Active NPI 1912947847 Individual Practitioner Male Practitioner

Dr. Robert Allen Pathroff , MD

Urology • Bismarck, ND

Professional Overview & Biography Verified Profile Summary

Dr. Robert Pathroff, MD is a registered healthcare professional specializing in Urology in Bismarck, ND. Practice services are available at 225 NORTH 7TH STREET under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope, 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

225 North 7th Street

Bismarck, ND 58501

Telephone 7012249471

Fax 7012238728

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Bismarck, ND

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.3 Yrs

State Avg: 22.0 Yrs

Regional Practice Density

6 Specialists

Practicing in Bismarck, ND (29 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.5% 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
99213 Established patient office or other outpatient visit, typically 15 minutes	162	156	$236.00	$66.52
52000 Diagnostic exam of bladder and urethra using an endoscope	90	84	$671.00	$78.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	70	$142.00	$35.58
99202 New patient office or other outpatient visit, typically 20 minutes	74	74	$174.00	$48.48
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$131.00	$30.92
76872 Ultrasound scan of pelvic region through rectum	18	18	$319.00	$33.08
55700 Biopsy of prostate gland	18	18	$738.00	$127.59
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	11	11	$949.00	$267.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	395	340	$235.98	$51.23
52000 Diagnostic exam of bladder and urethra using an endoscope	228	185	$596.20	$80.59
99202 New patient office or other outpatient visit, typically 20 minutes	208	208	$174.28	$50.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	179	145	$141.90	$25.63
76872 Ultrasound scan of pelvic region through rectum	49	49	$319.00	$34.23
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	49	49	$117.08	$32.22
55700 Biopsy of prostate gland	49	49	$662.49	$132.07
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	23	14	$833.35	$290.92
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	18	$723.44	$152.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$349.00	$79.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	440	361	$236.00	$50.54
52000 Diagnostic exam of bladder and urethra using an endoscope	257	205	$537.00	$81.02
99202 New patient office or other outpatient visit, typically 20 minutes	221	221	$174.00	$50.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	160	131	$142.00	$25.18
76872 Ultrasound scan of pelvic region through rectum	58	57	$319.00	$33.75
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	56	56	$105.00	$32.15
55700 Biopsy of prostate gland	56	56	$590.00	$130.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$252.00	$74.85
52332 Insertion of stent in urinary duct (ureter) using an endoscope	30	21	$1233.00	$122.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$344.26	$77.99
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	19	14	$759.00	$289.18
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	18	$651.00	$151.79
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$2127.00	$732.39
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$1065.00	$417.50
50590 Shock wave crushing of kidney stones	11	11	$1453.00	$572.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	445	355	$191.69	$50.35
52000 Diagnostic exam of bladder and urethra using an endoscope	287	226	$523.62	$80.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	161	140	$114.65	$24.88
99202 New patient office or other outpatient visit, typically 20 minutes	123	123	$169.69	$49.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$244.67	$74.57
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	57	56	$102.16	$32.09
76872 Ultrasound scan of pelvic region through rectum	57	56	$310.47	$33.67
55700 Biopsy of prostate gland	57	56	$574.37	$129.86
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	18	$1206.45	$128.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$285.84	$77.01
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	23	19	$742.17	$287.07
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	16	$633.59	$150.59
55875 Insertion of needle or tube into prostate for radiation therapy	14	14	$1910.50	$761.88
76965 Ultrasonic guidance for administration of radiation therapy	14	14	$202.26	$67.20
51600 Injection procedure for X-ray imaging of the bladder or during voiding	14	14	$470.50	$22.12
51701 Insertion of temporary bladder tube	12	11	$152.75	$25.24
76873 Ultrasound of prostate	12	12	$360.50	$77.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	371	305	$165.00	$49.89
52000 Diagnostic exam of bladder and urethra using an endoscope	203	159	$507.00	$101.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	123	103	$95.00	$24.83
99202 New patient office or other outpatient visit, typically 20 minutes	107	107	$164.00	$49.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$238.00	$74.33
76872 Ultrasound scan of pelvic region through rectum	38	38	$301.00	$33.24
55700 Biopsy of prostate gland	38	38	$557.00	$129.45
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	38	38	$99.00	$32.02
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	22	17	$716.00	$285.48
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	15	$614.00	$150.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$240.00	$76.97
55875 Insertion of needle or tube into prostate for radiation therapy	11	11	$1855.00	$755.58
76965 Ultrasonic guidance for administration of radiation therapy	11	11	$154.23	$66.30
51600 Injection procedure for X-ray imaging of the bladder or during voiding	11	11	$457.00	$21.96

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License ND 5534

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 FL ME61633

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

016454 (ND)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Denise Forte Pathroff , MD

Dermatology

NPI 1518904101

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 05, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location March 05, 2010

Registered at 225 NORTH 7TH STREET, BISMARCK, ND 58501 (Tel: 7012249471)

📍

Updated Business Mailing Address March 05, 2010

Registered at 225 NORTH 7TH STREET, BISMARCK, ND 58501 (Tel: 7012249471)

👤

Provider Name / Credentials Updated March 05, 2010

Recorded as ROBERT PATHROFF, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2010

Urology (License #5534 in ND)

🟢

Initial NPI Registration & Enumeration June 08, 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: 1912947847

Entity Type:

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

Enumeration Date: June 08, 2006

Last Update: March 05, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

225 North 7th Street

Bismarck, ND 58501

Phone: 7012249471

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.