Active NPI 1164846986 Individual Practitioner Male Practitioner

Dr. Derek Prabharasuth , MD

Urology • Lafayette, IN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Derek Prabharasuth, MD is a certified Urology practicing in Lafayette, IN. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Prabharasuth delivers high-quality medical care to the local community at 5165 MCCARTY LN.

Dr. Prabharasuth accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, established patient outpatient office visit, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5165 Mccarty Ln

Lafayette, IN 479058764

Telephone 7654488000

Fax 7658384758

Associated Practice Facility / Clinic

🏢 Arnett Clinic, Llc Facility NPI 1164490843

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Lafayette, IN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -4.4 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

20 Specialists

Practicing in Lafayette, IN (320 Statewide)

Telehealth Adoption Rate

45.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

54.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prabharasuth (18 Years) 18 Yrs

Lafayette Specialty Average (22.4 Years) 22.4 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	77	68	$300.31	$142.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	32	$240.56	$137.83
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	53	33	$53.17	$17.60
99213 Established patient office or other outpatient visit, typically 15 minutes	52	35	$160.94	$97.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	19	$155.20	$85.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$362.29	$182.02
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$716.00	$244.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	74	67	$300.00	$141.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	29	$153.00	$85.09
99213 Established patient office or other outpatient visit, typically 15 minutes	44	22	$153.00	$95.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	23	$225.00	$135.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$358.00	$179.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	84	78	$300.00	$148.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	29	$153.00	$77.24
99213 Established patient office or other outpatient visit, typically 15 minutes	42	25	$153.00	$98.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	23	$225.00	$137.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$358.00	$184.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	95	87	$300.00	$149.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	25	$153.00	$78.33
99213 Established patient office or other outpatient visit, typically 15 minutes	41	25	$153.00	$99.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	24	$92.00	$60.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$232.00	$123.93
52000 Diagnostic exam of bladder and urethra using an endoscope	19	19	$716.00	$249.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	64	60	$300.00	$155.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$232.00	$119.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	14	$153.00	$80.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	24	$92.00	$50.40
51798 Ultrasound measurement of bladder capacity after voiding	17	15	$66.00	$11.44
52000 Diagnostic exam of bladder and urethra using an endoscope	13	11	$716.00	$233.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	311	153	$7.72	$2.33
99213 Established patient office or other outpatient visit, typically 15 minutes	214	125	$209.70	$73.17
76770 Complete ultrasound scan behind abdominal cavity	163	117	$236.00	$110.87
51798 Ultrasound measurement of bladder capacity after voiding	148	101	$58.11	$12.70
51741 Electronic assessment of bladder emptying	107	70	$150.00	$12.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	57	$105.00	$44.29
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	62	52	$390.65	$41.44
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	51	42	$771.00	$251.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$260.00	$109.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$350.00	$163.66
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	37	14	$350.00	$63.22
51702 Simple insertion of temporary bladder tube	37	12	$196.00	$63.25
74420 Imaging of urinary tract	28	23	$175.00	$25.52
51797 Insertion of device into abdomen with pressure and urine flow rate study	23	23	$352.00	$137.71
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	20	15	$760.00	$273.17
51700 Simple bladder irrigation and/or instillation	19	15	$223.00	$60.16
52000 Diagnostic exam of bladder and urethra using an endoscope	17	17	$550.00	$51.54
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	15	15	$750.00	$225.35
52005 Insertion of tube into ureter using an endoscope through bladder area	15	14	$743.00	$118.13
76872 Ultrasound scan of pelvic region through rectum	13	13	$500.00	$30.46
55700 Biopsy of prostate gland	12	12	$800.00	$103.41
52000 Diagnostic exam of bladder and urethra using an endoscope	11	11	$550.00	$193.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	241	116	$155.22	$71.23
81003 Automated urinalysis test	210	126	$5.00	$2.68
76770 Complete ultrasound scan behind abdominal cavity	193	112	$212.00	$112.71
51798 Ultrasound measurement of bladder capacity after voiding	181	108	$50.00	$15.57
51741 Electronic assessment of bladder emptying	131	82	$150.00	$11.18
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	98	74	$315.00	$36.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$311.54	$163.64
51792 Assessment of muscle signal of pelvic nerves	64	62	$450.00	$208.69
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	61	48	$771.00	$311.15
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	50	15	$1500.00	$62.36
51797 Insertion of device into abdomen with pressure and urine flow rate study	47	45	$352.00	$113.06
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	40	29	$750.00	$273.85
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	32	32	$550.00	$332.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$260.00	$108.58
51700 Simple bladder irrigation and/or instillation	26	20	$223.00	$60.39
74420 Imaging of urinary tract	22	19	$175.00	$17.73
76870 Ultrasound scan of scrotum	22	14	$317.00	$68.39
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	16	15	$5000.00	$216.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	12	$200.00	$107.85
52000 Diagnostic exam of bladder and urethra using an endoscope	15	15	$1413.33	$45.21
93980 Ultrasound scan of penile arterial inflow and venous outflow	14	12	$450.00	$103.23
52000 Diagnostic exam of bladder and urethra using an endoscope	13	13	$550.00	$143.59
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$338.00	$102.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	278	145	$40.67	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	247	113	$103.00	$72.05
76770 Complete ultrasound scan behind abdominal cavity	210	134	$212.00	$112.99
51798 Ultrasound measurement of bladder capacity after voiding	186	114	$50.00	$18.95
51792 Assessment of muscle signal of pelvic nerves	103	101	$450.00	$203.53
51741 Electronic assessment of bladder emptying	91	66	$150.00	$10.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$250.00	$163.71
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	70	49	$750.00	$277.45
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	60	46	$315.00	$34.42
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	52	46	$550.00	$337.05
51700 Simple bladder irrigation and/or instillation	47	28	$223.00	$54.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$260.00	$108.10
51797 Insertion of device into abdomen with pressure and urine flow rate study	32	32	$352.00	$112.42
74420 Imaging of urinary tract	24	23	$175.00	$17.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$334.00	$136.83
76870 Ultrasound scan of scrotum	20	11	$317.00	$68.58
52005 Insertion of tube into ureter using an endoscope through bladder area	16	16	$743.00	$110.52
52000 Diagnostic exam of bladder and urethra using an endoscope	13	13	$550.00	$159.11
76872 Ultrasound scan of pelvic region through rectum	13	13	$500.00	$33.56
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	13	12	$771.00	$294.57
64585 Revision of peripheral neurostimulator electrodes	11	11	$740.00	$145.70

Medical Specialties & State Licenses

CMS Verified: 2026-05-08

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IN 01099585A

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 FL ME122730

Urology

NUCC Taxonomy Code: 208800000X

State License NY 60 255424

Urology

NUCC Taxonomy Code: 208800000X

State License GA 74307

Secondary Practice Locations

11760 Sw 40th St Ste 403

Miami, FL 331753595

Phone: 3052262020

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Sidney Bruce , MD

Surgery

NPI 1003044520

Doctor of Medicine (M.D.)

Dr. Michelle Herberts , MD

Internal Medicine - Critical Care Medicine

NPI 1003270786

Doctor of Medicine (M.D.)

Betty Wellman , NP

Nurse Practitioner - Family

NPI 1003351750

Nurse Practitioner

Dr. Kathryn Stucker , MD

Student in an Organized Health Care Education/Training Program

NPI 1003495391

Doctor of Medicine (M.D.)

Dani'el Mckillip , RN

Registered Nurse - Obstetric, Inpatient

NPI 1003604265

Registered Nurse

Abigail Crum , FNP-BC

Nurse Practitioner - Family

NPI 1003687005

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location May 08, 2026

Registered at 5165 MCCARTY LN, LAFAYETTE, IN 479058764 (Tel: 7654488000)

📍

Updated Business Mailing Address May 08, 2026

Registered at 250 N SHADELAND AVE, INDIANAPOLIS, IN 462194959

📍

Updated Practice Location August 25, 2020

Registered at 11760 SW 40TH ST STE 403, MIAMI, FL 331753595 (Tel: 3052262020)

📍

Updated Business Mailing Address August 25, 2020

Registered at 11760 SW 40TH ST STE 403, MIAMI, FL 331753595 (Tel: 3052262020)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2020

Urology (License #ME122730 in FL)

✅

NPI Profile Active November 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 30, 2015

Registered at 1557 JANMAR RD, SNELLVILLE, GA 300785686 (Tel: 6783448900)

📍

Updated Business Mailing Address November 30, 2015

Registered at 1557 JANMAR RD, SNELLVILLE, GA 300785686 (Tel: 6783448900)

👤

Provider Name / Credentials Updated November 30, 2015

Recorded as DEREK PRABHARASUTH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2015

Urology (License #74307 in GA)

🟢

Initial NPI Registration & Enumeration February 13, 2014

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: 1164846986

Entity Type:

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

Enumeration Date: February 13, 2014

Last Update: May 08, 2026

Sole Proprietor: Yes

Update or Correct Profile

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).

⚠️ 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.