Active NPI 1891780995 Individual Practitioner Male Practitioner

Dr. Mark Alvin Kellerman , MD

Urology • Clive, IA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Mark Kellerman, MD is a certified Urology practicing in Clive, IA. With approximately 29 years of clinical experience since graduating from University Of Iowa, Rj & L Carver College Of Medicine in 1997, Dr. Kellerman delivers high-quality medical care to the local community at 12129 UNIVERSITY AVE STE 100.

Dr. Kellerman maintains professional affiliations with Broadlawns Medical Center, Urology Center Of Iowa Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, denosumab, 1 mg, leuprolide injectable, camcevi, 1 mg, 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

12129 University Ave Ste 100

Clive, IA 503258298

Telephone 5154003550

Fax 5154003551

Associated Practice Facility / Clinic

🏢 Urology Center Of Iowa Pllc Facility NPI 1689210155

Medicare Profile & Education

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Clive, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +10.7 yrs vs City Avg

City Avg: 18.3 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Clive, IA (133 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

73.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kellerman (29 Years) 29 Yrs

Clive Specialty Average (18.3 Years) 18.3 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
J0897 Injection, denosumab, 1 mg	4,080	33	$57.90	$25.77
J1952 Leuprolide injectable, camcevi, 1 mg	546	13	$297.00	$56.32
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	472	367	$50.00	$15.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	427	301	$331.00	$118.37
81003 Automated urinalysis test	275	227	$7.50	$2.20
51798 Ultrasound measurement of bladder capacity after voiding	195	170	$40.00	$10.01
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	174	26	$300.00	$172.21
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	174	44	$127.00	$57.94
99213 Established patient office or other outpatient visit, typically 15 minutes	130	111	$228.00	$83.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$501.00	$153.82
52000 Diagnostic exam of bladder and urethra using an endoscope	112	100	$649.00	$211.92
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	88	34	$135.00	$44.28
J0696 Injection, ceftriaxone sodium, per 250 mg	74	20	$1.80	$0.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	42	$43.40	$12.95
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	39	36	$96.40	$31.19
52332 Insertion of stent in urinary duct (ureter) using an endoscope	33	32	$1427.39	$108.21
52648 Laser vaporization of prostate including control of bleeding using an endoscope	29	29	$1944.31	$631.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	26	$445.00	$166.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$328.00	$96.98
55700 Biopsy of prostate gland	24	24	$768.00	$218.24
76872 Ultrasound scan of pelvic region through rectum	24	24	$480.00	$125.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$100.00	$89.46
76770 Complete ultrasound scan behind abdominal cavity	18	17	$345.00	$69.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$421.00	$119.65
51741 Electronic assessment of bladder emptying	16	16	$44.40	$6.03
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	16	16	$208.00	$27.44
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	16	16	$1083.00	$309.74
51705 Removal of skin suture with change of bladder tube	13	13	$293.00	$87.79
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	12	$1242.85	$343.51
50590 Shock wave crushing of kidney stones	13	13	$2235.08	$491.89
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	12	12	$45.00	$15.23
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	12	12	$4413.17	$1081.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	2,040	15	$57.90	$23.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	336	250	$331.00	$118.82
81003 Automated urinalysis test	292	215	$7.50	$2.19
51798 Ultrasound measurement of bladder capacity after voiding	208	168	$40.00	$9.55
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	188	50	$127.00	$58.06
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	144	19	$300.00	$172.43
99213 Established patient office or other outpatient visit, typically 15 minutes	135	117	$228.00	$83.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	123	123	$501.00	$154.40
52000 Diagnostic exam of bladder and urethra using an endoscope	118	97	$649.00	$218.70
J0696 Injection, ceftriaxone sodium, per 250 mg	100	25	$1.80	$0.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	65	$100.00	$91.08
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	68	28	$135.00	$43.96
76872 Ultrasound scan of pelvic region through rectum	43	43	$480.00	$126.02
52648 Laser vaporization of prostate including control of bleeding using an endoscope	41	41	$1944.73	$634.02
52332 Insertion of stent in urinary duct (ureter) using an endoscope	40	33	$1415.70	$110.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	23	$221.00	$73.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$421.00	$121.30
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	31	30	$1083.00	$326.85
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	30	30	$208.00	$28.73
55700 Biopsy of prostate gland	29	29	$768.00	$221.88
51741 Electronic assessment of bladder emptying	28	27	$44.40	$6.23
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$70.00	$61.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$328.00	$99.83
52000 Diagnostic exam of bladder and urethra using an endoscope	24	21	$178.29	$71.80
51797 Insertion of device into abdomen with pressure and urine flow rate study	19	19	$499.00	$169.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$445.00	$166.40
50590 Shock wave crushing of kidney stones	13	12	$2240.62	$563.49
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$894.00	$292.74
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	12	12	$96.40	$30.91

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	300	224	$330.37	$119.10
81003 Automated urinalysis test	296	221	$7.50	$2.18
51798 Ultrasound measurement of bladder capacity after voiding	219	171	$40.30	$9.29
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	147	23	$318.54	$171.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	144	144	$499.40	$152.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	88	$100.00	$93.04
99213 Established patient office or other outpatient visit, typically 15 minutes	113	103	$228.00	$84.17
52000 Diagnostic exam of bladder and urethra using an endoscope	100	85	$649.00	$227.13
J0696 Injection, ceftriaxone sodium, per 250 mg	78	21	$1.80	$0.50
52332 Insertion of stent in urinary duct (ureter) using an endoscope	50	43	$1448.82	$105.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$421.00	$123.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	30	$221.00	$66.62
76872 Ultrasound scan of pelvic region through rectum	39	39	$480.00	$128.44
52000 Diagnostic exam of bladder and urethra using an endoscope	32	27	$165.22	$73.62
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	30	30	$1083.00	$346.76
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	29	29	$208.00	$29.92
52648 Laser vaporization of prostate including control of bleeding using an endoscope	29	28	$2273.31	$627.85
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$70.00	$62.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$135.00	$126.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$328.00	$104.09
55700 Biopsy of prostate gland	24	24	$768.00	$226.96
51741 Electronic assessment of bladder emptying	23	23	$44.40	$6.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	19	$45.51	$12.86
50590 Shock wave crushing of kidney stones	21	20	$2107.52	$498.42
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	20	19	$96.40	$30.73
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	16	$1377.35	$386.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$445.00	$168.90
51797 Insertion of device into abdomen with pressure and urine flow rate study	14	14	$499.00	$184.81
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	14	14	$4442.57	$1341.44
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	13	13	$2058.00	$307.69
51720 Instillation of anti-cancer drug into bladder	13	11	$258.00	$78.55
52005 Insertion of tube into ureter using an endoscope through bladder area	12	11	$769.00	$78.83
51990 Suture suspension of bladder canal (urethra) to control leakage using an endoscope	12	12	$2338.00	$345.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	358	259	$7.50	$2.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	276	201	$331.00	$122.06
51798 Ultrasound measurement of bladder capacity after voiding	256	195	$36.56	$9.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	139	139	$499.35	$156.24
99213 Established patient office or other outpatient visit, typically 15 minutes	121	104	$228.00	$86.18
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	120	17	$300.00	$170.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	82	$111.28	$94.47
52000 Diagnostic exam of bladder and urethra using an endoscope	86	79	$652.84	$218.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	59	$421.00	$128.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	39	$220.42	$68.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$141.73	$129.26
52000 Diagnostic exam of bladder and urethra using an endoscope	47	43	$179.94	$73.43
99213 Established patient office or other outpatient visit, typically 15 minutes	41	33	$72.66	$62.50
52332 Insertion of stent in urinary duct (ureter) using an endoscope	39	35	$1300.15	$121.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$328.00	$103.77
J0696 Injection, ceftriaxone sodium, per 250 mg	33	14	$1.66	$0.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	23	$43.40	$13.36
52648 Laser vaporization of prostate including control of bleeding using an endoscope	31	31	$3891.26	$651.82
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	20	17	$96.40	$30.35
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	19	19	$4026.05	$1242.00
76872 Ultrasound scan of pelvic region through rectum	16	16	$480.00	$121.73
55700 Biopsy of prostate gland	16	16	$768.00	$228.29
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	15	15	$2013.60	$301.96
55700 Biopsy of prostate gland	14	14	$200.86	$123.03
51990 Suture suspension of bladder canal (urethra) to control leakage using an endoscope	14	14	$2193.89	$317.82
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	14	12	$868.79	$261.47
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	14	$1263.29	$405.34
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	13	13	$208.00	$31.17
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	13	12	$1083.00	$350.20
50590 Shock wave crushing of kidney stones	13	13	$1971.54	$526.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$120.00	$36.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$92.00	$79.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	319	241	$6.59	$2.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	174	$295.20	$104.36
51798 Ultrasound measurement of bladder capacity after voiding	171	127	$34.07	$9.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$440.09	$156.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	96	$85.11	$76.71
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	88	11	$314.32	$218.87
52000 Diagnostic exam of bladder and urethra using an endoscope	86	77	$556.21	$200.00
99213 Established patient office or other outpatient visit, typically 15 minutes	68	59	$189.19	$70.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	34	$203.17	$70.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$136.00	$125.36
52332 Insertion of stent in urinary duct (ureter) using an endoscope	44	36	$915.16	$123.60
J0696 Injection, ceftriaxone sodium, per 250 mg	39	14	$1.20	$0.58
99213 Established patient office or other outpatient visit, typically 15 minutes	37	35	$54.00	$49.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$283.38	$101.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$367.67	$133.68
52000 Diagnostic exam of bladder and urethra using an endoscope	28	25	$138.82	$79.19
52648 Laser vaporization of prostate including control of bleeding using an endoscope	23	22	$3347.78	$666.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	17	$47.64	$13.58
52005 Insertion of tube into ureter using an endoscope through bladder area	17	17	$524.71	$75.84
36415 Insertion of needle into vein for collection of blood sample	16	15	$5.00	$2.95
76872 Ultrasound scan of pelvic region through rectum	16	16	$365.25	$135.38
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	15	11	$86.27	$29.70
55700 Biopsy of prostate gland	15	15	$648.53	$236.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$81.67	$73.28
55700 Biopsy of prostate gland	13	13	$193.77	$127.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$88.85	$38.02
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	13	13	$907.00	$232.76
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$1122.50	$442.79
50590 Shock wave crushing of kidney stones	12	11	$1848.75	$557.22
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	11	11	$1374.91	$296.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	124	96	$4.00	$2.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	86	$86.73	$75.44
51798 Ultrasound measurement of bladder capacity after voiding	72	57	$40.81	$11.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	63	$202.70	$100.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$309.00	$155.63
52000 Diagnostic exam of bladder and urethra using an endoscope	32	32	$152.94	$75.80
99213 Established patient office or other outpatient visit, typically 15 minutes	32	26	$137.00	$70.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$87.19	$72.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$201.64	$101.86
52000 Diagnostic exam of bladder and urethra using an endoscope	25	25	$426.16	$175.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	20	$139.80	$69.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$147.63	$122.77
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$54.78	$48.82
36415 Insertion of needle into vein for collection of blood sample	19	19	$5.00	$2.94
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	15	$290.67	$123.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$261.00	$131.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	333	261	$15.00	$2.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	301	262	$183.07	$99.88
36415 Insertion of needle into vein for collection of blood sample	188	151	$15.00	$2.93
84153 Psa (prostate specific antigen) measurement, total	174	143	$60.00	$22.08
99213 Established patient office or other outpatient visit, typically 15 minutes	160	146	$121.35	$68.35
51798 Ultrasound measurement of bladder capacity after voiding	160	142	$48.00	$14.33
52000 Diagnostic exam of bladder and urethra using an endoscope	159	138	$500.00	$152.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$281.18	$152.78
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	63	15	$2500.00	$882.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$184.00	$100.39
55700 Biopsy of prostate gland	27	27	$550.00	$218.99
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	22	$1371.92	$112.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$228.16	$129.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	13	$65.00	$19.05
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	20	$492.00	$56.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	17	$147.50	$69.05
52648 Laser vaporization of prostate including control of bleeding using an endoscope	17	17	$5465.00	$657.56
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	16	$1060.00	$375.68
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	15	15	$3200.00	$1155.66
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	13	12	$980.00	$266.34
52005 Insertion of tube into ureter using an endoscope through bladder area	13	12	$860.00	$55.97
84403 Testosterone (hormone) level, total	11	11	$85.00	$31.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	6,650	13	$0.10	$0.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	447	372	$181.00	$100.04
81003 Automated urinalysis test	413	309	$15.00	$3.02
51798 Ultrasound measurement of bladder capacity after voiding	279	238	$48.00	$17.24
36415 Insertion of needle into vein for collection of blood sample	272	208	$15.00	$2.93
84153 Psa (prostate specific antigen) measurement, total	253	199	$60.00	$24.73
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	226	27	$1125.00	$208.60
99213 Established patient office or other outpatient visit, typically 15 minutes	219	198	$118.00	$67.73
52000 Diagnostic exam of bladder and urethra using an endoscope	213	170	$500.00	$150.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$181.00	$99.13
52332 Insertion of stent in urinary duct (ureter) using an endoscope	51	42	$1326.47	$92.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	47	$224.00	$126.89
55700 Biopsy of prostate gland	44	43	$550.00	$222.47
52648 Laser vaporization of prostate including control of bleeding using an endoscope	43	43	$5465.00	$640.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	22	$65.00	$23.38
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	38	27	$82.00	$29.65
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	38	37	$492.00	$56.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$278.00	$152.63
52356 Crushing of stone of ureter with insertion of stent using an endoscope	31	29	$1162.58	$397.15
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	30	30	$477.00	$32.13
51797 Insertion of device into abdomen with pressure and urine flow rate study	30	30	$562.00	$102.97
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	27	27	$769.00	$279.47
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	23	22	$831.00	$213.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	17	$145.00	$65.79
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	20	15	$32.00	$10.08
51741 Electronic assessment of bladder emptying	17	17	$268.00	$7.31
84154 Psa (prostate specific antigen) measurement, free	17	17	$60.00	$24.73
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	15	12	$980.00	$257.38
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	15	14	$900.00	$294.79
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	14	14	$770.00	$289.22
51705 Removal of skin suture with change of bladder tube	14	12	$254.00	$81.23
52005 Insertion of tube into ureter using an endoscope through bladder area	13	12	$860.00	$55.39
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$125.00	$69.18

Medical Specialties & State Licenses

CMS Verified: 2024-10-28

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IA MD-35053

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.

Hospital & Practice Group Affiliations

Urology Center Of Iowa Pllc

1660 60th St, West Des Moines, IA 502667700

Phone: 5153431000

Urology Center Of Iowa Pllc

13375 University Ave, Clive, IA 503258262

Phone: 5154003550

Urology Center Of Iowa Pllc

1755 59th Pl, West Des Moines, IA 502667737

Phone: 5153588000

Urology Center Of Iowa Pllc

700 E Uinversity Ave, Des Moines, IA 503162302

Phone: 5152635612

Urology Center Of Iowa Pllc

12129 University Ave, Clive, IA 503258287

Phone: 5154003550

Urology Center Of Iowa Pllc

111 Nw 9th St, Ankeny, IA 500231754

Phone: 5154003550

Broadlawns Medical Center

1801 Hickman Rd, Des Moines, IA 503141548

Phone: 5152822200

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dr. Stephanie Courson Pothoven , DO

Urology

NPI 1033230560

Doctor of Osteopathic Medicine (D.O.)

Dr. Mccabe Kenny , MD

Urology

NPI 1164721338

Doctor of Medicine (M.D.)

Dr. Jacob Jipp , MD

Urology

NPI 1164886644

Doctor of Medicine (M.D.)

Megan Bosak Duff

Physician Assistant

NPI 1205288669

Rhonda Kraus , CSFA

Specialist/Technologist, Other - Surgical Assistant

NPI 1215178371

Dr. Brian Gallagher , MD

Urology

NPI 1336358324

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location October 28, 2024

Registered at 12129 UNIVERSITY AVE STE 100, CLIVE, IA 503258298 (Tel: 5154003550)

📍

Updated Business Mailing Address October 28, 2024

Registered at 12129 UNIVERSITY AVE STE 100, CLIVE, IA 503258298 (Tel: 5154003550)

📍

Updated Practice Location July 29, 2019

Registered at 1350 DES MOINES ST STE 100, DES MOINES, IA 503095507 (Tel: 5156430400)

📍

Updated Business Mailing Address July 29, 2019

Registered at PO BOX 1475, DES MOINES, IA 503051475 (Tel: 5156430400)

📍

Updated Practice Location June 22, 2018

Registered at 5950 UNIVERSITY AVE, STE 341, WEST DES MOINES, IA 50266 (Tel: 5158759800)

📍

Updated Business Mailing Address June 22, 2018

Registered at 7147 VISTA DR STE 150, WEST DES MOINES, IA 502669313 (Tel: 5158759925)

✅

NPI Profile Active September 02, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 02, 2015

Registered at 5950 UNIVERSITY AVE, STE 341, WEST DES MOINES, IA 502668216 (Tel: 5158759800)

📍

Updated Business Mailing Address September 02, 2015

Registered at 6800 LAKE DRIVE, STE 250, WEST DES MOINES, IA 502662504 (Tel: 5158759925)

👤

Provider Name / Credentials Updated September 02, 2015

Recorded as MARK KELLERMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2015

Urology (License #MD-35053 in IA)

🟢

Initial NPI Registration & Enumeration September 14, 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: 1891780995

Entity Type:

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

Enumeration Date: September 14, 2005

Last Update: October 28, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12129 University Ave Ste 100

Clive, IA 503258298

Phone: 5154003550

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.