Active NPI 1598772709 Individual Practitioner Male Practitioner

Dr. Thomas M Picklow , MD

Urology • Cambridge, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Picklow, MD is a certified Urology practicing in Cambridge, OH. With approximately 39 years of clinical experience since graduating from Ohio State University College Of Medicine in 1987, Dr. Picklow delivers high-quality medical care to the local community at 1200 CLARK ST.

Dr. Picklow is affiliated with Ashtabula County Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 Clark St

Cambridge, OH 437259611

Telephone 7404398997

Fax 7404398996

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Cambridge, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +9.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Cambridge, OH (564 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Picklow (39 Years) 39 Yrs

Cambridge Specialty Average (29.5 Years) 29.5 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	124	89	$199.94	$92.29
99213 Established patient office or other outpatient visit, typically 15 minutes	120	102	$125.96	$62.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	68	$63.00	$33.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$332.93	$126.77
52000 Diagnostic exam of bladder and urethra using an endoscope	34	30	$184.00	$75.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$188.00	$77.68
55700 Biopsy of prostate gland	12	11	$373.42	$123.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	109	$120.93	$63.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	82	$191.88	$94.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	84	$60.98	$34.34
52000 Diagnostic exam of bladder and urethra using an endoscope	38	36	$177.00	$76.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$312.33	$129.18
55700 Biopsy of prostate gland	14	14	$362.00	$124.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$181.00	$80.32
76872 Ultrasound scan of pelvic region through rectum	11	11	$85.00	$31.02

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	139	98	$185.00	$95.97
99213 Established patient office or other outpatient visit, typically 15 minutes	134	104	$116.00	$65.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	81	$59.00	$35.73
52000 Diagnostic exam of bladder and urethra using an endoscope	64	60	$580.70	$79.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$307.59	$133.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$174.00	$82.30
55700 Biopsy of prostate gland	19	18	$348.00	$124.19
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$82.00	$30.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	120	97	$110.00	$66.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	85	$178.41	$98.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	65	$56.00	$35.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$287.00	$134.86
52000 Diagnostic exam of bladder and urethra using an endoscope	54	48	$876.22	$79.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$166.00	$82.90
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	19	$78.00	$30.96
55700 Biopsy of prostate gland	20	19	$331.00	$129.78
74420 Imaging of urinary tract	13	12	$41.00	$24.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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	118	97	$30.00	$14.37
99213 Established patient office or other outpatient visit, typically 15 minutes	78	68	$104.94	$50.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	58	$52.75	$25.76
52000 Diagnostic exam of bladder and urethra using an endoscope	58	54	$835.72	$81.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	32	$168.00	$78.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$272.57	$128.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$157.45	$75.32
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$102.14	$66.48
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	11	$74.00	$31.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	171	143	$50.00	$25.00
99213 Established patient office or other outpatient visit, typically 15 minutes	147	115	$101.70	$50.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	79	$160.08	$77.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$153.05	$74.72
52000 Diagnostic exam of bladder and urethra using an endoscope	59	57	$744.97	$80.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$260.00	$126.52
51702 Simple insertion of temporary bladder tube	31	15	$90.00	$25.42
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$73.75	$30.23
55700 Biopsy of prostate gland	16	16	$417.69	$125.04
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$100.00	$49.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	123	101	$50.00	$24.95
99213 Established patient office or other outpatient visit, typically 15 minutes	123	103	$102.03	$50.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	83	$162.26	$76.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$150.00	$75.27
52000 Diagnostic exam of bladder and urethra using an endoscope	64	63	$286.25	$79.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$273.16	$127.14
51702 Simple insertion of temporary bladder tube	33	16	$90.00	$26.06
55700 Biopsy of prostate gland	15	15	$300.00	$131.30
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$70.00	$31.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	240	201	$25.00	$3.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	114	$94.00	$41.60
99213 Established patient office or other outpatient visit, typically 15 minutes	78	60	$100.00	$49.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$150.00	$74.90
99213 Established patient office or other outpatient visit, typically 15 minutes	60	55	$219.00	$70.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	54	$50.00	$24.87
52000 Diagnostic exam of bladder and urethra using an endoscope	53	51	$503.00	$155.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$260.00	$126.82
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	53	14	$3129.96	$216.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	36	$160.00	$76.59
52000 Diagnostic exam of bladder and urethra using an endoscope	41	40	$260.00	$100.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$319.00	$103.89
51798 Ultrasound measurement of bladder capacity after voiding	23	21	$56.00	$17.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$336.32	$96.28
51700 Simple bladder irrigation and/or instillation	21	13	$110.00	$35.62
51702 Simple insertion of temporary bladder tube	16	15	$90.00	$25.64
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$100.00	$49.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$534.00	$147.49

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 35063543

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 MD057848L

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0959904 (OH)

Commercial Insurance / Payer ID United Health Care

1900234 (OH)

Commercial Insurance / Payer ID Highmark

PI817202 (PA)

Commercial Insurance / Payer ID Qualchoice

53865 (OH)

Commercial Insurance / Payer ID Palmetto Gba Railroad Med

340010224 (GA)

Commercial Insurance / Payer ID United Health Care

1900410 (OH)

Commercial Insurance / Payer ID United Health Care

1900532 (OH)

Commercial Insurance / Payer ID Anthem

000000137273 (OH)

Hospital & Practice Group Affiliations

Ashtabula County Medical Center

2422 Lake Ave, Ashtabula, OH 440044985

Phone: 4409976969

Ashtabula County Medical Center

2420 Lake Ave, Ashtabula, OH 440044954

Phone: 4409976969

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Zosimo Maximo , MD

Family Medicine

NPI 1265484380

Doctor of Medicine (M.D.)

Dr. Mohammad Al-Quaimi , MD

Orthopaedic Surgery

NPI 1396797734

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 August 14, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location August 14, 2008

Registered at 1200 CLARK ST, CAMBRIDGE, OH 437259611 (Tel: 7404398997)

📍

Updated Business Mailing Address August 14, 2008

Registered at 1350 CLARK ST, CAMBRIDGE, OH 437259614 (Tel: 7404390733)

👤

Provider Name / Credentials Updated August 14, 2008

Recorded as THOMAS PICKLOW, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2008

Urology (License #35063543 in OH)

🟢

Initial NPI Registration & Enumeration August 01, 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: 1598772709

Entity Type:

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

Enumeration Date: August 01, 2006

Last Update: August 14, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1350 Clark St

Cambridge, OH 437259614

Phone: 7404390733

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.