Active NPI 1598792269 Individual Practitioner Male Practitioner

Dr. Sunil M Apte , MD

Urology • O Fallon, MO

Professional Overview & Biography Verified Profile Summary

Dr. Sunil Apte, MD is a registered healthcare professional specializing in Urology in O Fallon, MO. Practice services are available at 20 PROGRESS POINT PKWY under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, urinalysis, manual test, new 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

20 Progress Point Pkwy
Div Surg Urology, Ste 106

O Fallon, MO 633682206

Telephone 3143628200

Fax 3144545244

Associated Practice Facility / Clinic

🏢 Wuca-O'fallon Pediatrics, Llc Facility NPI 1366830572

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in O Fallon, MO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.0 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

3 Specialists

Practicing in O Fallon, MO (282 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.0% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	32	30	$165.31	$87.41
81002 Urinalysis, manual test	25	24	$20.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	73	60	$156.37	$88.25
81002 Urinalysis, manual test	54	46	$20.00	$3.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$309.62	$103.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	101	58	$20.00	$3.44
99213 Established patient office or other outpatient visit, typically 15 minutes	78	56	$150.00	$90.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$275.00	$112.52
99441 Telephone medical discussion with physician, 5-10 minutes	19	19	$45.00	$44.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$130.00	$38.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	90	66	$20.00	$3.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$275.00	$113.15
99213 Established patient office or other outpatient visit, typically 15 minutes	39	31	$150.00	$92.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	16	$130.00	$37.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$385.00	$162.12
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	11	$3088.24	$165.77
52000 Diagnostic exam of bladder and urethra using an endoscope	16	16	$670.00	$228.87
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$215.00	$101.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	134	98	$10.00	$3.98
99213 Established patient office or other outpatient visit, typically 15 minutes	97	90	$147.56	$70.75
52000 Diagnostic exam of bladder and urethra using an endoscope	49	37	$526.61	$195.65
52332 Insertion of stent in urinary duct (ureter) using an endoscope	34	25	$1012.74	$136.28
51798 Ultrasound measurement of bladder capacity after voiding	26	22	$47.00	$9.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$219.53	$103.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$215.13	$103.19
99442 Telephone medical discussion with physician, 11-20 minutes	14	13	$82.79	$68.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	224	139	$10.34	$3.93
99213 Established patient office or other outpatient visit, typically 15 minutes	154	144	$137.00	$69.13
52000 Diagnostic exam of bladder and urethra using an endoscope	76	57	$509.58	$175.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	51	$204.02	$101.52
51798 Ultrasound measurement of bladder capacity after voiding	41	39	$47.00	$11.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$314.14	$156.55
52332 Insertion of stent in urinary duct (ureter) using an endoscope	31	16	$1067.16	$154.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	25	$268.43	$131.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$204.62	$102.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	307	194	$12.00	$3.94
99213 Established patient office or other outpatient visit, typically 15 minutes	209	196	$137.00	$68.23
52000 Diagnostic exam of bladder and urethra using an endoscope	96	66	$493.00	$145.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$311.00	$155.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	54	$203.00	$100.15
52332 Insertion of stent in urinary duct (ureter) using an endoscope	49	28	$1131.86	$150.28
51798 Ultrasound measurement of bladder capacity after voiding	42	40	$47.00	$13.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	30	$261.00	$132.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$204.00	$101.23
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	16	$1030.00	$390.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	11	$138.00	$70.18
50590 Shock wave crushing of kidney stones	14	12	$2029.59	$526.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	473	259	$12.00	$4.26
99213 Established patient office or other outpatient visit, typically 15 minutes	156	146	$130.13	$67.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	132	$189.53	$99.94
52000 Diagnostic exam of bladder and urethra using an endoscope	112	83	$493.00	$142.71
51702 Simple insertion of temporary bladder tube	88	12	$347.00	$56.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$298.16	$152.94
51798 Ultrasound measurement of bladder capacity after voiding	71	61	$47.00	$16.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$200.34	$99.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	53	$80.75	$39.23
52332 Insertion of stent in urinary duct (ureter) using an endoscope	46	29	$1121.07	$153.03
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$493.00	$93.42
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$1030.00	$383.66

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MO R8C82

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

201912912 (MO)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Charles Jones , MD

Urology

NPI 1003347105

Doctor of Medicine (M.D.)

Dr. Paul Kogan , MD

Urology

NPI 1023377736

Doctor of Medicine (M.D.)

Lauren Elson

Student in an Organized Health Care Education/Training Program

NPI 1073258687

Dr. Raees Cassim , MD

Urology

NPI 1073491973

Doctor of Medicine (M.D.)

Dr. Zeynep Gul , MD

Urology

NPI 1073909768

Doctor of Medicine (M.D.)

Kathleen Lobello , ANP

Nurse Practitioner - Adult Health

NPI 1134147648

Adult Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Business Mailing Address April 25, 2024

Registered at PO BOX 60352, SAINT LOUIS, MO 631600352 (Tel: 3143628200)

📍

Updated Practice Location November 15, 2021

Registered at 20 PROGRESS POINT PKWY, DIV SURG UROLOGY, STE 106, O FALLON, MO 633682206 (Tel: 3143628200)

📍

Updated Business Mailing Address November 15, 2021

Registered at 660 S EUCLID AVE, MSC 8242-22-02, SAINT LOUIS, MO 631101010 (Tel: 3143628200)

👤

Provider Name / Credentials Updated November 15, 2021

Recorded as SUNIL APTE, MD

✅

NPI Profile Active August 25, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 25, 2014

Registered at 901 PATIENTS FIRST DR, WASHINGTON, MO 630904700 (Tel: 6362395155)

📍

Updated Business Mailing Address August 25, 2014

Registered at 901 PATIENTS FIRST DR, WASHINGTON, MO 630904700 (Tel: 6362395155)

👤

Provider Name / Credentials Updated August 25, 2014

Recorded as SUNIL APTE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2014

Urology (License #R8C82 in MO)

🟢

Initial NPI Registration & Enumeration June 27, 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: 1598792269

Entity Type:

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

Enumeration Date: June 27, 2006

Last Update: April 25, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 60352

Saint Louis, MO 631600352

Phone: 3143628200

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.