneth Ouwenga , MD

Urology • Quincy, IL

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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. Michael Ouwenga has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 18, 2007

NPI Deactivation Date February 11, 2019

Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Ouwenga, MD was a registered Urology practicing in Quincy, IL. Throughout an active medical career spanning 12 years, Dr. Ouwenga provided care at the practice location at 1025 MAINE ST until profile deactivation on 2019-02-11.

Historical Medicare Part B clinical services included established patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope, catheterization for collection of specimen, single patient, all places of service. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1025 Maine St

Quincy, IL 623014038

Telephone 2172226550

Fax 2172772253

Associated Practice Facility / Clinic

🏢 Quincy Physicians & Surgeons Clinic, Pllc Facility NPI 1548234198

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Quincy, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.3 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

7 Specialists

Practicing in Quincy, IL (663 Statewide)

Telehealth Adoption Rate

28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.9% 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 (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$181.23	$72.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	576	471	$180.46	$70.36
52000 Diagnostic exam of bladder and urethra using an endoscope	312	265	$737.58	$157.49
P9612 Catheterization for collection of specimen, single patient, all places of service	166	127	$179.31	$2.94
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	162	31	$2425.84	$212.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	65	$107.96	$41.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$269.17	$104.01
52332 Insertion of stent in urinary duct (ureter) using an endoscope	71	53	$1756.91	$138.75
52356 Crushing of stone of ureter with insertion of stent using an endoscope	71	66	$2233.91	$423.92
51798 Ultrasound measurement of bladder capacity after voiding	70	64	$362.65	$14.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	53	$265.44	$102.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	38	$135.12	$38.98
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	55	34	$129.01	$29.00
51720 Instillation of anti-cancer drug into bladder	41	11	$1011.89	$81.90
J9031 Bcg (intravesical) per instillation	41	11	$274.89	$134.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	41	$408.46	$133.73
J3260 Injection, tobramycin sulfate, up to 80 mg	23	23	$3.57	$3.05
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	22	$57.58	$20.52
76872 Ultrasound scan of pelvic region through rectum	22	22	$512.02	$89.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	15	$63.99	$19.47
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	21	$1029.10	$240.29
55700 Biopsy of prostate gland	20	20	$774.31	$233.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$354.99	$141.07
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$837.76	$57.67
55876 Placement of device in prostate for radiation therapy	15	14	$519.26	$98.46
52648 Laser vaporization of prostate including control of bleeding using an endoscope	15	15	$10541.31	$699.99
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	14	$441.52	$32.18
76872 Ultrasound scan of pelvic region through rectum	14	14	$178.03	$33.44
52000 Diagnostic exam of bladder and urethra using an endoscope	13	13	$777.56	$67.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	492	378	$177.01	$69.99
52000 Diagnostic exam of bladder and urethra using an endoscope	226	173	$724.49	$153.99
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	171	32	$2367.19	$208.97
P9612 Catheterization for collection of specimen, single patient, all places of service	160	118	$179.31	$2.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	144	79	$106.19	$41.64
51798 Ultrasound measurement of bladder capacity after voiding	76	59	$355.79	$17.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$264.71	$103.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	55	$260.59	$103.58
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	63	34	$126.73	$30.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	49	$400.48	$135.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	34	$132.96	$38.81
52332 Insertion of stent in urinary duct (ureter) using an endoscope	47	33	$1841.73	$135.87
52356 Crushing of stone of ureter with insertion of stent using an endoscope	39	37	$2226.54	$401.57
52005 Insertion of tube into ureter using an endoscope through bladder area	20	19	$1036.61	$38.44
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	20	20	$57.19	$19.06
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	17	$483.05	$32.10
76872 Ultrasound scan of pelvic region through rectum	18	18	$538.97	$89.58
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$864.79	$57.67
55700 Biopsy of prostate gland	18	18	$764.00	$238.80
55876 Placement of device in prostate for radiation therapy	17	16	$506.10	$86.41
J3260 Injection, tobramycin sulfate, up to 80 mg	17	17	$3.57	$2.42
76872 Ultrasound scan of pelvic region through rectum	17	17	$199.05	$33.01
51700 Simple bladder irrigation and/or instillation	15	13	$328.18	$55.45
52648 Laser vaporization of prostate including control of bleeding using an endoscope	15	15	$10354.92	$692.39
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	15	14	$1803.32	$297.44
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	14	14	$4911.10	$164.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$260.59	$77.33
51703 Complicated insertion of bladder tube	12	12	$554.23	$71.48
52000 Diagnostic exam of bladder and urethra using an endoscope	11	11	$764.00	$101.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$349.17	$140.35

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IL 036-110510

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Austin Hake , MD

Psychiatry & Neurology - Neurology

NPI 1003077389

Doctor of Medicine (M.D.)

Dr. Kartikeya Tripathi , MD

Internal Medicine - Gastroenterology

NPI 1003269200

Doctor of Medicine (M.D.)

Dr. William Holt , MD

Orthopaedic Surgery

NPI 1023081502

Doctor of Medicine (M.D.)

Nicole Shields , MS, LCPC, QMHP

Counselor - Professional

NPI 1023104940

Master of Science, Licensed Clinical Professional Counselor, Qualified Mental Health Professional

Dr. Kristin Thompson , DPT

Physical Therapist

NPI 1023203031

Doctor of Physical Therapy

Kathleen Nelson , MS ED

Counselor - Professional

NPI 1033340203

Master of Science in Education

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated February 11, 2019

Record deactivated on February 11, 2019

✅

NPI Profile Active March 26, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location March 26, 2010

Registered at 1025 MAINE ST, QUINCY, IL 623014038 (Tel: 2172226550)

📍

Updated Business Mailing Address March 26, 2010

Registered at 1025 MAINE ST, QUINCY, IL 623014038 (Tel: 2172226550)

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Provider Name / Credentials Updated March 26, 2010

Recorded as MICHAEL OUWENGA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2010

Urology (License #036-110510 in IL)

🟢

Initial NPI Registration & Enumeration May 18, 2007

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: 1811105141

Entity Type:

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

Enumeration Date: May 18, 2007

Last Update: March 26, 2010

Deactivation Date: February 11, 2019

Update or Correct Profile

Mailing Address

1025 Maine St

Quincy, IL 623014038

Phone: 2172226550

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.