Active NPI 1114967973 Individual Practitioner Male Practitioner

Dr. Philip J Buffington , MD

Urology • Cincinnati, OH

Professional Overview & Biography Verified Profile Summary

Dr. Philip Buffington, MD is a registered healthcare professional specializing in Urology in Cincinnati, OH. Practice services are available at 4360 FERGUSON DR STE 100 under active NPI credentials.

Frequently performed procedures and clinical services include shock wave crushing of kidney stones, simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope, imaging guidance for procedure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4360 Ferguson Dr Ste 100

Cincinnati, OH 452451683

Telephone 5138417750

Fax 5138417751

Associated Practice Facility / Clinic

🏢 Tri State Urologic Services Psc Inc Facility NPI 1285827972

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Cincinnati, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.7 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

53 Specialists

Practicing in Cincinnati, OH (564 Statewide)

Telehealth Adoption Rate

17.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.3% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
50590 Shock wave crushing of kidney stones	46	45	$4139.00	$568.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
50590 Shock wave crushing of kidney stones	28	27	$4009.64	$557.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
50590 Shock wave crushing of kidney stones	52	52	$3901.00	$566.30
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$1648.00	$74.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
50590 Shock wave crushing of kidney stones	59	58	$3787.00	$557.11
76000 Imaging guidance for procedure, 60 minutes or less	14	14	$148.00	$15.52
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$1587.55	$78.72

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	717	525	$211.15	$105.44
81002 Urinalysis, manual test	701	542	$24.00	$3.43
36415 Insertion of needle into vein for collection of blood sample	174	142	$29.00	$2.99
84153 Psa (prostate specific antigen) measurement, total	154	130	$71.00	$18.21
51798 Ultrasound measurement of bladder capacity after voiding	88	68	$85.00	$9.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$316.00	$161.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	61	40	$103.00	$39.25
99213 Established patient office or other outpatient visit, typically 15 minutes	54	48	$164.00	$73.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$256.00	$105.13
52000 Diagnostic exam of bladder and urethra using an endoscope	37	33	$551.73	$81.55
87086 Bacterial colony count, urine	35	33	$39.00	$8.02
87088 Bacterial urine culture	31	29	$39.00	$8.04
86316 Analysis for detection of tumor marker	29	28	$51.00	$20.74
84154 Psa (prostate specific antigen) measurement, free	29	28	$85.00	$18.33
87077 Bacterial culture for aerobic isolates	23	21	$105.00	$8.03
52281 Dilation of bladder canal (urethra) using an endoscope	23	21	$817.00	$154.38
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	23	21	$105.00	$8.60
52287 Exam with injections of chemical for destruction of bladder using an endoscope	20	18	$1006.00	$173.40
76872 Ultrasound scan of pelvic region through rectum	19	19	$294.00	$33.64
55700 Biopsy of prostate gland	18	18	$427.00	$130.08
84403 Testosterone (hormone) level, total	18	16	$101.00	$25.69
82962 Blood glucose (sugar) test performed by hand-held instrument	16	15	$55.00	$3.25
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$185.00	$101.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$213.55	$137.63
82565 Blood creatinine level	11	11	$37.00	$5.11
74176 Ct scan of abdomen and pelvis without contrast	11	11	$334.36	$128.44
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$2127.00	$706.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,900	16	$1.00	$0.11
81002 Urinalysis, manual test	826	625	$24.00	$3.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	778	579	$185.00	$105.12
36415 Insertion of needle into vein for collection of blood sample	209	175	$29.01	$2.94
84153 Psa (prostate specific antigen) measurement, total	169	143	$71.00	$20.03
51798 Ultrasound measurement of bladder capacity after voiding	131	113	$83.00	$11.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	104	66	$100.00	$39.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$307.00	$160.76
87086 Bacterial colony count, urine	67	61	$39.00	$8.79
99213 Established patient office or other outpatient visit, typically 15 minutes	53	44	$159.00	$72.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$249.00	$105.37
87088 Bacterial urine culture	47	43	$39.00	$8.81
52000 Diagnostic exam of bladder and urethra using an endoscope	45	38	$511.00	$81.44
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	36	32	$105.00	$9.42
87077 Bacterial culture for aerobic isolates	36	32	$105.00	$8.79
84154 Psa (prostate specific antigen) measurement, free	35	33	$85.00	$20.03
86316 Analysis for detection of tumor marker	34	32	$51.00	$22.67
82962 Blood glucose (sugar) test performed by hand-held instrument	33	28	$55.00	$3.21
84403 Testosterone (hormone) level, total	28	24	$101.00	$28.11
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$180.00	$97.84
74018 X-ray of abdomen, 1 view	24	14	$144.00	$18.63
55700 Biopsy of prostate gland	23	23	$415.00	$132.76
76872 Ultrasound scan of pelvic region through rectum	23	23	$294.00	$33.47
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	23	23	$273.00	$55.27
52281 Dilation of bladder canal (urethra) using an endoscope	23	20	$793.00	$154.44
82565 Blood creatinine level	23	22	$37.00	$5.58
84520 Urea nitrogen level to assess kidney function	21	20	$29.00	$4.30
52287 Exam with injections of chemical for destruction of bladder using an endoscope	20	18	$1006.00	$162.92
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	17	$983.65	$114.98
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	17	17	$2065.00	$740.00
74178 Ct scan of abdomen and pelvis before and after contrast	17	15	$779.00	$258.76
82962 Blood glucose (sugar) test performed by hand-held instrument	16	15	$55.00	$3.21
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	15	15	$624.00	$99.24
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	15	15	$484.60	$17.78
51797 Insertion of device into abdomen with pressure and urine flow rate study	14	14	$503.00	$37.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$201.00	$135.87
51741 Electronic assessment of bladder emptying	13	13	$219.00	$3.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	12	$133.00	$72.13
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	11	$1379.00	$153.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$281.00	$142.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	758	589	$24.00	$3.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	641	483	$180.00	$102.02
36415 Insertion of needle into vein for collection of blood sample	202	170	$30.00	$2.92
84153 Psa (prostate specific antigen) measurement, total	173	150	$71.00	$22.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	134	89	$97.00	$38.47
99213 Established patient office or other outpatient visit, typically 15 minutes	119	109	$154.00	$69.76
51798 Ultrasound measurement of bladder capacity after voiding	117	102	$81.00	$14.51
87086 Bacterial colony count, urine	79	63	$39.00	$9.76
87088 Bacterial urine culture	61	49	$39.00	$9.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$298.00	$153.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$242.00	$103.88
52000 Diagnostic exam of bladder and urethra using an endoscope	45	39	$496.00	$80.05
87077 Bacterial culture for aerobic isolates	42	35	$105.00	$9.77
84154 Psa (prostate specific antigen) measurement, free	41	38	$165.00	$22.26
86316 Analysis for detection of tumor marker	41	38	$51.00	$25.19
82962 Blood glucose (sugar) test performed by hand-held instrument	40	30	$55.00	$3.21
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	38	31	$105.00	$10.46
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	36	32	$49.00	$20.41
99221 Initial hospital inpatient care per day, typically 30 minutes	25	24	$172.20	$99.46
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	23	$273.00	$57.35
84403 Testosterone (hormone) level, total	24	18	$101.00	$27.56
76872 Ultrasound scan of pelvic region through rectum	21	21	$294.00	$33.28
52281 Dilation of bladder canal (urethra) using an endoscope	21	18	$770.00	$152.43
55700 Biopsy of prostate gland	21	21	$403.00	$131.30
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	16	$1044.42	$147.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$273.00	$140.19
74018 X-ray of abdomen, 1 view	18	16	$144.00	$18.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	15	$129.00	$71.45
52260 Dilation of the bladder using an endoscope under general or spinal anesthesia	14	14	$771.00	$203.69
52287 Exam with injections of chemical for destruction of bladder using an endoscope	13	12	$1006.00	$156.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	11	$92.25	$19.37
82565 Blood creatinine level	11	11	$37.00	$6.20
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$2005.00	$693.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$195.00	$134.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml	1,600	16	$2.00	$0.80
81002 Urinalysis, manual test	761	566	$24.00	$3.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	593	427	$174.85	$101.10
36415 Insertion of needle into vein for collection of blood sample	221	172	$29.00	$2.91
99213 Established patient office or other outpatient visit, typically 15 minutes	214	177	$148.40	$69.62
84153 Psa (prostate specific antigen) measurement, total	182	149	$71.00	$24.39
51798 Ultrasound measurement of bladder capacity after voiding	147	114	$79.00	$17.91
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	107	17	$982.00	$203.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	96	76	$94.00	$38.04
87086 Bacterial colony count, urine	78	53	$39.00	$10.85
81000 Manual urinalysis test with examination using microscope, non-automated	72	69	$30.00	$4.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$233.73	$103.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$289.00	$154.79
87088 Bacterial urine culture	59	40	$39.00	$10.88
52000 Diagnostic exam of bladder and urethra using an endoscope	56	47	$482.00	$98.50
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	48	35	$48.00	$19.04
87077 Bacterial culture for aerobic isolates	45	31	$105.00	$10.86
82962 Blood glucose (sugar) test performed by hand-held instrument	44	35	$55.00	$3.15
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	42	29	$105.00	$10.39
84154 Psa (prostate specific antigen) measurement, free	40	36	$165.00	$24.19
88112 Cell examination of specimen, selective cellular enhancement technique	40	31	$191.90	$36.02
86316 Analysis for detection of tumor marker	38	35	$51.00	$18.77
84403 Testosterone (hormone) level, total	36	27	$101.00	$26.13
88121 Cell examination of urine, computer-assisted	32	25	$596.41	$453.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	28	$265.00	$138.92
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$160.00	$99.15
51702 Simple insertion of temporary bladder tube	27	13	$259.00	$59.69
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	26	18	$131.00	$30.46
55700 Biopsy of prostate gland	23	23	$391.00	$130.91
76872 Ultrasound scan of pelvic region through rectum	21	21	$285.00	$32.86
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	20	$264.20	$57.50
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	17	$1051.20	$149.14
88305 Pathology examination of tissue using a microscope, intermediate complexity	19	15	$242.89	$27.52
52281 Dilation of bladder canal (urethra) using an endoscope	18	16	$748.00	$147.60
74000 X-ray of abdomen, single view	18	15	$140.00	$13.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	13	$92.94	$22.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$189.00	$133.62
52287 Exam with injections of chemical for destruction of bladder using an endoscope	16	15	$977.00	$162.72
J9031 Bcg (intravesical) per instillation	16	11	$288.00	$126.59
51720 Instillation of anti-cancer drug into bladder	16	11	$392.00	$84.15
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	14	$1300.00	$146.32
74178 Ct scan of abdomen and pelvis before and after contrast	15	15	$756.00	$230.76
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	14	14	$454.00	$25.47
82565 Blood creatinine level	13	12	$37.00	$4.44
76376 3d radiographic procedure	12	12	$164.00	$12.35
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	12	12	$588.00	$100.15
52260 Dilation of the bladder using an endoscope under general or spinal anesthesia	12	11	$749.00	$210.02
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$1935.00	$416.01
74176 Ct scan of abdomen and pelvis without contrast	11	11	$298.00	$103.72

Medical Specialties & State Licenses

CMS Verified: 2020-02-05

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 35-05-2155

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

0824406 (OH)

Medicaid State Provider ID

64955206 (KY)

Commercial Insurance / Payer ID Railroad Medicare

340011131 (OH)

Secondary Practice Locations

10220 Alliance Rd

Blue Ash, OH 452424710

Phone: 5138417800

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Brian Minnillo , MD

Urology

NPI 1104142389

Doctor of Medicine (M.D.)

Lisa Schowalter , FNP

Nurse Practitioner - Family

NPI 1255903589

Family Nurse Practitioner

Paurush Babbar

Urology

NPI 1770826695

Dr. Aaron Bey , MD

Urology

NPI 1801053483

Doctor of Medicine (M.D.)

Dr. Michael Rousseau , MD

Urology

NPI 1851328660

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 February 05, 2020

Registered at 4360 FERGUSON DR STE 100, CINCINNATI, OH 452451683 (Tel: 5138417750)

✅

NPI Profile Active December 02, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 02, 2014

Registered at 10220 ALLIANCE RD, BLUE ASH, OH 452424710 (Tel: 5138417800)

📍

Updated Business Mailing Address December 02, 2014

Registered at 2000 JOSEPH E SANKER BLVD, CINCINNATI, OH 452121979 (Tel: 5138417400)

👤

Provider Name / Credentials Updated December 02, 2014

Recorded as PHILIP BUFFINGTON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2014

Urology (License #35-05-2155 in OH)

🟢

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: 1114967973

Entity Type:

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

Enumeration Date: June 08, 2006

Last Update: February 05, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2000 Joseph E Sanker Blvd

Cincinnati, OH 452121979

Phone: 5138417400

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.