Active NPI 1679764534 Individual Practitioner Male Practitioner

Dr. Brian Philip Defade , DO

Urology • Ashland, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Defade, DO is a certified Urology practicing in Ashland, KY. With approximately 22 years of clinical experience since graduating from West Virginia School Of Osteopathic Medicine in 2004, Dr. Defade delivers high-quality medical care to the local community at 1101 SAINT CHRISTOPHER DR.

Dr. Defade is affiliated with Northwest Florida Multispecialty Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include automated urinalysis test, ultrasound measurement of bladder capacity after voiding, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1101 Saint Christopher Dr

Ashland, KY 411017087

Telephone 6068333333

Fax 6068334668

Associated Practice Facility / Clinic

🏢 Mushtaque Ahmed Md Psc Facility NPI 1346209996

Medicare Profile & Education

Medical School

West Virginia School Of Osteopathic Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Ashland, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -3.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

8 Specialists

Practicing in Ashland, KY (180 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Defade (22 Years) 22 Yrs

Ashland Specialty Average (25.5 Years) 25.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	133	120	$32.00	$2.12
51798 Ultrasound measurement of bladder capacity after voiding	46	43	$38.00	$9.11
99213 Established patient office or other outpatient visit, typically 15 minutes	41	41	$135.00	$69.34
36415 Insertion of needle into vein for collection of blood sample	36	36	$19.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$198.00	$103.00
52000 Diagnostic exam of bladder and urethra using an endoscope	28	28	$475.00	$195.19
51741 Electronic assessment of bladder emptying	18	18	$166.00	$9.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	711	467	$32.00	$2.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	317	284	$198.00	$100.91
51798 Ultrasound measurement of bladder capacity after voiding	285	226	$38.00	$11.00
99213 Established patient office or other outpatient visit, typically 15 minutes	280	191	$135.00	$67.89
36415 Insertion of needle into vein for collection of blood sample	278	232	$19.00	$2.89
52000 Diagnostic exam of bladder and urethra using an endoscope	170	156	$475.00	$171.20
51741 Electronic assessment of bladder emptying	127	104	$166.00	$8.39
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	116	29	$700.00	$60.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$306.00	$154.85
76872 Ultrasound scan of pelvic region through rectum	71	71	$250.00	$115.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	60	13	$46.00	$12.21
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	29	29	$1000.00	$225.49
81002 Urinalysis, manual test	26	25	$11.00	$3.28
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$179.00	$98.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$200.00	$102.31
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	19	$42.00	$20.99
55700 Biopsy of prostate gland	17	17	$449.00	$224.19
52005 Insertion of tube into ureter using an endoscope through bladder area	17	11	$553.00	$98.04
51702 Simple insertion of temporary bladder tube	15	11	$147.00	$55.87
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$1671.00	$720.59
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	12	$334.00	$45.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$245.00	$132.87
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	11	$502.00	$218.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	780	478	$32.00	$2.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	322	301	$198.00	$99.99
36415 Insertion of needle into vein for collection of blood sample	302	259	$19.00	$2.90
99213 Established patient office or other outpatient visit, typically 15 minutes	281	202	$135.00	$66.65
51798 Ultrasound measurement of bladder capacity after voiding	206	180	$38.00	$13.75
52000 Diagnostic exam of bladder and urethra using an endoscope	133	125	$475.00	$149.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	95	17	$46.00	$18.80
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	83	64	$42.00	$19.79
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	72	11	$221.00	$117.31
51741 Electronic assessment of bladder emptying	71	55	$166.00	$9.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$306.00	$151.65
J9031 Bcg (intravesical) per instillation	53	12	$400.00	$134.35
51720 Instillation of anti-cancer drug into bladder	53	12	$228.00	$77.59
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	46	16	$1530.22	$59.37
99221 Initial hospital inpatient care per day, typically 30 minutes	37	37	$179.00	$97.22
76872 Ultrasound scan of pelvic region through rectum	33	33	$250.00	$85.93
52005 Insertion of tube into ureter using an endoscope through bladder area	28	14	$553.00	$80.40
55700 Biopsy of prostate gland	25	24	$449.00	$223.52
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	21	$334.00	$53.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$200.00	$101.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$266.00	$129.30
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	16	16	$2095.50	$216.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$245.00	$131.28
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	11	11	$382.00	$32.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$80.00	$40.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	830	540	$32.00	$3.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	337	322	$198.00	$98.90
36415 Insertion of needle into vein for collection of blood sample	334	277	$19.00	$2.90
99213 Established patient office or other outpatient visit, typically 15 minutes	274	220	$135.00	$67.44
51798 Ultrasound measurement of bladder capacity after voiding	227	200	$38.00	$16.72
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	126	12	$221.00	$114.21
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	102	11	$624.00	$210.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$306.00	$151.17
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	95	65	$42.00	$18.25
52000 Diagnostic exam of bladder and urethra using an endoscope	94	74	$475.00	$149.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	85	13	$46.00	$23.02
51720 Instillation of anti-cancer drug into bladder	61	11	$228.00	$81.29
J9031 Bcg (intravesical) per instillation	61	11	$400.00	$126.21
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	49	46	$26.00	$12.80
82570 Creatinine level to test for kidney function or muscle injury	44	42	$26.00	$6.96
99221 Initial hospital inpatient care per day, typically 30 minutes	38	37	$179.00	$96.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	28	$80.00	$37.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$200.00	$100.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$266.00	$126.83
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	18	11	$68.00	$29.24
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	13	$1011.11	$121.83
52353 Crushing of stone of ureter using an endoscope	16	15	$874.00	$381.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$350.00	$193.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$245.00	$121.46
55700 Biopsy of prostate gland	14	14	$449.00	$223.65
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	13	$334.00	$55.73
51701 Insertion of temporary bladder tube	13	11	$116.00	$40.49

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License KY 03268

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

3062680 (OH)

Medicaid State Provider ID

7100120830 (KY)

Commercial Insurance / Payer ID Anthem Bcbs

000000665202 (KY)

Hospital & Practice Group Affiliations

Northwest Florida Multispecialty Physicians Llc

320 Racetrack Rd Nw, Fort Walton Beach, FL 325471796

Phone: 8508630883

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Brian Vanhoose , MD

Emergency Medicine

NPI 1124066444

Doctor of Medicine (M.D.)

Benjamin Spurlock , PA-C

Physician Assistant

NPI 1417384595

Physician Assistant (Certified)

Dr. Daniel Ray , MD

Emergency Medicine

NPI 1417995739

Doctor of Medicine (M.D.)

Sarah Lucas , APRN

Nurse Practitioner - Women's Health

NPI 1619273885

Advanced Practice Registered Nurse

Dr. Matthew Lewis , DO

Family Medicine

NPI 1922246594

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 26, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location August 26, 2010

Registered at 1101 SAINT CHRISTOPHER DR, ASHLAND, KY 411017087 (Tel: 6068333333)

📍

Updated Business Mailing Address August 26, 2010

Registered at 1101 SAINT CHRISTOPHER DR, ASHLAND, KY 411017087 (Tel: 6068333333)

👤

Provider Name / Credentials Updated August 26, 2010

Recorded as BRIAN DEFADE, D.O.

🎓

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

Urology (License #03268 in KY)

🟢

Initial NPI Registration & Enumeration August 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1679764534

Entity Type:

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

Enumeration Date: August 06, 2007

Last Update: August 26, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1101 Saint Christopher Dr

Ashland, KY 411017087

Phone: 6068333333

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.