Active NPI 1790841310 Individual Practitioner Male Practitioner

Dr. Brian F Kowal , MD

Urology • Hyannis, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Brian Kowal, MD is a certified Urology practicing in Hyannis, MA. With approximately 21 years of clinical experience since graduating from Geisel School Of Medicine At Dartmouth in 2005, Dr. Kowal delivers high-quality medical care to the local community at 110 MAIN ST.

Dr. Kowal is affiliated with Urology Associates Of Cape Cod, P.C. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include detection test for organism, established patient outpatient office visit, manual urinalysis test with examination using microscope, non-automated. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

110 Main St

Hyannis, MA 026013145

Telephone 5087719550

Fax 5087909304

Associated Practice Facility / Clinic

🏢 Urology Outpatient Center Of Cape Cod, Pc Facility NPI 1477881282

Medicare Profile & Education

Medical School

Geisel School Of Medicine At Dartmouth

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Hyannis, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +2.2 yrs vs City Avg

City Avg: 18.8 Yrs

State Avg: 29.9 Yrs

Regional Practice Density

9 Specialists

Practicing in Hyannis, MA (396 Statewide)

Telehealth Adoption Rate

55.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

72.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kowal (21 Years) 21 Yrs

Hyannis Specialty Average (18.8 Years) 18.8 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
87798 Detection test for organism	2,418	139	$100.00	$34.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,498	858	$450.00	$129.43
81000 Manual urinalysis test with examination using microscope, non-automated	1,383	809	$15.00	$3.93
51798 Ultrasound measurement of bladder capacity after voiding	658	526	$100.00	$11.71
99213 Established patient office or other outpatient visit, typically 15 minutes	574	456	$281.71	$91.77
76775 Limited ultrasound scan behind abdominal cavity	245	226	$300.00	$33.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	193	193	$550.00	$167.49
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	192	29	$768.00	$178.11
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	186	139	$100.00	$34.39
87481 Detection test for candida species (yeast), amplified probe technique	186	139	$100.00	$34.39
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	186	139	$100.00	$34.39
52000 Diagnostic exam of bladder and urethra using an endoscope	167	148	$722.46	$243.06
88112 Cell examination of specimen, selective cellular enhancement technique	112	102	$150.00	$26.83
51720 Instillation of anti-cancer drug into bladder	61	13	$400.00	$90.01
76872 Ultrasound scan of pelvic region through rectum	58	58	$664.83	$136.26
74420 Imaging of urinary tract	53	41	$150.00	$24.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	30	$201.47	$77.81
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	50	31	$100.00	$36.31
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	46	46	$500.00	$172.30
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	46	46	$500.00	$58.95
55700 Biopsy of prostate gland	46	46	$900.00	$244.47
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	46	46	$50.00	$14.56
88344 Special stained specimen slides to examine tissue	41	36	$150.00	$37.23
51701 Insertion of temporary bladder tube	40	30	$147.00	$45.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	37	$600.00	$170.96
88120 Cell examination of urine, manual	32	29	$161.25	$56.19
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	32	30	$850.00	$324.68
52356 Crushing of stone of ureter with insertion of stent using an endoscope	30	25	$1800.00	$417.74
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	24	$985.19	$121.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	20	$150.00	$57.54
51703 Complicated insertion of bladder tube	24	13	$350.00	$152.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$500.00	$181.77
99285 Emergency department visit for life threatening or functioning severity	16	16	$500.00	$170.60
51700 Simple bladder irrigation and/or instillation	13	12	$175.00	$78.28
76870 Ultrasound scan of scrotum	11	11	$300.00	$72.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87798 Detection test for organism	4,854	246	$99.82	$34.38
J9155 Injection, degarelix, 1 mg	3,600	15	$12.00	$4.07
81000 Manual urinalysis test with examination using microscope, non-automated	1,386	764	$15.00	$3.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,091	711	$428.41	$129.95
99213 Established patient office or other outpatient visit, typically 15 minutes	935	629	$225.00	$91.39
51798 Ultrasound measurement of bladder capacity after voiding	821	605	$100.00	$11.24
87481 Detection test for candida species (yeast), amplified probe technique	379	247	$100.00	$34.39
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	378	246	$100.00	$34.39
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	376	245	$100.00	$34.39
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	282	37	$768.00	$170.72
76775 Limited ultrasound scan behind abdominal cavity	252	229	$300.00	$33.60
52000 Diagnostic exam of bladder and urethra using an endoscope	195	168	$650.00	$250.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	166	166	$550.00	$169.09
88112 Cell examination of specimen, selective cellular enhancement technique	122	105	$150.00	$27.49
81003 Automated urinalysis test	117	113	$15.00	$2.20
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	83	39	$100.00	$35.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	42	$150.00	$58.12
51720 Instillation of anti-cancer drug into bladder	72	16	$400.00	$89.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	58	50	$50.00	$14.55
76872 Ultrasound scan of pelvic region through rectum	56	56	$526.07	$139.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	30	$175.00	$79.76
74420 Imaging of urinary tract	52	39	$150.00	$24.64
88344 Special stained specimen slides to examine tissue	52	37	$150.00	$38.20
55700 Biopsy of prostate gland	48	48	$900.00	$244.42
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	48	48	$458.33	$60.30
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	48	48	$500.00	$177.41
88120 Cell examination of urine, manual	38	28	$155.00	$58.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$600.00	$174.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	30	$500.00	$182.83
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	26	25	$800.00	$331.55
52356 Crushing of stone of ureter with insertion of stent using an endoscope	26	21	$1707.69	$418.33
51701 Insertion of temporary bladder tube	25	23	$147.00	$45.87
51700 Simple bladder irrigation and/or instillation	22	18	$175.00	$75.65
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	14	$2858.00	$115.56
88305 Pathology examination of tissue using a microscope, intermediate complexity	14	12	$125.00	$37.17
76870 Ultrasound scan of scrotum	13	11	$300.00	$75.62
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	13	13	$584.00	$285.63
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	12	$50.00	$15.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87798 Detection test for organism	4,371	246	$91.21	$34.50
99213 Established patient office or other outpatient visit, typically 15 minutes	1,410	811	$225.00	$94.34
81000 Manual urinalysis test with examination using microscope, non-automated	1,301	753	$15.00	$3.96
51798 Ultrasound measurement of bladder capacity after voiding	1,058	724	$100.00	$11.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	777	554	$400.00	$132.93
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	336	243	$91.12	$34.51
87481 Detection test for candida species (yeast), amplified probe technique	336	243	$91.12	$34.51
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	331	240	$91.36	$34.51
76775 Limited ultrasound scan behind abdominal cavity	282	260	$300.00	$33.01
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	252	29	$768.00	$176.17
52000 Diagnostic exam of bladder and urethra using an endoscope	206	163	$609.71	$262.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	178	178	$550.00	$173.15
88344 Special stained specimen slides to examine tissue	134	41	$150.00	$39.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	126	58	$150.00	$58.92
88112 Cell examination of specimen, selective cellular enhancement technique	118	101	$150.00	$28.30
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	88	74	$75.00	$34.47
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	74	32	$100.00	$35.22
76872 Ultrasound scan of pelvic region through rectum	66	64	$325.00	$143.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	66	53	$50.00	$14.98
74420 Imaging of urinary tract	60	50	$150.00	$25.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	34	$175.00	$72.48
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	52	51	$500.00	$181.66
55700 Biopsy of prostate gland	52	51	$900.00	$257.31
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	52	52	$300.96	$60.75
51700 Simple bladder irrigation and/or instillation	50	35	$175.00	$80.90
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	44	32	$50.00	$15.85
51701 Insertion of temporary bladder tube	40	27	$147.00	$47.26
52332 Insertion of stent in urinary duct (ureter) using an endoscope	35	29	$2858.00	$138.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$600.00	$201.35
88120 Cell examination of urine, manual	33	28	$155.00	$59.35
51703 Complicated insertion of bladder tube	31	20	$337.10	$160.00
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	31	30	$800.00	$339.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	27	$225.00	$103.95
88305 Pathology examination of tissue using a microscope, intermediate complexity	28	24	$125.00	$38.27
52356 Crushing of stone of ureter with insertion of stent using an endoscope	25	24	$1200.00	$412.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$500.00	$187.36
52204 Biopsy of the bladder using an endoscope	18	17	$2400.00	$413.96
76870 Ultrasound scan of scrotum	14	12	$300.00	$77.46
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	12	11	$584.00	$293.69
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	12	12	$1000.00	$156.89
99285 Emergency department visit for life threatening or functioning severity	11	11	$500.00	$180.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	2,640	11	$12.00	$3.98
99213 Established patient office or other outpatient visit, typically 15 minutes	1,540	791	$224.97	$95.74
51798 Ultrasound measurement of bladder capacity after voiding	1,246	755	$99.96	$11.02
81000 Manual urinalysis test with examination using microscope, non-automated	1,142	671	$14.99	$4.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	607	483	$400.00	$135.79
76775 Limited ultrasound scan behind abdominal cavity	284	249	$300.00	$32.64
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	274	33	$768.00	$183.12
52000 Diagnostic exam of bladder and urethra using an endoscope	203	163	$592.36	$252.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	191	191	$496.60	$175.36
88112 Cell examination of specimen, selective cellular enhancement technique	125	104	$150.00	$28.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	69	$100.00	$59.11
88344 Special stained specimen slides to examine tissue	96	28	$150.00	$39.71
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	88	35	$99.43	$34.79
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	63	43	$46.19	$16.21
74420 Imaging of urinary tract	57	48	$217.54	$25.87
76872 Ultrasound scan of pelvic region through rectum	54	50	$286.11	$131.42
88120 Cell examination of urine, manual	51	41	$155.00	$60.21
51701 Insertion of temporary bladder tube	50	35	$147.00	$48.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	46	45	$50.00	$14.89
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	46	46	$305.43	$57.94
55700 Biopsy of prostate gland	45	45	$900.00	$266.92
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	45	45	$500.00	$184.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	26	$175.00	$73.80
52332 Insertion of stent in urinary duct (ureter) using an endoscope	38	31	$1863.79	$121.89
51700 Simple bladder irrigation and/or instillation	37	31	$175.00	$84.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	32	$600.00	$205.65
88305 Pathology examination of tissue using a microscope, intermediate complexity	32	26	$125.00	$38.99
51703 Complicated insertion of bladder tube	30	11	$300.00	$158.69
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	30	30	$750.00	$334.27
88377 Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure	25	13	$192.00	$66.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	17	$225.00	$106.07
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	20	$1180.00	$439.58
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	15	14	$3500.00	$877.09
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	13	12	$1000.00	$259.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$500.00	$189.34
52204 Biopsy of the bladder using an endoscope	12	11	$2400.00	$427.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	3,360	14	$12.00	$3.88
J9030 Bcg live intravesical instillation, 1 mg	2,950	12	$8.00	$2.80
99213 Established patient office or other outpatient visit, typically 15 minutes	1,496	805	$225.00	$79.47
51798 Ultrasound measurement of bladder capacity after voiding	1,225	752	$100.00	$11.13
81000 Manual urinalysis test with examination using microscope, non-automated	1,027	665	$15.00	$3.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	489	400	$400.00	$115.29
76775 Limited ultrasound scan behind abdominal cavity	249	223	$300.00	$32.37
52000 Diagnostic exam of bladder and urethra using an endoscope	212	172	$550.00	$227.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	211	211	$400.00	$172.87
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	202	32	$768.00	$223.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	132	82	$100.00	$48.43
88112 Cell examination of specimen, selective cellular enhancement technique	118	102	$150.00	$29.96
76872 Ultrasound scan of pelvic region through rectum	73	59	$254.32	$123.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	37	$175.00	$76.27
88344 Special stained specimen slides to examine tissue	71	25	$100.00	$41.58
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	69	32	$100.00	$33.92
51720 Instillation of anti-cancer drug into bladder	69	17	$400.00	$88.72
88377 Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure	58	29	$150.00	$69.93
55700 Biopsy of prostate gland	54	54	$900.00	$268.59
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	54	54	$312.96	$52.55
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	52	52	$500.00	$192.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	52	$50.00	$15.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	42	$530.43	$213.11
51703 Complicated insertion of bladder tube	41	18	$300.00	$150.06
88120 Cell examination of urine, manual	40	33	$155.00	$62.43
88305 Pathology examination of tissue using a microscope, intermediate complexity	37	27	$125.00	$40.82
51701 Insertion of temporary bladder tube	31	28	$147.00	$48.32
52332 Insertion of stent in urinary duct (ureter) using an endoscope	31	24	$2492.39	$142.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	17	$225.00	$109.81
74420 Imaging of urinary tract	29	25	$500.00	$26.98
51700 Simple bladder irrigation and/or instillation	26	19	$175.00	$81.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	25	$500.00	$154.17
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	25	25	$677.20	$312.99
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	24	19	$26.00	$16.24
52204 Biopsy of the bladder using an endoscope	22	18	$2400.00	$418.08
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	18	$1011.11	$440.25
99285 Emergency department visit for life threatening or functioning severity	17	16	$500.00	$182.05
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	14	13	$3500.00	$827.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	4,320	18	$12.00	$3.83
99213 Established patient office or other outpatient visit, typically 15 minutes	1,492	845	$225.00	$77.48
51798 Ultrasound measurement of bladder capacity after voiding	1,351	789	$100.00	$13.60
81000 Manual urinalysis test with examination using microscope, non-automated	1,249	717	$15.00	$3.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	483	399	$400.00	$113.50
76775 Limited ultrasound scan behind abdominal cavity	283	253	$300.00	$31.49
52000 Diagnostic exam of bladder and urethra using an endoscope	267	227	$550.00	$200.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	255	255	$400.00	$170.91
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	216	30	$768.00	$224.29
88112 Cell examination of specimen, selective cellular enhancement technique	170	143	$150.00	$29.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	123	58	$100.00	$47.28
51720 Instillation of anti-cancer drug into bladder	78	18	$400.00	$87.68
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	77	34	$100.00	$32.61
88377 Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure	75	36	$150.00	$68.06
76872 Ultrasound scan of pelvic region through rectum	65	62	$292.15	$132.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	58	55	$50.00	$17.51
55700 Biopsy of prostate gland	57	54	$900.00	$265.43
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	57	54	$300.00	$59.82
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	57	54	$500.00	$188.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	35	$175.00	$75.25
88120 Cell examination of urine, manual	46	45	$155.00	$61.20
J9031 Bcg (intravesical) per instillation	46	11	$400.00	$139.01
88305 Pathology examination of tissue using a microscope, intermediate complexity	46	32	$125.00	$40.37
51701 Insertion of temporary bladder tube	45	30	$147.00	$47.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	41	$400.00	$209.32
52332 Insertion of stent in urinary duct (ureter) using an endoscope	38	30	$2808.29	$139.06
51700 Simple bladder irrigation and/or instillation	35	25	$175.00	$79.27
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	34	33	$568.00	$286.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	28	$500.00	$151.80
52356 Crushing of stone of ureter with insertion of stent using an endoscope	27	26	$1018.52	$447.05
52204 Biopsy of the bladder using an endoscope	23	23	$2400.00	$405.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	15	$225.00	$107.53
51703 Complicated insertion of bladder tube	20	14	$300.00	$140.70
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	16	16	$750.00	$236.19
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	16	12	$3500.00	$784.23
99285 Emergency department visit for life threatening or functioning severity	12	12	$428.75	$178.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,470	829	$225.00	$79.80
81000 Manual urinalysis test with examination using microscope, non-automated	914	628	$15.00	$3.93
51798 Ultrasound measurement of bladder capacity after voiding	627	467	$100.00	$17.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	398	336	$400.00	$117.93
52000 Diagnostic exam of bladder and urethra using an endoscope	294	249	$550.00	$183.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	253	253	$400.00	$180.11
76775 Limited ultrasound scan behind abdominal cavity	240	203	$300.00	$33.06
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	227	27	$768.00	$212.32
88112 Cell examination of specimen, selective cellular enhancement technique	190	157	$150.00	$31.37
51720 Instillation of anti-cancer drug into bladder	102	24	$400.00	$94.31
J9031 Bcg (intravesical) per instillation	96	16	$400.00	$134.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	96	54	$175.00	$79.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	62	$100.00	$48.35
88120 Cell examination of urine, manual	74	60	$151.69	$65.14
88305 Pathology examination of tissue using a microscope, intermediate complexity	72	39	$125.00	$38.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	71	63	$400.00	$221.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	34	$225.00	$113.80
36415 Insertion of needle into vein for collection of blood sample	67	64	$10.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	65	63	$100.00	$22.26
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	64	28	$100.00	$34.26
76872 Ultrasound scan of pelvic region through rectum	59	53	$283.31	$101.24
51700 Simple bladder irrigation and/or instillation	57	47	$175.00	$79.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	46	$50.00	$22.78
88377 Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure	50	22	$150.00	$71.55
55700 Biopsy of prostate gland	49	44	$900.00	$279.58
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	49	44	$300.00	$66.47
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	48	43	$500.00	$200.20
51703 Complicated insertion of bladder tube	45	25	$300.00	$140.98
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	44	42	$568.00	$274.45
52332 Insertion of stent in urinary duct (ureter) using an endoscope	39	24	$2131.46	$137.15
52356 Crushing of stone of ureter with insertion of stent using an endoscope	31	29	$1040.32	$447.52
52204 Biopsy of the bladder using an endoscope	25	22	$2400.00	$417.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	24	$500.00	$159.41
84154 Psa (prostate specific antigen) measurement, free	19	18	$77.00	$22.26
51703 Complicated insertion of bladder tube	18	16	$300.00	$86.13
99285 Emergency department visit for life threatening or functioning severity	18	17	$329.00	$187.85
52204 Biopsy of the bladder using an endoscope	16	16	$2400.00	$108.25
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	16	12	$750.00	$255.19
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	15	15	$3500.00	$786.66
51701 Insertion of temporary bladder tube	14	13	$147.00	$52.70
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	13	12	$2400.00	$754.62
51741 Electronic assessment of bladder emptying	13	11	$150.00	$16.88
52648 Laser vaporization of prostate including control of bleeding using an endoscope	12	12	$4000.00	$773.01
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	12	12	$750.00	$230.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	2,880	12	$12.00	$3.59
99213 Established patient office or other outpatient visit, typically 15 minutes	1,431	817	$225.00	$83.92
81000 Manual urinalysis test with examination using microscope, non-automated	664	482	$15.00	$4.26
51798 Ultrasound measurement of bladder capacity after voiding	545	399	$100.00	$22.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	325	258	$400.00	$123.40
52000 Diagnostic exam of bladder and urethra using an endoscope	308	264	$550.00	$190.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	220	220	$400.00	$188.08
76775 Limited ultrasound scan behind abdominal cavity	212	178	$300.00	$35.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	148	71	$225.00	$119.51
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	146	22	$768.00	$197.47
36415 Insertion of needle into vein for collection of blood sample	134	105	$10.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	113	86	$100.00	$24.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	98	80	$100.00	$50.47
88112 Cell examination of specimen, selective cellular enhancement technique	93	86	$150.00	$33.13
J9031 Bcg (intravesical) per instillation	92	17	$400.00	$126.62
51720 Instillation of anti-cancer drug into bladder	87	18	$400.00	$103.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	43	$175.00	$82.88
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	62	57	$568.00	$285.58
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	61	23	$100.00	$37.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	42	$50.00	$30.07
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	52	52	$402.88	$234.83
76872 Ultrasound scan of pelvic region through rectum	50	47	$288.10	$107.14
52356 Crushing of stone of ureter with insertion of stent using an endoscope	48	45	$1026.04	$478.23
88305 Pathology examination of tissue using a microscope, intermediate complexity	45	36	$125.00	$45.37
88120 Cell examination of urine, manual	45	43	$150.00	$68.98
55700 Biopsy of prostate gland	43	41	$900.00	$289.74
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	43	41	$300.00	$70.74
51700 Simple bladder irrigation and/or instillation	41	31	$175.00	$83.70
51703 Complicated insertion of bladder tube	37	21	$300.00	$146.43
52332 Insertion of stent in urinary duct (ureter) using an endoscope	33	22	$969.00	$117.29
84154 Psa (prostate specific antigen) measurement, free	31	20	$77.00	$24.73
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	31	25	$3500.00	$818.85
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	27	25	$2400.00	$784.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$500.00	$163.52
52204 Biopsy of the bladder using an endoscope	25	25	$2400.00	$433.48
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	22	22	$500.00	$212.10
51701 Insertion of temporary bladder tube	22	20	$147.00	$55.40
84520 Urea nitrogen level to assess kidney function	20	20	$25.00	$3.50
82565 Blood creatinine level	20	20	$25.00	$3.51
51741 Electronic assessment of bladder emptying	17	15	$150.00	$15.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$400.00	$231.18
84403 Testosterone (hormone) level, total	12	11	$100.00	$34.70
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	11	11	$750.00	$266.05

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MA 247438

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 Associates Of Cape Cod, P.c.

125 Route 6a, Yarmouth Port, MA 026751771

Phone: 5087719550

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. John Homa , DO

Urology

NPI 1013994748

Doctor of Osteopathic Medicine (D.O.)

Dr. Timothy O'rourke , MD

Urology

NPI 1124557822

Doctor of Medicine (M.D.)

Dr. Evangelos Geraniotis , MD

Urology

NPI 1174500953

Doctor of Medicine (M.D.)

Dr. Andrew Kramer , MD

Urology

NPI 1184607681

Doctor of Medicine (M.D.)

Dr. Robert Hartnett , MD

Urology

NPI 1295712925

Doctor of Medicine (M.D.)

Mark Tyo

Nurse Practitioner - Family

NPI 1386359420

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 01, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 01, 2011

Registered at 110 MAIN ST, HYANNIS, MA 026013145 (Tel: 5087719550)

📍

Updated Business Mailing Address July 01, 2011

Registered at 110 MAIN ST, HYANNIS, MA 026013145 (Tel: 5087719550)

👤

Provider Name / Credentials Updated July 01, 2011

Recorded as BRIAN KOWAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2011

Urology (License #247438 in MA)

🟢

Initial NPI Registration & Enumeration December 28, 2006

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: 1790841310

Entity Type:

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

Enumeration Date: December 28, 2006

Last Update: July 01, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

110 Main St

Hyannis, MA 026013145

Phone: 5087719550

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.