Active NPI 1992774723 Individual Practitioner Male Practitioner

Dr. Simon N Mcrae , MD

Urology • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Simon Mcrae, MD is a certified Urology practicing in Worcester, MA. With approximately 31 years of clinical experience since graduating from Warren Alpert Medical School Of Brown University in 1995, Dr. Mcrae delivers high-quality medical care to the local community at 123 SUMMER ST.

Dr. Mcrae is affiliated with Reliant Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope, leuprolide acetate (for depot suspension), 7.5 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

123 Summer St
Suite 210

Worcester, MA 01608

Telephone 5083683183

Fax 5083683193

Associated Practice Facility / Clinic

🏢 Laboratory Corporation Of America Holdings Facility NPI 1093793200

Medicare Profile & Education

Medical School

Warren Alpert Medical School Of Brown University

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +8.1 yrs vs City Avg

City Avg: 22.9 Yrs

State Avg: 29.9 Yrs

Regional Practice Density

26 Specialists

Practicing in Worcester, MA (396 Statewide)

Telehealth Adoption Rate

38.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcrae (31 Years) 31 Yrs

Worcester Specialty Average (22.9 Years) 22.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	130	$313.00	$129.76
99213 Established patient office or other outpatient visit, typically 15 minutes	154	133	$211.00	$91.66
52000 Diagnostic exam of bladder and urethra using an endoscope	132	95	$615.00	$245.84
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	126	14	$516.09	$177.53
J0696 Injection, ceftriaxone sodium, per 250 mg	96	22	$0.90	$0.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$455.00	$168.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$305.00	$112.66
76872 Ultrasound scan of pelvic region through rectum	30	26	$443.00	$142.93
55700 Biopsy of prostate gland	23	23	$670.00	$239.23
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	21	14	$89.97	$36.31
51700 Simple bladder irrigation and/or instillation	12	11	$220.00	$78.27

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	170	129	$313.00	$129.79
52000 Diagnostic exam of bladder and urethra using an endoscope	157	122	$615.00	$249.64
99213 Established patient office or other outpatient visit, typically 15 minutes	152	128	$211.00	$92.58
J0696 Injection, ceftriaxone sodium, per 250 mg	104	23	$11.18	$0.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$455.00	$168.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	23	$67.00	$14.55
76872 Ultrasound scan of pelvic region through rectum	24	22	$373.00	$143.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$305.00	$114.74
55700 Biopsy of prostate gland	19	19	$670.00	$249.76
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	11	$65.00	$24.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	159	140	$211.00	$93.25
52000 Diagnostic exam of bladder and urethra using an endoscope	146	116	$605.80	$260.14
36415 Insertion of needle into vein for collection of blood sample	114	91	$18.00	$2.97
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	102	12	$841.73	$179.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	88	$313.00	$132.26
J0696 Injection, ceftriaxone sodium, per 250 mg	44	11	$17.60	$0.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$303.40	$112.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$454.63	$173.09
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	11	$67.00	$14.96
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	17	12	$89.97	$35.28
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$2152.00	$747.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
52000 Diagnostic exam of bladder and urethra using an endoscope	204	169	$536.00	$251.71
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	162	16	$674.53	$188.20
99213 Established patient office or other outpatient visit, typically 15 minutes	157	132	$211.00	$94.99
36415 Insertion of needle into vein for collection of blood sample	148	118	$18.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	77	$313.00	$135.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$289.00	$117.59
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	24	$65.00	$24.14
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	25	16	$89.42	$34.79
76872 Ultrasound scan of pelvic region through rectum	24	24	$343.00	$149.98
55700 Biopsy of prostate gland	24	24	$670.00	$266.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$445.00	$175.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$125.00	$59.11
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$1068.00	$428.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	198	158	$211.00	$79.06
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	180	22	$650.44	$223.39
52000 Diagnostic exam of bladder and urethra using an endoscope	174	149	$536.00	$221.96
36415 Insertion of needle into vein for collection of blood sample	156	118	$18.00	$2.98
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	45	38	$56.93	$24.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	38	$313.00	$114.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$289.00	$113.41
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	30	22	$88.00	$33.70
76872 Ultrasound scan of pelvic region through rectum	19	18	$324.95	$145.70
55700 Biopsy of prostate gland	18	18	$579.00	$266.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$437.00	$173.12
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$149.00	$78.81
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$2152.00	$780.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	265	205	$211.00	$77.22
52000 Diagnostic exam of bladder and urethra using an endoscope	172	144	$536.00	$196.49
36415 Insertion of needle into vein for collection of blood sample	170	133	$18.00	$2.94
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	150	16	$650.44	$224.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$289.00	$113.23
51702 Simple insertion of temporary bladder tube	37	19	$193.00	$64.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	29	$313.00	$113.47
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	25	16	$88.00	$32.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$437.00	$171.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$118.00	$47.38
76872 Ultrasound scan of pelvic region through rectum	19	19	$343.00	$135.94
55700 Biopsy of prostate gland	18	18	$579.00	$265.76
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	15	$545.00	$59.80
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$56.00	$23.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	244	189	$201.00	$76.24
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	216	29	$650.44	$212.62
36415 Insertion of needle into vein for collection of blood sample	153	113	$18.00	$2.94
52000 Diagnostic exam of bladder and urethra using an endoscope	151	125	$536.00	$176.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$275.00	$113.08
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	36	29	$88.00	$32.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	20	$298.00	$112.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$112.00	$46.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$415.00	$172.01
51702 Simple insertion of temporary bladder tube	19	12	$193.00	$68.34
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	13	$545.00	$63.13
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$2152.00	$777.18
76872 Ultrasound scan of pelvic region through rectum	12	12	$343.00	$102.79
51700 Simple bladder irrigation and/or instillation	11	11	$220.00	$78.74
55700 Biopsy of prostate gland	11	11	$579.00	$266.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	249	205	$186.75	$74.85
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	222	29	$540.03	$204.29
36415 Insertion of needle into vein for collection of blood sample	155	121	$18.00	$2.94
52000 Diagnostic exam of bladder and urethra using an endoscope	125	94	$536.00	$170.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$270.00	$110.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	46	$272.12	$111.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$411.00	$169.04
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	37	29	$88.00	$33.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	33	$112.00	$45.25
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	23	17	$545.00	$62.98
51700 Simple bladder irrigation and/or instillation	21	20	$220.00	$76.51
76872 Ultrasound scan of pelvic region through rectum	16	16	$343.00	$100.33
55700 Biopsy of prostate gland	16	16	$579.00	$259.61
51798 Ultrasound measurement of bladder capacity after voiding	12	12	$51.00	$19.34
52353 Crushing of stone of ureter using an endoscope	11	11	$1084.00	$379.59

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MA 209442

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

0144401 (MA)

Commercial Insurance / Payer ID Childrens Medical Securit

62203

Commercial Insurance / Payer ID Private Healthcare System

042472266

Commercial Insurance / Payer ID Three Rivers

042472266

Commercial Insurance / Payer ID Fallon Community Health P

51979

Commercial Insurance / Payer ID Healthy Start

62203

Commercial Insurance / Payer ID One Health Plan

042472266

Commercial Insurance / Payer ID Mvp Health Care

784051

Commercial Insurance / Payer ID Aetna Us Healthcare

7501279

Commercial Insurance / Payer ID Blue Shield Indemnity

J23861

Hospital & Practice Group Affiliations

Reliant Medical Group Inc

123 Summer St, Worcester, MA 016081216

Phone: 5083635000

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Elizabeth Mahanor , MD

Surgery - Vascular Surgery

NPI 1013994755

Doctor of Medicine (M.D.)

Jessica Day , NP-C

Nurse Practitioner

NPI 1083014955

Nurse Practitioner (Certified)

Dr. John Najjar , MD

Surgery - Vascular Surgery

NPI 1487630935

Doctor of Medicine (M.D.)

Dr. George Haleblian , MD

Urology

NPI 1497845671

Doctor of Medicine (M.D.)

Dr. Baltej Maini , MD

Surgery - Vascular Surgery

NPI 1538135611

Doctor of Medicine (M.D.)

Dr. Mark Stoker , MD

Surgery

NPI 1578531695

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 18, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location February 18, 2009

Registered at 123 SUMMER ST, SUITE 210, WORCESTER, MA 01608 (Tel: 5083683183)

📍

Updated Business Mailing Address February 18, 2009

Registered at 630 PLANTATION ST, WORCESTER, MA 01605 (Tel: 5083683183)

👤

Provider Name / Credentials Updated February 18, 2009

Recorded as SIMON MCRAE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2009

Urology (License #209442 in MA)

🟢

Initial NPI Registration & Enumeration March 15, 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: 1992774723

Entity Type:

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

Enumeration Date: March 15, 2006

Last Update: February 18, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

630 Plantation St

Worcester, MA 01605

Phone: 5083683183

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

⚠️ Medical Disclaimer

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