Active NPI 1376569509 Individual Practitioner Male Practitioner

Dr. Sam B Bhayani , MD

Urology • Saint Louis, MO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sam Bhayani, MD is a certified Urology practicing in Saint Louis, MO. With approximately 30 years of clinical experience since graduating from Washington University School Of Medicine in 1996, Dr. Bhayani delivers high-quality medical care to the local community at 4500 FOREST PARK AVE.

Dr. Bhayani is affiliated with Washington University and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, surgical removal of prostate and surrounding lymph nodes using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4500 Forest Park Ave
Div Surg Urology, 5th Fl

Saint Louis, MO 631082114

Telephone 3143628200

Fax 8884258245

Associated Practice Facility / Clinic

🏢 Barnes Jewish Hospital Facility NPI 1245081058

Medicare Profile & Education

Medical School

Washington University School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Saint Louis, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +9.2 yrs vs City Avg

City Avg: 20.8 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

98 Specialists

Practicing in Saint Louis, MO (282 Statewide)

Telehealth Adoption Rate

40.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

82.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bhayani (30 Years) 30 Yrs

Saint Louis Specialty Average (20.8 Years) 20.8 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	78	75	$167.63	$86.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	65	$287.86	$123.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$412.39	$154.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$326.43	$107.01
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	12	12	$5700.00	$1098.30
55700 Biopsy of prostate gland	12	12	$930.00	$124.94
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	11	11	$3667.00	$318.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	66	$157.50	$89.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	62	$256.97	$124.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$397.90	$164.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$309.78	$107.08
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	17	17	$3667.00	$307.91
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	17	17	$5700.00	$1141.77
55706 Needle stereotactic and image-guided biopsy of prostate gland	16	16	$1430.00	$359.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	91	$150.00	$90.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	39	$235.00	$125.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$275.00	$110.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$385.00	$167.30
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	15	15	$5700.00	$1440.11
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	14	14	$3667.00	$332.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	88	79	$150.00	$89.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$275.00	$112.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$385.00	$168.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$235.00	$130.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	62	$145.00	$75.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$268.81	$105.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$375.00	$160.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	95	88	$145.00	$73.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	30	$230.00	$108.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$375.00	$159.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$265.00	$107.69
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	12	12	$5650.00	$1489.50
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	11	11	$3667.00	$341.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	108	$128.68	$71.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	41	$200.00	$105.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$334.43	$162.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$232.20	$106.34
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	13	13	$5582.69	$1482.47
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	12	12	$3667.00	$337.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	140	119	$117.40	$70.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$216.08	$105.72
81002 Urinalysis, manual test	32	30	$20.00	$2.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$186.67	$105.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$306.90	$160.93
52000 Diagnostic exam of bladder and urethra using an endoscope	16	16	$600.63	$161.54
76872 Ultrasound scan of pelvic region through rectum	15	15	$460.00	$86.23
55700 Biopsy of prostate gland	15	15	$665.00	$230.89
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	11	11	$5218.18	$1356.13

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MO 110662

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

208422204 (MO)

Hospital & Practice Group Affiliations

Washington University

1 Barnes Jew Hosp Plz, Saint Louis, MO 631101003

Phone: 3143629355

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Charles Jones , MD

Urology

NPI 1003347105

Doctor of Medicine (M.D.)

Dr. Paul Kogan , MD

Urology

NPI 1023377736

Doctor of Medicine (M.D.)

Lauren Elson

Student in an Organized Health Care Education/Training Program

NPI 1073258687

Dr. Raees Cassim , MD

Urology

NPI 1073491973

Doctor of Medicine (M.D.)

Dr. Zeynep Gul , MD

Urology

NPI 1073909768

Doctor of Medicine (M.D.)

Kathleen Lobello , ANP

Nurse Practitioner - Adult Health

NPI 1134147648

Adult Nurse Practitioner

Career & Practice History Timeline

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

16 Historical Events

📍

Updated Practice Location April 15, 2025

Registered at 4500 FOREST PARK AVE, DIV SURG UROLOGY, 5TH FL, SAINT LOUIS, MO 631082114 (Tel: 3143628200)

📍

Updated Business Mailing Address April 15, 2025

Registered at PO BOX 7412011, CHICAGO, IL 606742011 (Tel: 3143628200)

📍

Updated Business Mailing Address April 25, 2024

Registered at PO BOX 60352, SAINT LOUIS, MO 631600352 (Tel: 3143628200)

📍

Updated Practice Location November 15, 2021

Registered at 4921 PARKVIEW PL, DIV SURG UROLOGY, STE 11C, SAINT LOUIS, MO 631101032 (Tel: 3143628200)

📍

Updated Business Mailing Address November 15, 2021

Registered at 660 S EUCLID AVE, MSC 8242-22-02, SAINT LOUIS, MO 631101010 (Tel: 3143628200)

✅

NPI Profile Active January 24, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 24, 2018

Registered at 4921 PARKVIEW PL STE 11C, STE 11C, SAINT LOUIS, MO 631101032 (Tel: 3143628200)

📍

Updated Business Mailing Address January 24, 2018

Registered at 660 S EUCLID AVE, C B 8242, SAINT LOUIS, MO 631101010 (Tel: 3143628200)

👤

Provider Name / Credentials Updated January 24, 2018

Recorded as SAM BHAYANI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Urology (License #110662 in MO)

✅

NPI Profile Active November 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 14, 2016

Registered at 4921 PARKVIEW PL, STE 11C, SAINT LOUIS, MO 631101032 (Tel: 3143628200)

📍

Updated Business Mailing Address November 14, 2016

Registered at 660 S EUCLID AVE, C B 8242, SAINT LOUIS, MO 631101010 (Tel: 3143628200)

👤

Provider Name / Credentials Updated November 14, 2016

Recorded as SAM BHAYANI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2016

Urology (License #110662 in MO)

🟢

Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376569509

Entity Type:

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

Enumeration Date: July 14, 2006

Last Update: April 15, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 7412011

Chicago, IL 606742011

Phone: 3143628200

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.