Active NPI 1215916218 Individual Practitioner Male Practitioner

Dr. Michael C James , MD

Urology • Mankato, MN

Professional Overview & Biography Verified Profile Summary

Dr. Michael James, MD is a registered healthcare professional specializing in Urology in Mankato, MN. Practice services are available at 1421 PREMIERE DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, psa (prostate specific antigen) measurement, total. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1421 Premiere Dr
Mankato Clinic At Wickersham Campus

Mankato, MN 560016076

Telephone 5076251811

Associated Practice Facility / Clinic

🏢 Mankato Clinic Express, Llc Facility NPI 1265626964

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Mankato, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.8 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

7 Specialists

Practicing in Mankato, MN (299 Statewide)

Telehealth Adoption Rate

71.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

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	364	276	$321.30	$129.63
99213 Established patient office or other outpatient visit, typically 15 minutes	315	272	$221.55	$91.38
36415 Insertion of needle into vein for collection of blood sample	188	157	$27.56	$2.99
84153 Psa (prostate specific antigen) measurement, total	156	129	$104.19	$18.30
52000 Diagnostic exam of bladder and urethra using an endoscope	155	138	$856.57	$234.99
81001 Manual urinalysis test with examination using microscope, automated	123	93	$26.80	$3.17
87088 Bacterial urine culture	97	72	$47.96	$8.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$318.15	$112.23
51741 Electronic assessment of bladder emptying	73	71	$58.32	$11.65
76856 Complete ultrasound scan of pelvis	70	70	$441.87	$112.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$486.15	$167.52
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	30	12	$3108.82	$843.03
87077 Bacterial culture for aerobic isolates	28	16	$38.30	$8.08
82565 Blood creatinine level	27	26	$26.70	$5.12
51700 Simple bladder irrigation and/or instillation	18	15	$306.02	$71.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$134.40	$56.75
G0103 Prostate cancer screening; prostate specific antigen test (psa)	16	16	$108.91	$19.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$431.55	$181.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	20,800	11	$0.16	$0.03
99213 Established patient office or other outpatient visit, typically 15 minutes	481	371	$209.00	$75.13
36415 Insertion of needle into vein for collection of blood sample	255	194	$27.56	$2.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	168	$306.00	$109.15
84153 Psa (prostate specific antigen) measurement, total	212	164	$104.19	$18.22
52000 Diagnostic exam of bladder and urethra using an endoscope	211	176	$770.77	$206.94
81001 Manual urinalysis test with examination using microscope, automated	166	107	$26.80	$3.15
99202 New patient office or other outpatient visit, typically 20 minutes	135	135	$215.00	$75.91
87088 Bacterial urine culture	126	86	$47.96	$8.04
51741 Electronic assessment of bladder emptying	107	100	$58.63	$11.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	92	$127.00	$45.74
76856 Complete ultrasound scan of pelvis	90	85	$441.87	$110.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	72	11	$47.00	$14.43
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	66	65	$41.00	$14.46
82565 Blood creatinine level	29	28	$26.70	$5.09
87077 Bacterial culture for aerobic isolates	28	23	$38.30	$8.01
51700 Simple bladder irrigation and/or instillation	24	21	$303.16	$62.14
76872 Ultrasound scan of pelvic region through rectum	24	24	$485.84	$138.66
99201 New patient office or other outpatient visit, typically 10 minutes	22	22	$129.00	$46.11
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	21	12	$2988.70	$786.81
85018 Blood count, hemoglobin	19	11	$12.33	$2.36
G0103 Prostate cancer screening; prostate specific antigen test (psa)	19	19	$108.91	$19.23
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	18	11	$87.00	$32.09
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$230.23	$58.37
55700 Biopsy of prostate gland	11	11	$1018.16	$253.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	18,450	12	$0.16	$0.03
99213 Established patient office or other outpatient visit, typically 15 minutes	590	419	$206.00	$73.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	311	233	$304.00	$108.00
36415 Insertion of needle into vein for collection of blood sample	286	212	$27.56	$2.91
52000 Diagnostic exam of bladder and urethra using an endoscope	266	204	$676.90	$181.26
84153 Psa (prostate specific antigen) measurement, total	232	178	$104.19	$19.86
81001 Manual urinalysis test with examination using microscope, automated	212	136	$26.80	$3.43
99202 New patient office or other outpatient visit, typically 20 minutes	163	163	$212.00	$76.01
87088 Bacterial urine culture	143	99	$47.96	$8.81
51741 Electronic assessment of bladder emptying	138	125	$64.35	$11.21
76856 Complete ultrasound scan of pelvis	119	108	$449.02	$109.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	111	100	$124.00	$44.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	67	13	$58.00	$16.80
51702 Simple insertion of temporary bladder tube	49	14	$261.69	$62.68
87077 Bacterial culture for aerobic isolates	40	29	$38.30	$8.79
82565 Blood creatinine level	36	34	$26.70	$5.58
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	34	22	$2855.71	$748.67
76872 Ultrasound scan of pelvic region through rectum	34	34	$393.25	$127.58
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	24	12	$87.00	$31.35
51700 Simple bladder irrigation and/or instillation	24	18	$301.73	$56.63
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	22	17	$51.23	$9.42
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$243.10	$52.08
55700 Biopsy of prostate gland	19	19	$1021.02	$243.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$410.00	$140.51
99201 New patient office or other outpatient visit, typically 10 minutes	14	14	$126.00	$45.59
85018 Blood count, hemoglobin	13	11	$12.33	$2.58
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	11	11	$283.14	$34.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	362	273	$206.00	$71.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	134	$303.01	$104.26
36415 Insertion of needle into vein for collection of blood sample	167	119	$27.56	$2.91
52000 Diagnostic exam of bladder and urethra using an endoscope	154	118	$669.24	$150.67
81001 Manual urinalysis test with examination using microscope, automated	150	80	$26.80	$3.82
84153 Psa (prostate specific antigen) measurement, total	122	95	$104.19	$21.92
51741 Electronic assessment of bladder emptying	114	96	$64.35	$12.56
87088 Bacterial urine culture	98	55	$47.96	$9.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	83	$123.00	$41.86
76856 Complete ultrasound scan of pelvis	83	76	$449.02	$107.88
99202 New patient office or other outpatient visit, typically 20 minutes	71	71	$211.00	$72.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	12	$72.00	$20.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$305.00	$105.74
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	28	15	$51.23	$10.46
87077 Bacterial culture for aerobic isolates	28	15	$38.30	$9.77
82565 Blood creatinine level	25	22	$26.70	$6.20
76872 Ultrasound scan of pelvic region through rectum	20	20	$386.10	$97.52
51700 Simple bladder irrigation and/or instillation	20	18	$296.01	$70.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$408.00	$142.56
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	17	12	$2811.38	$703.48
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	13	13	$281.71	$34.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$463.00	$146.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	396	294	$201.93	$71.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	195	138	$297.47	$104.36
52000 Diagnostic exam of bladder and urethra using an endoscope	164	136	$791.70	$146.27
36415 Insertion of needle into vein for collection of blood sample	164	114	$26.25	$2.92
81001 Manual urinalysis test with examination using microscope, automated	141	89	$25.52	$4.23
84153 Psa (prostate specific antigen) measurement, total	120	86	$99.23	$24.73
51741 Electronic assessment of bladder emptying	111	91	$61.43	$12.38
99202 New patient office or other outpatient visit, typically 20 minutes	95	95	$206.85	$73.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	86	$120.17	$42.54
87088 Bacterial urine culture	89	66	$45.68	$10.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	12	$69.94	$24.44
76856 Complete ultrasound scan of pelvis	45	44	$424.52	$111.36
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	30	17	$48.79	$11.62
87077 Bacterial culture for aerobic isolates	30	17	$36.48	$9.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$299.44	$100.72
76857 Limited ultrasound scan of pelvis	27	26	$184.28	$48.26
76872 Ultrasound scan of pelvic region through rectum	22	22	$363.09	$93.56
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	21	21	$742.56	$34.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	17	$400.90	$129.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$457.04	$159.62
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	17	12	$2656.65	$692.37
82565 Blood creatinine level	17	15	$25.43	$6.30
51726 Complex measurement of pressure of urine flow in bladder	15	15	$1015.56	$264.38

Medical Specialties & State Licenses

CMS Verified: 2020-07-10

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MN 33293

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

851503400 (MN)

Medicaid State Provider ID

938084 (IA)

Commercial Insurance / Payer ID Medica

1900661 (MN)

Commercial Insurance / Payer ID Americas Ppo

772931 (MN)

Commercial Insurance / Payer ID Preferred One

NA2951022168 (MN)

Commercial Insurance / Payer ID Ucare

115544 (MN)

Commercial Insurance / Payer ID Health Partners

HP25590 (MN)

Commercial Insurance / Payer ID Rr Medicare

340009844

Commercial Insurance / Payer ID Bcbs

71333JA (MN)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Alyssa Stitt , MD

Family Medicine

NPI 1003895095

Doctor of Medicine (M.D.)

Dr. Timothy Huisken , MD

Surgery

NPI 1013008366

Doctor of Medicine (M.D.)

Dr. Ignacio Jusue Torres , MD

Neurological Surgery

NPI 1013393305

Doctor of Medicine (M.D.)

Katlyn Christenson , MA, LMFT

Marriage & Family Therapist

NPI 1013804814

Master of Arts, Licensed Marriage and Family Therapist

Dr. Gary Goldberg , MD

Urology

NPI 1013995034

Doctor of Medicine (M.D.)

Dr. Michael Rath , MD

Family Medicine

NPI 1013996008

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 November 10, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 10, 2011

Registered at 1421 PREMIERE DR, MANKATO CLINIC AT WICKERSHAM CAMPUS, MANKATO, MN 560016076 (Tel: 5076251811)

📍

Updated Business Mailing Address November 10, 2011

Registered at 1230 E MAIN ST, PO BOX 8674, MANKATO, MN 560015066 (Tel: 5076251811)

👤

Provider Name / Credentials Updated November 10, 2011

Recorded as MICHAEL JAMES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2011

Urology (License #33293 in MN)

🟢

Initial NPI Registration & Enumeration January 10, 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: 1215916218

Entity Type:

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

Enumeration Date: January 10, 2006

Last Update: July 10, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1230 E Main St, Po Box 8674

Mankato, MN 560015066

Phone: 5076251811

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.