Active NPI 1013125871 Individual Practitioner Male Practitioner

Dr. Charles Randall Powell , MD

Urology • Indianapolis, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Powell, MD is a certified Urology practicing in Indianapolis, IN. With approximately 24 years of clinical experience since graduating from Indiana University School Of Medicine in 2002, Dr. Powell delivers high-quality medical care to the local community at 535 BARNHILL DR..

Dr. Powell is affiliated with Iu Health Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding, exam with injections of chemical for destruction of bladder 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

535 Barnhill Dr.

Indianapolis, IN 46202

Telephone 3172744622

Fax 3172740174

Associated Practice Facility / Clinic

🏢 University Family Physicians, Inc. Facility NPI 1043275787

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Indianapolis, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +5.5 yrs vs City Avg

City Avg: 18.5 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

63 Specialists

Practicing in Indianapolis, IN (320 Statewide)

Telehealth Adoption Rate

31.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Powell (24 Years) 24 Yrs

Indianapolis Specialty Average (18.5 Years) 18.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	58	$183.00	$117.32
51798 Ultrasound measurement of bladder capacity after voiding	54	50	$108.00	$10.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	46	$183.00	$90.03
99213 Established patient office or other outpatient visit, typically 15 minutes	47	43	$127.00	$60.96
52287 Exam with injections of chemical for destruction of bladder using an endoscope	37	29	$756.00	$137.58
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	36	23	$197.00	$36.82
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$127.00	$84.07
52000 Diagnostic exam of bladder and urethra using an endoscope	28	26	$500.00	$208.91
52000 Diagnostic exam of bladder and urethra using an endoscope	28	25	$500.00	$65.11
51705 Removal of skin suture with change of bladder tube	25	15	$261.00	$34.89
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	24	23	$35.00	$15.34
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	22	21	$35.00	$15.33
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	20	19	$858.00	$235.59
51600 Injection procedure for X-ray imaging of the bladder or during voiding	20	20	$571.00	$21.76
64561 Insertion of sacral nerve neurostimulator electrode array	18	18	$3148.00	$273.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	14	$142.00	$72.66
51700 Simple bladder irrigation and/or instillation	16	15	$208.00	$16.98
51741 Electronic assessment of bladder emptying	16	16	$170.00	$3.84
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	16	16	$690.00	$328.05
51797 Insertion of device into abdomen with pressure and urine flow rate study	16	16	$573.00	$171.96
51741 Electronic assessment of bladder emptying	16	16	$339.00	$6.48
51797 Insertion of device into abdomen with pressure and urine flow rate study	15	15	$251.00	$36.15
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	15	15	$266.00	$94.57
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	14	14	$204.00	$16.89
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	13	13	$575.00	$29.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	50	44	$156.00	$82.46
99213 Established patient office or other outpatient visit, typically 15 minutes	46	46	$156.00	$61.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	41	$216.00	$118.86
51798 Ultrasound measurement of bladder capacity after voiding	41	35	$87.00	$9.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$216.00	$91.19
52287 Exam with injections of chemical for destruction of bladder using an endoscope	28	23	$780.00	$124.90
52000 Diagnostic exam of bladder and urethra using an endoscope	27	22	$516.00	$205.78
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	25	15	$193.00	$37.37
51741 Electronic assessment of bladder emptying	19	19	$215.00	$6.42
51797 Insertion of device into abdomen with pressure and urine flow rate study	19	19	$586.00	$176.80
52000 Diagnostic exam of bladder and urethra using an endoscope	19	17	$516.00	$53.20
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	19	19	$752.00	$322.92
51741 Electronic assessment of bladder emptying	18	16	$173.00	$4.24
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	17	17	$500.00	$29.54
51600 Injection procedure for X-ray imaging of the bladder or during voiding	16	14	$630.00	$23.95
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	15	15	$899.00	$130.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$313.00	$124.19
51797 Insertion of device into abdomen with pressure and urine flow rate study	14	13	$260.00	$36.75
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	14	13	$266.00	$95.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	58	$156.00	$83.91
99213 Established patient office or other outpatient visit, typically 15 minutes	54	46	$156.00	$63.10
51798 Ultrasound measurement of bladder capacity after voiding	44	40	$87.00	$9.31
52000 Diagnostic exam of bladder and urethra using an endoscope	34	31	$516.00	$224.59
52000 Diagnostic exam of bladder and urethra using an endoscope	28	27	$516.00	$69.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$216.00	$120.17
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	16	$1405.72	$155.07
52287 Exam with injections of chemical for destruction of bladder using an endoscope	23	20	$780.00	$138.85
51700 Simple bladder irrigation and/or instillation	21	20	$212.00	$18.27
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	20	20	$500.00	$31.48
51741 Electronic assessment of bladder emptying	20	20	$215.00	$6.41
51797 Insertion of device into abdomen with pressure and urine flow rate study	20	20	$586.00	$184.53
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	20	20	$779.00	$346.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$422.00	$185.49
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	16	14	$193.00	$38.07
52260 Dilation of the bladder using an endoscope under general or spinal anesthesia	15	14	$751.00	$194.31
51600 Injection procedure for X-ray imaging of the bladder or during voiding	15	14	$630.00	$24.73
51797 Insertion of device into abdomen with pressure and urine flow rate study	14	14	$260.00	$37.37
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	14	14	$266.00	$97.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$216.00	$92.95
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	12	12	$899.00	$117.83
64581 Incision to insert sacral nerve neurostimulator electrodes	12	12	$2486.00	$612.39
51741 Electronic assessment of bladder emptying	11	11	$173.00	$4.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	80	$156.00	$64.26
99213 Established patient office or other outpatient visit, typically 15 minutes	87	73	$156.00	$84.82
51798 Ultrasound measurement of bladder capacity after voiding	60	58	$87.00	$9.20
52287 Exam with injections of chemical for destruction of bladder using an endoscope	38	27	$785.13	$146.69
52000 Diagnostic exam of bladder and urethra using an endoscope	30	26	$516.00	$212.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$216.00	$95.02
52000 Diagnostic exam of bladder and urethra using an endoscope	26	26	$516.00	$71.55
51600 Injection procedure for X-ray imaging of the bladder or during voiding	25	24	$630.00	$24.30
51705 Removal of skin suture with change of bladder tube	25	12	$249.00	$39.84
51741 Electronic assessment of bladder emptying	24	24	$213.25	$6.14
51797 Insertion of device into abdomen with pressure and urine flow rate study	24	23	$260.00	$37.68
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	24	24	$757.63	$325.13
51797 Insertion of device into abdomen with pressure and urine flow rate study	24	24	$572.42	$162.20
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	24	23	$266.00	$97.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$216.00	$121.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$422.00	$189.48
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	15	$1369.18	$147.62
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	20	20	$484.85	$28.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$313.00	$129.31
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	19	14	$193.00	$37.05
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	16	16	$197.00	$17.81
51700 Simple bladder irrigation and/or instillation	16	15	$212.00	$18.12
52260 Dilation of the bladder using an endoscope under general or spinal anesthesia	13	12	$751.00	$181.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	11	$66.00	$21.20
52005 Insertion of tube into ureter using an endoscope through bladder area	11	11	$1118.00	$72.49
64581 Incision to insert sacral nerve neurostimulator electrodes	11	11	$2542.50	$575.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	89	76	$156.00	$49.16
99213 Established patient office or other outpatient visit, typically 15 minutes	86	76	$156.00	$67.97
51798 Ultrasound measurement of bladder capacity after voiding	59	52	$87.00	$9.32
51600 Injection procedure for X-ray imaging of the bladder or during voiding	34	34	$630.00	$24.72
52287 Exam with injections of chemical for destruction of bladder using an endoscope	33	26	$780.00	$151.26
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	30	30	$266.00	$102.31
51797 Insertion of device into abdomen with pressure and urine flow rate study	30	30	$260.00	$39.08
52000 Diagnostic exam of bladder and urethra using an endoscope	30	30	$516.00	$71.14
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	27	27	$760.00	$321.90
51741 Electronic assessment of bladder emptying	26	26	$213.38	$6.62
51797 Insertion of device into abdomen with pressure and urine flow rate study	26	26	$573.46	$147.58
51741 Electronic assessment of bladder emptying	26	26	$173.00	$4.34
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	26	16	$193.00	$39.94
52000 Diagnostic exam of bladder and urethra using an endoscope	24	22	$516.00	$193.39
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	23	23	$486.83	$31.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$313.00	$123.83
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	21	21	$197.00	$18.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$216.00	$75.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$313.00	$140.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$422.00	$194.30
52005 Insertion of tube into ureter using an endoscope through bladder area	15	15	$1118.00	$72.10
51700 Simple bladder irrigation and/or instillation	12	12	$212.00	$19.89
57270 Repair of protrusion of intestine into rectum or vagina	11	11	$1976.95	$425.77
57425 Surgical repair of vaginal defect using an endoscope	11	11	$3071.02	$945.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	167	142	$155.80	$48.44
99213 Established patient office or other outpatient visit, typically 15 minutes	134	114	$156.00	$67.87
51798 Ultrasound measurement of bladder capacity after voiding	76	67	$87.00	$11.42
52287 Exam with injections of chemical for destruction of bladder using an endoscope	44	37	$780.00	$150.79
52000 Diagnostic exam of bladder and urethra using an endoscope	39	33	$516.00	$176.95
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	38	25	$193.00	$39.57
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	36	36	$266.00	$100.96
51797 Insertion of device into abdomen with pressure and urine flow rate study	35	35	$260.00	$38.77
51600 Injection procedure for X-ray imaging of the bladder or during voiding	33	33	$630.00	$23.39
51741 Electronic assessment of bladder emptying	33	33	$173.00	$4.18
52000 Diagnostic exam of bladder and urethra using an endoscope	29	29	$516.00	$73.77
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	25	25	$197.00	$18.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$313.00	$121.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$217.00	$71.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$216.00	$74.91
52005 Insertion of tube into ureter using an endoscope through bladder area	20	20	$1118.00	$76.07
51741 Electronic assessment of bladder emptying	18	18	$215.00	$6.74
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	18	18	$779.00	$313.66
51797 Insertion of device into abdomen with pressure and urine flow rate study	18	18	$586.00	$129.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$217.00	$95.14
64581 Incision to insert sacral nerve neurostimulator electrodes	13	13	$2486.00	$630.00
57270 Repair of protrusion of intestine into rectum or vagina	13	13	$1963.73	$466.79
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	13	13	$500.00	$31.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$313.00	$154.68
57425 Surgical repair of vaginal defect using an endoscope	12	12	$2994.79	$912.19
51700 Simple bladder irrigation and/or instillation	11	11	$212.00	$19.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	201	167	$156.00	$48.69
99213 Established patient office or other outpatient visit, typically 15 minutes	184	151	$156.00	$67.20
51798 Ultrasound measurement of bladder capacity after voiding	108	91	$87.00	$14.34
52000 Diagnostic exam of bladder and urethra using an endoscope	57	56	$516.00	$150.63
52287 Exam with injections of chemical for destruction of bladder using an endoscope	40	34	$780.00	$142.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$217.00	$98.68
52000 Diagnostic exam of bladder and urethra using an endoscope	35	33	$516.00	$74.16
51600 Injection procedure for X-ray imaging of the bladder or during voiding	24	23	$630.00	$25.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$313.00	$122.03
51741 Electronic assessment of bladder emptying	23	22	$173.00	$4.41
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	23	23	$266.00	$97.26
52260 Dilation of the bladder using an endoscope under general or spinal anesthesia	23	23	$751.00	$196.14
51797 Insertion of device into abdomen with pressure and urine flow rate study	22	21	$586.00	$106.43
51741 Electronic assessment of bladder emptying	22	21	$215.00	$7.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$216.00	$74.84
51797 Insertion of device into abdomen with pressure and urine flow rate study	21	21	$260.00	$37.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$422.00	$192.39
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	21	20	$779.00	$298.72
51700 Simple bladder irrigation and/or instillation	19	19	$212.00	$16.42
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	19	14	$193.00	$39.54
74420 Imaging of urinary tract	18	16	$80.00	$17.12
52005 Insertion of tube into ureter using an endoscope through bladder area	18	18	$1118.00	$86.88
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	16	16	$500.00	$32.64
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	15	11	$193.00	$55.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$217.00	$72.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$313.00	$154.63
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	11	$1641.15	$155.05
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	13	13	$197.00	$18.09
81002 Urinalysis, manual test	12	12	$9.00	$3.41
52204 Biopsy of the bladder using an endoscope	11	11	$1654.00	$97.35
64581 Incision to insert sacral nerve neurostimulator electrodes	11	11	$2486.00	$631.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	258	196	$156.00	$48.51
99213 Established patient office or other outpatient visit, typically 15 minutes	217	163	$156.00	$67.08
51798 Ultrasound measurement of bladder capacity after voiding	104	82	$87.00	$16.81
52000 Diagnostic exam of bladder and urethra using an endoscope	42	40	$512.00	$85.73
51741 Electronic assessment of bladder emptying	36	34	$174.17	$4.51
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	33	32	$290.06	$101.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	32	$422.00	$188.30
51797 Insertion of device into abdomen with pressure and urine flow rate study	33	32	$269.88	$38.92
52287 Exam with injections of chemical for destruction of bladder using an endoscope	32	26	$780.00	$151.43
52000 Diagnostic exam of bladder and urethra using an endoscope	28	27	$512.00	$140.19
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	28	18	$250.00	$39.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$406.00	$160.08
51600 Injection procedure for X-ray imaging of the bladder or during voiding	26	26	$630.00	$23.09
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	25	25	$190.00	$18.16
74420 Imaging of urinary tract	23	18	$80.00	$17.11
51700 Simple bladder irrigation and/or instillation	22	21	$210.00	$22.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$313.00	$123.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$406.00	$186.22
52260 Dilation of the bladder using an endoscope under general or spinal anesthesia	20	19	$751.00	$202.44
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	15	$1624.32	$136.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$217.00	$72.27
51797 Insertion of device into abdomen with pressure and urine flow rate study	19	19	$586.00	$99.03
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	19	19	$772.00	$279.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$216.00	$74.94
52005 Insertion of tube into ureter using an endoscope through bladder area	18	18	$1118.00	$85.25
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	17	17	$502.00	$30.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$109.00	$24.17
51741 Electronic assessment of bladder emptying	17	17	$215.00	$6.97
81002 Urinalysis, manual test	17	17	$9.00	$3.43
57425 Surgical repair of vaginal defect using an endoscope	12	12	$2875.00	$915.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$313.00	$154.02
57270 Repair of protrusion of intestine into rectum or vagina	11	11	$1891.00	$445.00

Medical Specialties & State Licenses

CMS Verified: 2025-03-04

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IN 01066313A

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 IL 125044893

Urology

NUCC Taxonomy Code: 208800000X

State License IA 37723

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200950830 (IN)

Hospital & Practice Group Affiliations

Iu Health Medical Group Llc

1701 N Senate Blvd, Indianapolis, IN 462021239

Phone: 8884843258

Secondary Practice Locations

1701 N Senate Blvd

Indianapolis, IN 462021239

Phone: 8884843258

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Thomas Gardner , MD

Urology

NPI 1376538066

Doctor of Medicine (M.D.)

Dr. Timothy Masterson , MD

Urology

NPI 1528227923

Doctor of Medicine (M.D.)

Dr. Keng-Siang Png , MBBS

Urology

NPI 1750661807

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Michael Risk , MD

Urology

NPI 1841307667

Doctor of Medicine (M.D.)

Dr. Paul Johnston , MD

Urology

NPI 1851603690

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address January 06, 2021

Registered at 250 N SHADELAND AVE, INDIANAPOLIS, IN 462194959

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2021

Urology (License #125044893 in IL)

✅

NPI Profile Active September 23, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 23, 2014

Registered at 535 BARNHILL DR., INDIANAPOLIS, IN 46202 (Tel: 3172744622)

📍

Updated Business Mailing Address September 23, 2014

Registered at 535 BARNHILL DR., INDIANAPOLIS, IN 46202 (Tel: 3172744622)

👤

Provider Name / Credentials Updated September 23, 2014

Recorded as CHARLES POWELL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2014

Urology (License #01066313A in IN)

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Initial NPI Registration & Enumeration May 17, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013125871

Entity Type:

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

Enumeration Date: May 17, 2007

Last Update: March 04, 2025

Sole Proprietor: No

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Mailing Address

250 N Shadeland Ave

Indianapolis, IN 462194959

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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