Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851328660 Individual Practitioner Male Practitioner

Dr. Michael B Rousseau , MD

Urology • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Rousseau, MD is a certified Urology practicing in Cincinnati, OH. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Rousseau delivers high-quality medical care to the local community at 4360 FERGUSON DR STE 100.

Dr. Rousseau is affiliated with Tri State Urologic Services Psc Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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, established patient outpatient office visit, urinalysis, manual test. 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

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs +16.3 yrs vs City Avg
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
77.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rousseau (36 Years) 36 Yrs
Cincinnati Specialty Average (19.7 Years) 19.7 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
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
925 547 $35.00 $16.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
797 477 $278.00 $126.83
81002 Urinalysis, manual test
789 474 $26.00 $3.38
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
292 73 $212.00 $62.98
36415 Insertion of needle into vein for collection of blood sample
164 133 $32.00 $8.65
84153 Psa (prostate specific antigen) measurement, total
159 132 $71.00 $18.02
A4648 Tissue marker, implantable, any type, each
148 37 $910.68 $896.10
99213 Established patient office or other outpatient visit, typically 15 minutes
137 124 $237.00 $90.49
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant
120 28 $2588.00 $50.81
52281 Dilation of bladder canal (urethra) using an endoscope
119 114 $920.00 $150.12
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
104 52 $157.47 $48.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
66 66 $438.00 $167.20
76872 Ultrasound scan of pelvic region through rectum
56 56 $312.00 $31.30
55876 Placement of device in prostate for radiation therapy
38 38 $462.00 $92.93
87086 Bacterial colony count, urine
37 33 $70.00 $7.91
51798 Ultrasound measurement of bladder capacity after voiding
32 29 $97.00 $10.81
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope
32 32 $2395.00 $737.71
52000 Diagnostic exam of bladder and urethra using an endoscope
29 29 $773.72 $55.67
55874 Injection of biodegradable material next to prostate
29 29 $8523.00 $2707.15
55700 Biopsy of prostate gland
29 29 $654.00 $119.63
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant
28 28 $3376.00 $207.26
52332 Insertion of stent in urinary duct (ureter) using an endoscope
27 25 $1224.74 $129.52
87088 Bacterial urine culture
26 22 $39.00 $7.93
84154 Psa (prostate specific antigen) measurement, free
24 22 $85.00 $18.02
86316 Analysis for detection of tumor marker
24 22 $51.00 $20.39
84403 Testosterone (hormone) level, total
21 15 $101.00 $25.29
87077 Bacterial culture for aerobic isolates
20 16 $105.00 $7.92
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution
20 16 $105.00 $8.48
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies
17 17 $723.00 $180.87
82565 Blood creatinine level
14 14 $37.00 $5.02
51741 Electronic assessment of bladder emptying
13 13 $254.00 $7.15
84520 Urea nitrogen level to assess kidney function
13 13 $29.00 $3.87
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope
12 12 $1944.17 $152.49

Medical Specialties & State Licenses

CMS Verified: 2020-02-05
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 35-06-4460

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
0901073 (OH)
Medicaid State Provider ID
64955214 (KY)
Commercial Insurance / Payer ID Railroad Medicare
340011132 (OH)

Hospital & Practice Group Affiliations

Tri State Urologic Services Psc Inc

2000 Joseph E Sanker Blvd, Cincinnati, OH 452121979

Phone: 5138417400

Tri State Urologic Services Psc Inc

925 Deis Dr, Fairfield, OH 450148130

Phone: 5138417900

Tri State Urologic Services Psc Inc

3301 Mercy Health Blvd, Cincinnati, OH 452111118

Phone: 5138417700

Tri State Urologic Services Psc Inc

10220 Alliance Rd, Blue Ash, OH 452424710

Phone: 5138417800

Tri State Urologic Services Psc Inc

4360 Ferguson Dr, Cincinnati, OH 452451683

Phone: 5138417750

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1104142389

Doctor of Medicine (M.D.)

NPI 1114967973

Doctor of Medicine (M.D.)

Lisa Schowalter , FNP

Nurse Practitioner - Family

NPI 1255903589

Family Nurse Practitioner

NPI 1770826695
NPI 1801053483

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 September 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2012

Registered at 4420 AICHOLTZ RD, SUITE 120, CINCINNATI, OH 452451761 (Tel: 5137326200)

📍
Updated Business Mailing Address September 19, 2012

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

👤
Provider Name / Credentials Updated September 19, 2012

Recorded as MICHAEL ROUSSEAU, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2012

Urology (License #35-06-4460 in OH)

🟢
Initial NPI Registration & Enumeration June 27, 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: 1851328660
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2006
Last Update: February 05, 2020
Sole Proprietor: No

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.