Active NPI 1033180724 Individual Practitioner Male Practitioner

Dr. Jack Dwosh , MD

Urology • Mt. Laurel, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Jack Dwosh, MD is a registered healthcare professional specializing in Urology in Mt. Laurel, NJ. Practice services are available at 15000 MIDLANTIC DRIVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15000 Midlantic Drive
Suite 100

Mt. Laurel, NJ 08054

Telephone 8562521000

Fax 8562521100

Associated Practice Facility / Clinic

🏢 Reach Wellness Facility NPI 1053625004

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Mt. Laurel, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Mt. Laurel, NJ (474 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.3% 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	490	316	$370.00	$140.99
81003 Automated urinalysis test	457	300	$10.00	$2.24
51798 Ultrasound measurement of bladder capacity after voiding	456	308	$50.00	$11.75
36415 Insertion of needle into vein for collection of blood sample	296	223	$10.00	$2.98
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	158	29	$56.93	$44.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	87	65	$240.00	$76.34
52000 Diagnostic exam of bladder and urethra using an endoscope	70	63	$670.00	$268.48
99213 Established patient office or other outpatient visit, typically 15 minutes	59	53	$260.00	$99.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$550.00	$182.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$450.00	$140.09
51741 Electronic assessment of bladder emptying	29	25	$200.00	$14.72
76872 Ultrasound scan of pelvic region through rectum	25	24	$460.00	$154.77
76775 Limited ultrasound scan behind abdominal cavity	17	17	$210.00	$66.06
55700 Biopsy of prostate gland	16	16	$870.00	$281.78
51702 Simple insertion of temporary bladder tube	13	11	$220.00	$72.32

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	722	422	$370.00	$118.28
51798 Ultrasound measurement of bladder capacity after voiding	620	422	$50.00	$11.67
81003 Automated urinalysis test	419	288	$10.00	$2.23
51741 Electronic assessment of bladder emptying	198	168	$162.02	$14.65
J0696 Injection, ceftriaxone sodium, per 250 mg	160	36	$10.00	$0.57
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	144	30	$50.00	$45.37
99213 Established patient office or other outpatient visit, typically 15 minutes	139	125	$260.00	$81.99
36415 Insertion of needle into vein for collection of blood sample	128	114	$10.00	$2.99
52000 Diagnostic exam of bladder and urethra using an endoscope	111	100	$670.00	$233.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	104	79	$240.00	$77.81
76872 Ultrasound scan of pelvic region through rectum	62	55	$460.00	$160.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$550.00	$178.72
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	38	$130.00	$42.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	50	$450.00	$145.31
55700 Biopsy of prostate gland	39	36	$870.00	$277.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$160.00	$48.47
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	13	$60.00	$15.39
51702 Simple insertion of temporary bladder tube	20	12	$220.00	$68.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$370.00	$117.45
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	18	12	$2600.00	$870.68
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$340.00	$109.06
74420 Imaging of urinary tract	15	13	$250.00	$27.32
51703 Complicated insertion of bladder tube	11	11	$460.00	$84.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	1,019	586	$67.11	$14.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	769	468	$339.82	$116.46
81003 Automated urinalysis test	626	410	$10.00	$2.42
51741 Electronic assessment of bladder emptying	376	276	$199.85	$14.34
99213 Established patient office or other outpatient visit, typically 15 minutes	319	267	$231.32	$79.65
J0696 Injection, ceftriaxone sodium, per 250 mg	192	41	$12.71	$0.56
52000 Diagnostic exam of bladder and urethra using an endoscope	175	161	$713.89	$206.27
76872 Ultrasound scan of pelvic region through rectum	131	116	$470.99	$141.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	124	90	$229.35	$74.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	72	70	$431.25	$142.48
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	62	12	$160.00	$156.80
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	60	15	$3423.33	$1012.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	47	$123.02	$41.51
55700 Biopsy of prostate gland	53	46	$844.53	$275.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$519.20	$176.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$343.88	$116.63
99221 Initial hospital inpatient care per day, typically 30 minutes	38	37	$317.50	$104.88
36415 Insertion of needle into vein for collection of blood sample	36	35	$10.56	$2.86
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	28	19	$2851.79	$771.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	19	$68.33	$18.23
51703 Complicated insertion of bladder tube	26	25	$475.38	$83.35
51720 Instillation of anti-cancer drug into bladder	25	17	$361.60	$92.80
51702 Simple insertion of temporary bladder tube	25	19	$248.60	$68.69
74420 Imaging of urinary tract	21	20	$132.38	$26.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$140.50	$49.12
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	18	$1724.74	$141.59
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	17	11	$456.76	$142.95
51703 Complicated insertion of bladder tube	16	14	$482.50	$141.09
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	15	15	$4484.00	$1341.36
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$231.07	$82.61
52005 Insertion of tube into ureter using an endoscope through bladder area	13	13	$1019.62	$70.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	1,017	636	$69.74	$17.66
99213 Established patient office or other outpatient visit, typically 15 minutes	622	479	$190.02	$77.47
81003 Automated urinalysis test	604	387	$10.00	$2.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	530	365	$272.04	$114.92
51741 Electronic assessment of bladder emptying	455	334	$259.75	$15.70
52000 Diagnostic exam of bladder and urethra using an endoscope	192	173	$652.60	$179.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	185	128	$193.65	$76.02
J0696 Injection, ceftriaxone sodium, per 250 mg	148	36	$12.89	$0.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	117	$118.60	$46.94
76872 Ultrasound scan of pelvic region through rectum	112	105	$422.50	$106.14
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	108	13	$638.89	$201.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	73	72	$372.45	$143.46
36415 Insertion of needle into vein for collection of blood sample	59	59	$15.00	$2.94
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$203.73	$80.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$280.47	$113.40
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	42	15	$400.24	$144.00
55700 Biopsy of prostate gland	42	40	$745.00	$273.70
J9031 Bcg (intravesical) per instillation	38	14	$211.45	$124.90
51720 Instillation of anti-cancer drug into bladder	37	14	$341.62	$89.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	32	$91.11	$41.10
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	31	25	$3007.42	$718.16
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	29	13	$114.31	$31.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	16	$64.29	$22.44
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$188.75	$106.19
51702 Simple insertion of temporary bladder tube	22	18	$258.64	$70.75
52281 Dilation of bladder canal (urethra) using an endoscope	19	14	$1079.47	$301.08
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	18	$46.58	$23.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$440.00	$175.59
52240 Destruction and/or removal of large growth of bladder using an endoscope	16	13	$1770.00	$394.71
74420 Imaging of urinary tract	15	14	$58.67	$17.32
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	13	$763.57	$267.86
51703 Complicated insertion of bladder tube	13	13	$458.46	$82.51
50590 Shock wave crushing of kidney stones	13	12	$2368.08	$606.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	837	543	$31.00	$21.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	708	476	$150.00	$113.51
51741 Electronic assessment of bladder emptying	409	313	$115.00	$15.60
81003 Automated urinalysis test	386	260	$10.00	$3.01
99213 Established patient office or other outpatient visit, typically 15 minutes	357	282	$100.00	$77.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	200	152	$95.00	$74.46
52000 Diagnostic exam of bladder and urethra using an endoscope	183	166	$325.00	$174.57
J0696 Injection, ceftriaxone sodium, per 250 mg	137	32	$2.00	$0.62
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	135	16	$606.67	$205.45
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	121	13	$0.03	$0.02
76872 Ultrasound scan of pelvic region through rectum	98	95	$200.00	$103.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	90	90	$189.00	$142.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	72	50	$50.00	$26.82
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	66	42	$225.00	$140.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$150.00	$115.83
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	47	42	$30.00	$21.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	44	$60.00	$47.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$298.95	$171.66
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	37	16	$65.00	$35.14
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	36	33	$300.00	$63.14
55700 Biopsy of prostate gland	35	33	$370.00	$261.77
J9031 Bcg (intravesical) per instillation	32	18	$195.00	$126.85
51720 Instillation of anti-cancer drug into bladder	32	18	$180.00	$96.26
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	27	16	$2100.00	$687.58
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$100.00	$80.43
51702 Simple insertion of temporary bladder tube	21	19	$140.00	$69.07
51703 Complicated insertion of bladder tube	17	17	$230.00	$82.36
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$1400.00	$909.80

Medical Specialties & State Licenses

CMS Verified: 2021-06-23

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NJ 25MA04771800

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.

Urology

NUCC Taxonomy Code: 208800000X

State License PA MD064953L

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Aetna

0055472

Commercial Insurance / Payer ID Amerihealth

0073781000

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Adam Perzin , MD

Urology

NPI 1104879501

Doctor of Medicine (M.D.)

Cynthia Moceri , MSN, RN, APN-C

Nurse Practitioner

NPI 1164542791

Master of Science in Nursing, Registered Nurse, APNC

Dr. Nicole Ambrose , DO

Urology

NPI 1346801248

Doctor of Osteopathic Medicine (D.O.)

Tran To , NP-C

Nurse Practitioner

NPI 1386319481

Nurse Practitioner (Certified)

Dr. Kelly Olsen , DO

Urology

NPI 1407340433

Doctor of Osteopathic Medicine (D.O.)

Timothy Weimer , NP

Nurse Practitioner

NPI 1447292495

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 29, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 29, 2012

Registered at 15000 MIDLANTIC DRIVE, SUITE 100, MT. LAUREL, NJ 08054 (Tel: 8562521000)

📍

Updated Business Mailing Address February 29, 2012

Registered at 15000 MIDLANTIC DR, SUITE 100, MOUNT LAUREL, NJ 080541573 (Tel: 8562521000)

👤

Provider Name / Credentials Updated February 29, 2012

Recorded as JACK DWOSH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 29, 2012

Urology (License #25MA04771800 in NJ)

🟢

Initial NPI Registration & Enumeration January 30, 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: 1033180724

Entity Type:

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

Enumeration Date: January 30, 2006

Last Update: June 23, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

15000 Midlantic Dr, Suite 100

Mount Laurel, NJ 080541573

Phone: 8562521000

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.