Active NPI 1588622773 Individual Practitioner Male Practitioner

Dr. Michael Marcus , MD

Urology • Saint Louis, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Marcus, MD is a certified Urology practicing in Saint Louis, MO. With approximately 41 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1985, Dr. Marcus delivers high-quality medical care to the local community at 10296 BIG BEND RD.

Dr. Marcus is affiliated with Urology Of St Louis Inc and 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, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10296 Big Bend Rd
Suite 205

Saint Louis, MO 63122

Telephone 3143159911

Associated Practice Facility / Clinic

🏢 Ellis Dental Llc Facility NPI 1558895490

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Saint Louis, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +20.2 yrs vs City Avg

City Avg: 20.8 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

98 Specialists

Practicing in Saint Louis, MO (282 Statewide)

Telehealth Adoption Rate

40.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Marcus (41 Years) 41 Yrs

Saint Louis Specialty Average (20.8 Years) 20.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	456	251	$442.78	$120.84
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	446	288	$49.00	$15.63
81003 Automated urinalysis test	338	245	$10.00	$2.19
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	330	65	$127.00	$59.40
51798 Ultrasound measurement of bladder capacity after voiding	124	94	$36.00	$10.47
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	121	49	$96.00	$45.33
99213 Established patient office or other outpatient visit, typically 15 minutes	111	104	$309.95	$85.32
36415 Insertion of needle into vein for collection of blood sample	99	78	$15.00	$8.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	95	86	$386.00	$123.64
76872 Ultrasound scan of pelvic region through rectum	89	70	$494.00	$127.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$554.32	$159.08
52000 Diagnostic exam of bladder and urethra using an endoscope	61	49	$711.75	$223.99
53661 Dilation of bladder canal (urethra), female	44	11	$219.96	$70.44
51705 Removal of skin suture with change of bladder tube	34	14	$287.25	$90.53
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	22	11	$99.63	$32.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	18	$147.00	$47.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	16	$234.00	$74.50
51741 Electronic assessment of bladder emptying	17	17	$45.68	$3.55
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	17	17	$1033.83	$250.58
74018 X-ray of abdomen, 1 view	17	13	$74.00	$28.24
50590 Shock wave crushing of kidney stones	16	16	$1686.36	$544.86
74176 Ct scan of abdomen and pelvis without contrast	16	16	$469.00	$166.31
51102 Aspiration of bladder with insertion of bladder tube to skin surface	15	13	$697.35	$120.59
55700 Biopsy of prostate gland	15	15	$715.05	$226.66
J1580 Injection, garamycin, gentamicin, up to 80 mg	14	12	$5.00	$2.37
51797 Insertion of device into abdomen with pressure and urine flow rate study	14	14	$536.92	$131.13
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	14	14	$184.01	$13.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$386.69	$105.44

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	403	264	$308.66	$123.29
81003 Automated urinalysis test	253	189	$10.00	$2.18
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	195	54	$127.00	$60.66
99213 Established patient office or other outpatient visit, typically 15 minutes	160	139	$249.41	$87.87
36415 Insertion of needle into vein for collection of blood sample	113	80	$15.00	$8.25
51798 Ultrasound measurement of bladder capacity after voiding	101	81	$39.15	$10.29
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	96	11	$700.00	$174.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	94	87	$328.62	$126.73
52000 Diagnostic exam of bladder and urethra using an endoscope	70	52	$721.04	$233.66
76872 Ultrasound scan of pelvic region through rectum	67	61	$370.18	$130.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$387.56	$160.02
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	47	28	$96.00	$45.81
74018 X-ray of abdomen, 1 view	27	20	$70.33	$29.18
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	25	16	$103.36	$32.68
53661 Dilation of bladder canal (urethra), female	24	11	$216.63	$72.15
50590 Shock wave crushing of kidney stones	22	19	$1610.12	$553.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	17	$106.67	$48.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	13	$205.20	$77.04
74176 Ct scan of abdomen and pelvis without contrast	15	13	$436.80	$184.72
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	14	14	$949.55	$254.94
51741 Electronic assessment of bladder emptying	14	14	$75.50	$3.47
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	12	12	$259.83	$12.38
51797 Insertion of device into abdomen with pressure and urine flow rate study	12	12	$479.46	$138.34

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	374	240	$200.00	$125.89
99213 Established patient office or other outpatient visit, typically 15 minutes	255	198	$200.00	$89.33
81003 Automated urinalysis test	242	190	$10.00	$2.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	119	108	$200.00	$132.14
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	111	15	$700.00	$173.38
36415 Insertion of needle into vein for collection of blood sample	109	89	$15.00	$2.91
51798 Ultrasound measurement of bladder capacity after voiding	93	71	$55.00	$10.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$225.00	$165.47
52000 Diagnostic exam of bladder and urethra using an endoscope	64	48	$750.00	$245.17
76872 Ultrasound scan of pelvic region through rectum	57	54	$250.00	$139.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	42	$180.00	$69.69
51705 Removal of skin suture with change of bladder tube	49	16	$225.00	$96.75
74018 X-ray of abdomen, 1 view	37	25	$65.00	$29.53
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	36	21	$127.00	$62.09
50590 Shock wave crushing of kidney stones	31	29	$1500.00	$563.74
53661 Dilation of bladder canal (urethra), female	28	12	$140.00	$73.72
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	25	17	$110.00	$32.87
74176 Ct scan of abdomen and pelvis without contrast	21	21	$400.00	$190.48
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	18	$830.00	$151.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	14	$70.00	$37.73
51720 Instillation of anti-cancer drug into bladder	14	11	$250.00	$86.64
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$750.00	$147.74

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	375	234	$200.00	$130.16
99213 Established patient office or other outpatient visit, typically 15 minutes	285	220	$200.00	$91.77
81003 Automated urinalysis test	239	188	$10.00	$2.22
36415 Insertion of needle into vein for collection of blood sample	135	112	$15.00	$3.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	117	108	$200.00	$134.75
51798 Ultrasound measurement of bladder capacity after voiding	89	71	$55.00	$10.30
52000 Diagnostic exam of bladder and urethra using an endoscope	87	65	$750.00	$238.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$243.21	$167.50
76872 Ultrasound scan of pelvic region through rectum	70	65	$250.00	$138.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	45	$180.00	$71.80
53661 Dilation of bladder canal (urethra), female	43	12	$140.00	$75.34
50590 Shock wave crushing of kidney stones	34	30	$1500.00	$577.53
81001 Manual urinalysis test with examination using microscope, automated	27	27	$12.00	$3.17
74176 Ct scan of abdomen and pelvis without contrast	22	20	$400.00	$183.39
84153 Psa (prostate specific antigen) measurement, total	22	21	$100.00	$18.39
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	18	$747.00	$143.24
J1580 Injection, garamycin, gentamicin, up to 80 mg	17	15	$12.65	$1.75
55700 Biopsy of prostate gland	12	12	$550.00	$253.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	405	292	$168.63	$74.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	349	222	$206.25	$108.62
81002 Urinalysis, manual test	332	248	$12.00	$3.40
81003 Automated urinalysis test	255	203	$10.00	$2.22
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	222	25	$1389.19	$227.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	96	87	$229.29	$140.31
52000 Diagnostic exam of bladder and urethra using an endoscope	90	72	$503.26	$204.26
36415 Insertion of needle into vein for collection of blood sample	82	77	$17.63	$2.98
84153 Psa (prostate specific antigen) measurement, total	79	75	$100.00	$18.39
51798 Ultrasound measurement of bladder capacity after voiding	79	65	$43.76	$10.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$289.57	$164.04
76872 Ultrasound scan of pelvic region through rectum	69	65	$226.06	$139.64
53661 Dilation of bladder canal (urethra), female	51	18	$139.45	$70.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	31	$161.49	$73.72
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	39	25	$76.08	$31.51
50590 Shock wave crushing of kidney stones	24	21	$1479.42	$586.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$401.39	$204.48
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	14	$925.88	$165.66
84403 Testosterone (hormone) level, total	11	11	$100.00	$25.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	817	472	$12.00	$3.39
99213 Established patient office or other outpatient visit, typically 15 minutes	647	426	$145.00	$73.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	362	231	$213.00	$107.56
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	258	29	$1720.00	$225.57
51798 Ultrasound measurement of bladder capacity after voiding	171	126	$31.00	$12.42
36415 Insertion of needle into vein for collection of blood sample	165	146	$24.00	$2.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	143	143	$327.00	$162.55
52000 Diagnostic exam of bladder and urethra using an endoscope	139	106	$331.00	$187.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	120	113	$274.00	$137.31
76872 Ultrasound scan of pelvic region through rectum	109	96	$191.00	$124.47
51705 Removal of skin suture with change of bladder tube	69	14	$183.00	$93.52
53661 Dilation of bladder canal (urethra), female	66	19	$139.00	$68.76
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	47	31	$61.00	$30.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	39	$406.00	$202.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	23	$146.00	$72.88
52332 Insertion of stent in urinary duct (ureter) using an endoscope	32	23	$1074.06	$148.63
50590 Shock wave crushing of kidney stones	32	30	$1462.00	$583.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	25	$40.00	$16.45
J1580 Injection, garamycin, gentamicin, up to 80 mg	29	25	$8.00	$1.75
55700 Biopsy of prostate gland	20	20	$500.00	$249.50
51705 Removal of skin suture with change of bladder tube	19	11	$183.00	$47.64
52005 Insertion of tube into ureter using an endoscope through bladder area	14	14	$536.00	$136.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$327.00	$129.47
52000 Diagnostic exam of bladder and urethra using an endoscope	11	11	$331.00	$83.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	997	555	$12.00	$3.40
99213 Established patient office or other outpatient visit, typically 15 minutes	856	512	$144.79	$71.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	131	$212.88	$105.84
36415 Insertion of needle into vein for collection of blood sample	188	149	$24.00	$2.94
51798 Ultrasound measurement of bladder capacity after voiding	174	129	$32.21	$15.24
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	168	18	$1720.00	$214.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	138	138	$326.82	$160.75
52000 Diagnostic exam of bladder and urethra using an endoscope	130	93	$343.52	$162.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	125	112	$274.00	$136.01
76872 Ultrasound scan of pelvic region through rectum	99	85	$189.52	$93.81
53661 Dilation of bladder canal (urethra), female	69	22	$138.62	$69.01
50590 Shock wave crushing of kidney stones	34	28	$1458.47	$577.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	21	$78.35	$39.04
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	30	19	$61.27	$29.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	27	$405.38	$201.66
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	20	$1097.68	$145.48
J1580 Injection, garamycin, gentamicin, up to 80 mg	23	19	$8.00	$1.43
52005 Insertion of tube into ureter using an endoscope through bladder area	20	20	$533.60	$132.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	15	$41.59	$19.98
55700 Biopsy of prostate gland	16	16	$487.44	$234.75
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	11	11	$892.55	$233.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	1,019	558	$11.65	$2.78
99213 Established patient office or other outpatient visit, typically 15 minutes	1,016	566	$143.86	$65.48
51798 Ultrasound measurement of bladder capacity after voiding	222	142	$45.34	$17.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	160	142	$273.98	$123.27
36415 Insertion of needle into vein for collection of blood sample	149	134	$23.09	$2.92
52000 Diagnostic exam of bladder and urethra using an endoscope	145	100	$481.73	$148.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	135	135	$326.47	$146.55
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	93	12	$1612.65	$208.56
76872 Ultrasound scan of pelvic region through rectum	83	75	$203.81	$85.07
53661 Dilation of bladder canal (urethra), female	80	24	$161.55	$62.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	52	$212.05	$96.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	40	$78.80	$35.74
50590 Shock wave crushing of kidney stones	43	35	$1756.44	$526.70
51703 Complicated insertion of bladder tube	23	14	$280.61	$113.44
J1580 Injection, garamycin, gentamicin, up to 80 mg	23	19	$7.74	$1.52
53850 Destruction of prostate tissue using microwave induced heat	19	19	$4540.42	$1852.38
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	17	$610.33	$221.43
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	15	$1327.06	$137.00
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	16	12	$66.88	$28.93
55700 Biopsy of prostate gland	14	14	$510.14	$223.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$326.62	$118.14
74420 Imaging of urinary tract	12	12	$36.83	$16.09
52005 Insertion of tube into ureter using an endoscope through bladder area	11	11	$595.00	$124.09

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MO R5P91

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

Commercial Insurance / Payer ID Palmetto Rr Medicare

P00199673 (MO)

Hospital & Practice Group Affiliations

Urology Of St Louis Inc

12855 N 40 Dr, Saint Louis, MO 631418657

Phone: 3145676071

Urology Of St Louis Inc

6812 State Route 162 200, Maryville, IL 620628562

Phone: 6182880900

Secondary Practice Locations

450 N New Ballas Rd Ste 205

Saint Louis, MO 631416836

Phone: 3143159914

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Jayprakash Patel , MD

Urology

NPI 1124086541

Doctor of Medicine (M.D.)

Dr. Laurence Gelstein , MD

Urology

NPI 1346208378

Doctor of Medicine (M.D.)

Dr. Robert Feit , MD

Urology

NPI 1861441982

Doctor of Medicine (M.D.)

Dr. Michael De La Paz , MD

Urology

NPI 1952347312

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location August 23, 2018

Registered at 10296 BIG BEND RD, SUITE 205, SAINT LOUIS, MO 63122 (Tel: 3143159911)

✅

NPI Profile Active October 02, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 02, 2015

Registered at 10296 BIG BEND RD, SUITE 205, SAINT LOUIS, MO 631226498 (Tel: 3143159911)

📍

Updated Business Mailing Address October 02, 2015

Registered at 215 DUNN RD, FLORISSANT, MO 630317928 (Tel: 3143159913)

👤

Provider Name / Credentials Updated October 02, 2015

Recorded as MICHAEL MARCUS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2015

Urology (License #R5P91 in MO)

🟢

Initial NPI Registration & Enumeration May 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Michael Marcus. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1588622773

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: August 23, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

215 Dunn Rd

Florissant, MO 630317928

Phone: 3143159913

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.