Active NPI 1306803754 Individual Practitioner Male Practitioner

Dr. Anthony Thomas Kaczmarek , MD

Specialist • Rolla, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Kaczmarek, MD is a certified Specialist practicing in Rolla, MO. With approximately 35 years of clinical experience since graduating from University Of Missouri, Columbia School Of Medicine in 1991, Dr. Kaczmarek delivers high-quality medical care to the local community at 1428 EAST 72HIGHWAY.

Dr. Kaczmarek accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, 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

1428 East 72highway

Rolla, MO 65401

Telephone 5733641014

Fax 5733646872

Associated Practice Facility / Clinic

🏢 Central Missouri Urology Clinic, Inc Facility NPI 1710940630

Medicare Profile & Education

Medical School

University Of Missouri, Columbia School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Rolla, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs Matches City Avg

City Avg: 35.0 Yrs

State Avg: 37.3 Yrs

Regional Practice Density

3 Specialists

Practicing in Rolla, MO (503 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kaczmarek (35 Years) 35 Yrs

Rolla Specialty Average (35.0 Years) 35.0 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	1,368	894	$188.00	$110.47
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	833	661	$19.00	$14.35
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	204	25	$750.00	$178.26
81001 Manual urinalysis test with examination using microscope, automated	138	107	$21.00	$3.09
52000 Diagnostic exam of bladder and urethra using an endoscope	106	84	$422.00	$193.78
81003 Automated urinalysis test	90	82	$20.00	$2.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$292.00	$145.41
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	68	25	$94.00	$28.64
J0696 Injection, ceftriaxone sodium, per 250 mg	48	12	$14.00	$0.46
51703 Complicated insertion of bladder tube	47	12	$280.00	$124.32
99213 Established patient office or other outpatient visit, typically 15 minutes	34	16	$124.00	$77.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	17	$30.00	$12.07
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	18	14	$766.00	$626.83
51798 Ultrasound measurement of bladder capacity after voiding	16	15	$41.00	$9.01
55700 Biopsy of prostate gland	11	11	$465.00	$200.49
76872 Ultrasound scan of pelvic region through rectum	11	11	$334.00	$111.39

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	1,500	939	$188.00	$117.56
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	191	23	$750.00	$171.28
81001 Manual urinalysis test with examination using microscope, automated	144	116	$21.00	$3.09
81003 Automated urinalysis test	123	109	$20.00	$2.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$290.00	$154.11
52000 Diagnostic exam of bladder and urethra using an endoscope	103	82	$422.00	$213.43
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	63	23	$94.00	$29.77
51798 Ultrasound measurement of bladder capacity after voiding	51	44	$41.00	$9.03
51703 Complicated insertion of bladder tube	40	13	$280.00	$135.21
52281 Dilation of bladder canal (urethra) using an endoscope	24	15	$651.00	$293.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	17	$30.00	$12.83
J3260 Injection, tobramycin sulfate, up to 80 mg	16	13	$15.00	$2.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$255.00	$165.85
52287 Exam with injections of chemical for destruction of bladder using an endoscope	12	11	$500.00	$151.26
55700 Biopsy of prostate gland	11	11	$465.00	$208.07
76872 Ultrasound scan of pelvic region through rectum	11	11	$334.00	$111.40

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	1,608	1,021	$188.00	$118.65
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	184	24	$750.00	$176.45
81003 Automated urinalysis test	181	163	$20.00	$2.17
81001 Manual urinalysis test with examination using microscope, automated	178	144	$21.00	$3.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	130	130	$290.00	$155.38
52000 Diagnostic exam of bladder and urethra using an endoscope	125	96	$422.00	$218.58
51798 Ultrasound measurement of bladder capacity after voiding	62	53	$41.00	$9.05
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	61	24	$94.00	$29.54
J0696 Injection, ceftriaxone sodium, per 250 mg	56	12	$14.00	$0.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	27	$30.00	$12.75
51703 Complicated insertion of bladder tube	37	15	$280.00	$138.60
52281 Dilation of bladder canal (urethra) using an endoscope	31	23	$651.00	$302.10
J3260 Injection, tobramycin sulfate, up to 80 mg	30	18	$15.00	$2.33
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	21	14	$766.00	$720.51
50590 Shock wave crushing of kidney stones	17	14	$1688.00	$523.02

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	1,913	1,147	$188.00	$120.96
81003 Automated urinalysis test	373	328	$20.00	$2.22
81001 Manual urinalysis test with examination using microscope, automated	264	202	$21.00	$3.13
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	243	30	$750.00	$183.20
52000 Diagnostic exam of bladder and urethra using an endoscope	191	148	$422.00	$212.07
99213 Established patient office or other outpatient visit, typically 15 minutes	152	129	$124.00	$85.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$290.61	$157.44
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	81	30	$96.32	$29.21
51703 Complicated insertion of bladder tube	56	15	$280.00	$137.36
J0696 Injection, ceftriaxone sodium, per 250 mg	52	12	$14.00	$0.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	31	$30.00	$13.06
51798 Ultrasound measurement of bladder capacity after voiding	44	41	$41.00	$8.60
52281 Dilation of bladder canal (urethra) using an endoscope	35	21	$651.00	$302.57
J1580 Injection, garamycin, gentamicin, up to 80 mg	30	18	$11.00	$1.84
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	28	18	$766.00	$731.65
55700 Biopsy of prostate gland	14	14	$465.00	$220.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$255.00	$170.36
76872 Ultrasound scan of pelvic region through rectum	13	13	$334.00	$115.22
50590 Shock wave crushing of kidney stones	12	12	$1688.00	$533.76

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	1,963	1,249	$188.00	$98.32
81003 Automated urinalysis test	414	362	$20.00	$2.20
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	293	35	$750.00	$221.26
81001 Manual urinalysis test with examination using microscope, automated	229	192	$21.00	$3.13
52000 Diagnostic exam of bladder and urethra using an endoscope	190	148	$422.00	$184.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$290.00	$149.93
J0696 Injection, ceftriaxone sodium, per 250 mg	104	23	$14.00	$0.58
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	85	36	$94.00	$27.01
51798 Ultrasound measurement of bladder capacity after voiding	59	53	$41.00	$8.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	47	$255.00	$130.54
52281 Dilation of bladder canal (urethra) using an endoscope	44	24	$651.00	$284.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	42	42	$367.00	$189.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	34	$30.00	$12.51
99213 Established patient office or other outpatient visit, typically 15 minutes	39	39	$124.00	$67.75
J1580 Injection, garamycin, gentamicin, up to 80 mg	34	15	$11.00	$1.96
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	33	16	$766.00	$647.96
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	22	22	$135.64	$12.59
50590 Shock wave crushing of kidney stones	21	17	$1688.00	$532.15
55700 Biopsy of prostate gland	12	11	$465.00	$222.53

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	2,423	1,436	$188.00	$98.36
81003 Automated urinalysis test	1,230	945	$20.00	$2.43
81001 Manual urinalysis test with examination using microscope, automated	668	480	$21.00	$3.42
51798 Ultrasound measurement of bladder capacity after voiding	401	323	$41.00	$10.68
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	356	45	$750.00	$224.40
52000 Diagnostic exam of bladder and urethra using an endoscope	323	254	$422.00	$166.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	152	130	$255.00	$132.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	133	133	$290.66	$147.82
J0696 Injection, ceftriaxone sodium, per 250 mg	132	29	$14.00	$0.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	110	110	$367.00	$188.78
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	91	46	$94.00	$26.48
J1580 Injection, garamycin, gentamicin, up to 80 mg	89	30	$11.00	$1.74
52281 Dilation of bladder canal (urethra) using an endoscope	67	35	$651.00	$267.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	63	43	$30.00	$14.76
51703 Complicated insertion of bladder tube	60	18	$280.00	$119.75
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	36	23	$766.00	$640.48
50590 Shock wave crushing of kidney stones	30	25	$1688.00	$519.76
51741 Electronic assessment of bladder emptying	29	29	$159.00	$9.88
55700 Biopsy of prostate gland	24	24	$465.00	$224.08
76872 Ultrasound scan of pelvic region through rectum	22	22	$334.00	$110.64
51700 Simple bladder irrigation and/or instillation	19	14	$174.00	$65.91
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	17	17	$4500.00	$776.25
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	14	14	$780.00	$265.94
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$124.00	$66.86

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	2,369	1,449	$188.00	$97.50
81003 Automated urinalysis test	1,369	1,020	$20.00	$2.69
51798 Ultrasound measurement of bladder capacity after voiding	706	535	$41.00	$13.33
81001 Manual urinalysis test with examination using microscope, automated	655	479	$21.00	$3.82
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	366	43	$750.00	$209.83
52000 Diagnostic exam of bladder and urethra using an endoscope	338	259	$422.00	$147.63
51741 Electronic assessment of bladder emptying	225	205	$159.00	$12.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	211	168	$255.00	$130.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	136	136	$290.00	$150.60
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	117	117	$368.68	$188.83
J0696 Injection, ceftriaxone sodium, per 250 mg	101	25	$14.00	$0.62
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	94	44	$94.00	$26.06
52281 Dilation of bladder canal (urethra) using an endoscope	60	38	$651.00	$247.47
J1580 Injection, garamycin, gentamicin, up to 80 mg	52	19	$11.00	$1.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	34	$30.00	$18.04
55700 Biopsy of prostate gland	41	41	$465.00	$224.83
51703 Complicated insertion of bladder tube	40	17	$280.00	$114.99
76872 Ultrasound scan of pelvic region through rectum	38	38	$334.00	$84.97
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	36	23	$766.00	$613.33
50590 Shock wave crushing of kidney stones	31	22	$1688.00	$530.14
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	31	31	$4500.00	$772.03
52240 Destruction and/or removal of large growth of bladder using an endoscope	17	13	$1220.00	$354.29
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	15	$373.00	$53.81
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	15	14	$360.00	$302.67
51797 Insertion of device into abdomen with pressure and urine flow rate study	15	14	$352.00	$100.26
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	14	14	$359.00	$31.32

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	2,333	1,453	$176.28	$96.22
81003 Automated urinalysis test	1,802	1,240	$20.00	$2.77
51798 Ultrasound measurement of bladder capacity after voiding	704	558	$37.81	$16.06
52000 Diagnostic exam of bladder and urethra using an endoscope	392	298	$395.44	$143.84
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	388	42	$750.00	$207.02
51741 Electronic assessment of bladder emptying	331	283	$159.00	$12.80
81001 Manual urinalysis test with examination using microscope, automated	268	234	$21.00	$4.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	201	164	$237.95	$129.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	156	156	$270.67	$147.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	119	119	$342.60	$182.31
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	101	43	$87.85	$27.56
52281 Dilation of bladder canal (urethra) using an endoscope	69	40	$605.68	$240.21
51703 Complicated insertion of bladder tube	57	15	$262.46	$112.33
99213 Established patient office or other outpatient visit, typically 15 minutes	45	42	$116.67	$65.49
74420 Imaging of urinary tract	35	28	$294.20	$16.47
51700 Simple bladder irrigation and/or instillation	33	23	$161.88	$62.34
J1580 Injection, garamycin, gentamicin, up to 80 mg	31	13	$10.29	$1.51
50590 Shock wave crushing of kidney stones	31	27	$1688.00	$528.79
55700 Biopsy of prostate gland	28	28	$435.00	$220.54
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	28	28	$373.00	$53.61
76872 Ultrasound scan of pelvic region through rectum	28	28	$334.00	$82.74
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	24	19	$722.88	$598.32
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	18	18	$4500.00	$775.10
51797 Insertion of device into abdomen with pressure and urine flow rate study	15	15	$328.53	$93.52
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	12	12	$500.00	$262.18
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	12	12	$359.00	$30.87

Medical Specialties & State Licenses

CMS Verified: 2026-03-02

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MO 10031

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Urology

NUCC Taxonomy Code: 208800000X

State License MO 110031

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

208305102 (MO)

Secondary Practice Locations

1000 W 10th St

Rolla, MO 654012905

Phone: 5734588899

1000 W 10th St

Rolla, MO 654012905

Phone: 5733649000

1428 E State Highway 72

Rolla, MO 654013988

Phone: 5733641014

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address March 02, 2026

Registered at 1050 W 10TH ST, ROLLA, MO 654012905 (Tel: 5733641014)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2026

Urology (License #110031 in MO)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1428 EAST 72HIGHWAY, ROLLA, MO 65401 (Tel: 5733641014)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1428 EAST HIGHWAY 72, ROLLA, MO 65401 (Tel: 5733641014)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ANTHONY KACZMAREK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #10031 in MO)

🟢

Initial NPI Registration & Enumeration April 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1306803754

Entity Type:

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

Enumeration Date: April 28, 2006

Last Update: March 02, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1050 W 10th St

Rolla, MO 654012905

Phone: 5733641014

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

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