Active NPI 1174644314 Individual Practitioner Male Practitioner

Dr. Ernest Frederick Mcphail , MD

Urology • Clemmons, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ernest Mcphail, MD is a certified Urology practicing in Clemmons, NC. With approximately 20 years of clinical experience since graduating from University Of North Carolina At Chapel Hill School Of Medicine in 2006, Dr. Mcphail delivers high-quality medical care to the local community at 7210 VILLAGE MEDICAL CIR STE 225.

Dr. Mcphail maintains professional affiliations with Novant Health Medical Group, Llc, Forsyth Memorial Hospital Inc, Piedmont Stone Center Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include automated urinalysis test, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7210 Village Medical Cir Ste 225

Clemmons, NC 270128035

Telephone 3368933080

Fax 3368933089

Associated Practice Facility / Clinic

🏢 Novant Health Medical Group, Llc Facility NPI 1629720453

Medicare Profile & Education

Medical School

University Of North Carolina At Chapel Hill School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Clemmons, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs Matches City Avg

City Avg: 20.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Clemmons, NC (528 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcphail (20 Years) 20 Yrs

Clemmons Specialty Average (20.0 Years) 20.0 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
81003 Automated urinalysis test	578	367	$12.00	$2.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	370	259	$291.00	$119.99
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	275	208	$36.00	$15.46
51798 Ultrasound measurement of bladder capacity after voiding	253	186	$51.00	$10.16
99213 Established patient office or other outpatient visit, typically 15 minutes	173	141	$192.31	$84.59
81001 Manual urinalysis test with examination using microscope, automated	88	77	$17.00	$3.07
36415 Insertion of needle into vein for collection of blood sample	85	82	$22.00	$8.58
96127 Assessment of emotional or behavioral problems	73	73	$17.00	$4.14
52000 Diagnostic exam of bladder and urethra using an endoscope	69	64	$710.13	$214.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$484.00	$153.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$341.00	$104.12
51702 Simple insertion of temporary bladder tube	30	24	$87.00	$29.04
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	19	$1276.00	$112.15
52356 Crushing of stone of ureter with insertion of stent using an endoscope	21	20	$1050.00	$381.37
51705 Removal of skin suture with change of bladder tube	21	12	$156.24	$55.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$403.00	$122.02
52204 Biopsy of the bladder using an endoscope	15	14	$2218.00	$130.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$200.00	$73.80
55700 Biopsy of prostate gland	12	12	$1783.00	$120.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	518	318	$12.00	$2.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	302	211	$291.00	$121.18
51798 Ultrasound measurement of bladder capacity after voiding	229	173	$51.00	$9.84
99213 Established patient office or other outpatient visit, typically 15 minutes	173	140	$187.29	$85.53
36415 Insertion of needle into vein for collection of blood sample	100	93	$22.00	$8.40
52000 Diagnostic exam of bladder and urethra using an endoscope	62	55	$709.13	$223.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$484.00	$157.25
81001 Manual urinalysis test with examination using microscope, automated	60	54	$17.00	$3.11
51702 Simple insertion of temporary bladder tube	43	25	$57.35	$26.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$341.00	$105.95
51705 Removal of skin suture with change of bladder tube	25	14	$145.48	$55.36
55700 Biopsy of prostate gland	18	18	$1783.00	$122.22
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$125.00	$29.24
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	15	$1276.00	$120.56
55700 Biopsy of prostate gland	13	12	$1783.00	$220.50
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$435.00	$50.78

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	279	205	$210.33	$117.36
81003 Automated urinalysis test	254	197	$10.37	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	162	135	$147.44	$84.04
51798 Ultrasound measurement of bladder capacity after voiding	107	94	$51.00	$9.94
52000 Diagnostic exam of bladder and urethra using an endoscope	85	73	$539.89	$202.88
36415 Insertion of needle into vein for collection of blood sample	77	71	$16.16	$2.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$229.20	$104.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$345.23	$158.02
51702 Simple insertion of temporary bladder tube	26	15	$43.69	$25.13
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	16	$1164.68	$147.14
81001 Manual urinalysis test with examination using microscope, automated	19	19	$14.63	$3.11
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	12	$1050.00	$404.32
55700 Biopsy of prostate gland	12	12	$1372.00	$209.67
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$403.75	$50.25

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	457	286	$125.71	$98.53
99213 Established patient office or other outpatient visit, typically 15 minutes	118	95	$81.65	$66.51
52000 Diagnostic exam of bladder and urethra using an endoscope	75	71	$107.00	$79.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$231.00	$134.59
52356 Crushing of stone of ureter with insertion of stent using an endoscope	25	22	$1092.00	$414.10
55700 Biopsy of prostate gland	24	23	$139.00	$129.16
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$184.00	$31.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$141.00	$82.64
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$161.00	$149.50
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	16	$1117.13	$139.04

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	285	234	$126.14	$78.21
99213 Established patient office or other outpatient visit, typically 15 minutes	206	173	$82.12	$50.83
52000 Diagnostic exam of bladder and urethra using an endoscope	70	65	$122.71	$80.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$141.00	$74.97
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	19	$1066.56	$144.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$231.00	$128.85
99441 Telephone medical discussion with physician, 5-10 minutes	24	24	$29.00	$25.56
74420 Imaging of urinary tract	24	20	$48.00	$25.42
51702 Simple insertion of temporary bladder tube	22	12	$36.00	$25.93
74018 X-ray of abdomen, 1 view	17	16	$28.88	$9.23
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	13	$1190.00	$446.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$181.00	$111.60
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$62.64	$50.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$232.00	$168.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$83.00	$39.13
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$221.25	$101.16
55700 Biopsy of prostate gland	11	11	$139.00	$132.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	475	321	$81.81	$50.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	143	$127.57	$75.93
52000 Diagnostic exam of bladder and urethra using an endoscope	76	66	$121.47	$80.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$142.43	$73.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	62	$26.00	$24.96
51702 Simple insertion of temporary bladder tube	42	15	$36.00	$25.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	18	$83.00	$38.52
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$89.00	$49.52
74420 Imaging of urinary tract	25	21	$48.00	$25.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$231.00	$126.11
74176 Ct scan of abdomen and pelvis without contrast	16	15	$247.00	$86.53
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	13	$993.00	$118.69
74178 Ct scan of abdomen and pelvis before and after contrast	14	14	$1182.00	$99.45
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$198.00	$98.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	408	296	$135.35	$63.75
81002 Urinalysis, manual test	264	211	$11.00	$3.40
36415 Insertion of needle into vein for collection of blood sample	125	104	$16.00	$2.94
81000 Manual urinalysis test with examination using microscope, non-automated	93	79	$14.00	$3.90
52000 Diagnostic exam of bladder and urethra using an endoscope	67	61	$484.61	$133.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	54	$70.48	$34.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	45	$192.20	$89.30
51798 Ultrasound measurement of bladder capacity after voiding	44	40	$51.00	$14.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$212.54	$96.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	26	$83.00	$37.96
74018 X-ray of abdomen, 1 view	36	30	$64.89	$20.39
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$113.33	$56.35
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	20	11	$111.00	$29.08
74420 Imaging of urinary tract	20	18	$48.00	$17.29
74176 Ct scan of abdomen and pelvis without contrast	11	11	$283.36	$88.55
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$198.00	$97.75
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$307.09	$46.47
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$958.64	$178.70
55700 Biopsy of prostate gland	11	11	$1334.64	$191.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,426	25	$1.00	$0.12
81002 Urinalysis, manual test	678	428	$11.00	$3.40
99213 Established patient office or other outpatient visit, typically 15 minutes	554	383	$149.45	$69.44
36415 Insertion of needle into vein for collection of blood sample	232	164	$16.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	117	$217.07	$101.84
52000 Diagnostic exam of bladder and urethra using an endoscope	122	106	$646.75	$154.19
81000 Manual urinalysis test with examination using microscope, non-automated	119	91	$14.00	$4.26
84153 Psa (prostate specific antigen) measurement, total	102	92	$78.00	$24.55
51798 Ultrasound measurement of bladder capacity after voiding	84	64	$51.00	$17.97
74000 X-ray of abdomen, single view	75	54	$57.12	$13.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$218.66	$101.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	30	$83.00	$37.94
74420 Imaging of urinary tract	44	30	$48.00	$16.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	28	$99.00	$41.39
84403 Testosterone (hormone) level, total	29	21	$109.00	$34.70
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	16	$1036.17	$132.96
74178 Ct scan of abdomen and pelvis before and after contrast	23	23	$909.00	$198.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	16	$56.00	$24.04
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	18	11	$111.00	$30.60
J1580 Injection, garamycin, gentamicin, up to 80 mg	17	12	$12.00	$1.52
55700 Biopsy of prostate gland	13	13	$1583.92	$236.38
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	12	$410.00	$57.57
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$198.00	$97.70
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$1596.36	$233.10
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$152.91	$71.07

Medical Specialties & State Licenses

CMS Verified: 2024-02-13

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NC 2011-00447

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

779450000 (MN)

Hospital & Practice Group Affiliations

Forsyth Memorial Hospital Inc

140 Kimel Park Dr, Winston Salem, NC 271036160

Phone: 3362452100

Piedmont Stone Center Pllc

1907 S Hawthorne Rd, Winston Salem, NC 271033916

Phone: 3367656373

Piedmont Stone Center Pllc

1907 S Hawthorne Rd, Winston Salem, NC 271033916

Phone: 3367656373

Novant Health Medical Group, Llc

7210 Village Medical Cir, Clemmons, NC 270128035

Phone: 3368933080

Secondary Practice Locations

140 Kimel Park Dr, Novant Health Carolina Urological Associates

Winston Salem, NC 271036160

Phone: 3362452100

Practice Associates & Co-Workers

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

2 Associated Practitioners

Sherry Henning

Nurse Practitioner

NPI 1720502040

Alexa Amin , PA

Physician Assistant

NPI 1841977378

Physician Assistant

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 07, 2022

Registered at 7210 VILLAGE MEDICAL CIR STE 225, CLEMMONS, NC 270128035 (Tel: 3368933080)

📍

Updated Business Mailing Address August 19, 2021

Registered at PO BOX 751803, CHARLOTTE, NC 282751803

✅

NPI Profile Active May 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 23, 2016

Registered at 140 KIMEL PARK DR, NOVANT HEALTH CAROLINA UROLOGICAL ASSOCIATES, WINSTON SALEM, NC 271036160 (Tel: 3362452100)

📍

Updated Business Mailing Address May 23, 2016

Registered at 140 KIMEL PARK DR, NOVANT HEALTH CAROLINA UROLOGICAL ASSOCIATES, WINSTON SALEM, NC 271036160 (Tel: 3362452100)

👤

Provider Name / Credentials Updated May 23, 2016

Recorded as ERNEST MCPHAIL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2016

Urology (License #2011-00447 in NC)

🟢

Initial NPI Registration & Enumeration April 03, 2007

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: 1174644314

Entity Type:

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

Enumeration Date: April 03, 2007

Last Update: February 13, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 751803

Charlotte, NC 282751803

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.