Active NPI 1295724136 Individual Practitioner Male Practitioner

Dr. John Patrick Spirnak , MD

Urology • Middleburg Heights, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Spirnak, MD is a certified Urology practicing in Middleburg Heights, OH. With approximately 49 years of clinical experience since graduating from Emory University School Of Medicine in 1977, Dr. Spirnak delivers high-quality medical care to the local community at 6900 PEARL RD STE 200.

Dr. Spirnak is affiliated with Southwest Urology, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include automated urinalysis test, established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6900 Pearl Rd Ste 200

Middleburg Heights, OH 441303640

Telephone 4408450900

Associated Practice Facility / Clinic

🏢 Southwest Urology, Llc Facility NPI 1962428136

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Middleburg Heights, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs +8.3 yrs vs City Avg

City Avg: 40.7 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Middleburg Heights, OH (564 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spirnak (49 Years) 49 Yrs

Middleburg Heights Specialty Average (40.7 Years) 40.7 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
81003 Automated urinalysis test	103	90	$17.24	$2.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	79	$151.00	$90.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	86	$324.90	$109.29
99213 Established patient office or other outpatient visit, typically 15 minutes	88	81	$255.71	$80.80
99213 Established patient office or other outpatient visit, typically 15 minutes	70	50	$109.00	$62.51
51798 Ultrasound measurement of bladder capacity after voiding	29	27	$120.45	$10.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	28	$230.79	$50.32
52000 Diagnostic exam of bladder and urethra using an endoscope	27	24	$542.00	$74.61
36415 Insertion of needle into vein for collection of blood sample	23	22	$18.54	$8.65
84153 Psa (prostate specific antigen) measurement, total	23	22	$156.29	$18.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$546.35	$99.71
52000 Diagnostic exam of bladder and urethra using an endoscope	18	16	$667.10	$129.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$560.47	$150.85
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$407.46	$65.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$77.00	$33.51
51741 Electronic assessment of bladder emptying	11	11	$294.00	$6.56

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	174	117	$165.62	$110.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	125	$151.00	$94.12
99213 Established patient office or other outpatient visit, typically 15 minutes	150	109	$109.00	$63.71
99213 Established patient office or other outpatient visit, typically 15 minutes	135	109	$104.86	$77.75
81003 Automated urinalysis test	75	49	$24.48	$2.20
52000 Diagnostic exam of bladder and urethra using an endoscope	50	34	$606.75	$133.22
52000 Diagnostic exam of bladder and urethra using an endoscope	45	39	$542.00	$73.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	25	$77.00	$34.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$202.11	$90.45
51741 Electronic assessment of bladder emptying	25	23	$294.00	$6.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$244.00	$128.89
51741 Electronic assessment of bladder emptying	23	20	$271.39	$8.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$70.82	$49.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$196.00	$80.06
76872 Ultrasound scan of pelvic region through rectum	16	16	$391.63	$43.00
55700 Biopsy of prostate gland	16	16	$483.63	$137.63
51798 Ultrasound measurement of bladder capacity after voiding	16	14	$50.00	$9.80
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$253.14	$33.20
55700 Biopsy of prostate gland	13	13	$477.00	$120.11
76872 Ultrasound scan of pelvic region through rectum	13	13	$374.00	$31.02
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$888.00	$136.22
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$212.00	$29.54

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	151	100	$145.34	$112.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	95	$151.00	$96.00
99213 Established patient office or other outpatient visit, typically 15 minutes	130	102	$97.43	$80.58
99213 Established patient office or other outpatient visit, typically 15 minutes	124	100	$109.00	$65.62
81003 Automated urinalysis test	100	68	$25.00	$2.22
52000 Diagnostic exam of bladder and urethra using an endoscope	35	28	$542.00	$77.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$196.00	$82.27
52000 Diagnostic exam of bladder and urethra using an endoscope	33	22	$609.03	$144.07
51741 Electronic assessment of bladder emptying	28	25	$294.00	$7.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$182.71	$93.74
51798 Ultrasound measurement of bladder capacity after voiding	25	19	$50.00	$9.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$72.33	$46.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$244.00	$133.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$77.00	$35.76
51741 Electronic assessment of bladder emptying	17	15	$251.18	$10.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$235.64	$137.19
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$128.00	$34.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	182	136	$96.08	$84.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	109	$151.00	$98.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	99	$145.60	$113.43
99213 Established patient office or other outpatient visit, typically 15 minutes	88	83	$109.00	$66.70
81003 Automated urinalysis test	78	49	$25.00	$2.25
52000 Diagnostic exam of bladder and urethra using an endoscope	44	39	$542.00	$75.41
52000 Diagnostic exam of bladder and urethra using an endoscope	43	36	$597.12	$130.19
99442 Telephone medical discussion with physician, 11-20 minutes	35	34	$175.00	$67.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$184.24	$93.05
51741 Electronic assessment of bladder emptying	27	24	$294.00	$6.86
99441 Telephone medical discussion with physician, 5-10 minutes	27	27	$128.00	$35.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$244.00	$134.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$243.45	$136.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$196.00	$82.90
36415 Insertion of needle into vein for collection of blood sample	19	18	$15.00	$3.00
51741 Electronic assessment of bladder emptying	17	16	$269.53	$9.32
51798 Ultrasound measurement of bladder capacity after voiding	14	11	$50.00	$9.62
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$104.00	$40.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$77.00	$35.57
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$164.55	$66.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	278	195	$95.19	$69.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	115	$151.00	$77.58
99213 Established patient office or other outpatient visit, typically 15 minutes	151	136	$110.09	$51.15
81003 Automated urinalysis test	123	65	$25.00	$2.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	68	$145.84	$94.20
99442 Telephone medical discussion with physician, 11-20 minutes	57	50	$175.00	$50.98
51720 Instillation of anti-cancer drug into bladder	46	16	$367.00	$44.43
52000 Diagnostic exam of bladder and urethra using an endoscope	45	32	$633.29	$151.93
51741 Electronic assessment of bladder emptying	35	27	$294.00	$7.81
52000 Diagnostic exam of bladder and urethra using an endoscope	35	30	$546.51	$72.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$239.64	$140.75
99441 Telephone medical discussion with physician, 5-10 minutes	30	30	$128.00	$25.51
99442 Telephone medical discussion with physician, 11-20 minutes	28	27	$170.89	$51.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$244.00	$128.88
51741 Electronic assessment of bladder emptying	22	18	$260.91	$9.14
99441 Telephone medical discussion with physician, 5-10 minutes	20	19	$124.10	$26.54
51798 Ultrasound measurement of bladder capacity after voiding	15	12	$50.00	$9.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$182.71	$87.80
99443 Telephone medical discussion with physician, 21-30 minutes	13	12	$274.00	$77.99
36415 Insertion of needle into vein for collection of blood sample	12	12	$15.00	$2.77
76872 Ultrasound scan of pelvic region through rectum	12	11	$397.50	$33.45
55700 Biopsy of prostate gland	12	11	$485.83	$132.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$196.00	$75.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	303	231	$97.17	$64.81
99213 Established patient office or other outpatient visit, typically 15 minutes	228	188	$109.00	$49.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	156	$151.00	$77.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	135	$145.20	$94.30
81003 Automated urinalysis test	172	96	$25.00	$2.44
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	107	11	$630.00	$225.27
52000 Diagnostic exam of bladder and urethra using an endoscope	65	51	$636.80	$139.49
52000 Diagnostic exam of bladder and urethra using an endoscope	64	54	$551.88	$71.45
51741 Electronic assessment of bladder emptying	56	46	$294.00	$6.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$238.00	$139.11
51741 Electronic assessment of bladder emptying	44	36	$246.73	$10.69
51798 Ultrasound measurement of bladder capacity after voiding	40	26	$50.00	$11.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$244.00	$126.30
51720 Instillation of anti-cancer drug into bladder	32	12	$367.00	$44.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$178.12	$91.64
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	21	11	$115.00	$28.91
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	18	17	$580.00	$104.62
51797 Insertion of device into abdomen with pressure and urine flow rate study	18	17	$397.00	$40.29
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	18	17	$340.00	$18.76
36415 Insertion of needle into vein for collection of blood sample	18	18	$15.00	$2.94
76872 Ultrasound scan of pelvic region through rectum	14	14	$384.07	$37.82
55700 Biopsy of prostate gland	14	14	$480.79	$126.14
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$212.00	$29.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$196.00	$74.73
55700 Biopsy of prostate gland	11	11	$505.91	$131.10
76872 Ultrasound scan of pelvic region through rectum	11	11	$450.91	$33.03

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	348	211	$151.00	$75.99
99213 Established patient office or other outpatient visit, typically 15 minutes	321	265	$109.13	$50.11
99213 Established patient office or other outpatient visit, typically 15 minutes	264	194	$93.00	$68.39
81003 Automated urinalysis test	239	121	$25.00	$2.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	94	$142.00	$100.60
52000 Diagnostic exam of bladder and urethra using an endoscope	90	72	$545.51	$79.22
51720 Instillation of anti-cancer drug into bladder	66	20	$367.00	$51.89
51741 Electronic assessment of bladder emptying	60	51	$294.00	$7.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$243.17	$125.07
52000 Diagnostic exam of bladder and urethra using an endoscope	45	32	$700.00	$155.56
51798 Ultrasound measurement of bladder capacity after voiding	44	30	$50.00	$14.43
51741 Electronic assessment of bladder emptying	26	18	$190.00	$14.67
36415 Insertion of needle into vein for collection of blood sample	25	25	$15.00	$2.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$196.00	$75.23
55700 Biopsy of prostate gland	22	22	$486.64	$127.84
76872 Ultrasound scan of pelvic region through rectum	21	21	$400.86	$33.15
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$227.16	$31.92
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	14	$1117.25	$155.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$232.00	$149.37
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	15	$1294.22	$431.74
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	16	14	$2389.19	$288.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	342	257	$95.29	$64.97
99213 Established patient office or other outpatient visit, typically 15 minutes	314	262	$109.00	$49.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	291	176	$151.00	$75.65
81003 Automated urinalysis test	288	171	$25.00	$2.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	155	$143.91	$94.71
51798 Ultrasound measurement of bladder capacity after voiding	83	56	$50.00	$17.56
52000 Diagnostic exam of bladder and urethra using an endoscope	74	57	$552.68	$94.13
51741 Electronic assessment of bladder emptying	70	53	$228.63	$12.30
52000 Diagnostic exam of bladder and urethra using an endoscope	67	50	$651.46	$137.10
51741 Electronic assessment of bladder emptying	61	45	$294.00	$7.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$237.21	$142.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$244.00	$126.94
36415 Insertion of needle into vein for collection of blood sample	39	33	$15.00	$2.76
51720 Instillation of anti-cancer drug into bladder	39	12	$367.00	$63.07
76872 Ultrasound scan of pelvic region through rectum	21	20	$387.43	$37.27
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$212.00	$30.63
55700 Biopsy of prostate gland	19	19	$477.00	$125.29
55700 Biopsy of prostate gland	16	15	$503.50	$129.60
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	15	$356.00	$31.53
76872 Ultrasound scan of pelvic region through rectum	15	14	$441.53	$32.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$182.71	$86.35
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	11	$1335.68	$430.87
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	13	13	$334.15	$18.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$196.00	$71.39
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	11	$906.67	$150.87
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	11	11	$580.00	$97.69
51797 Insertion of device into abdomen with pressure and urine flow rate study	11	11	$397.00	$40.18

Medical Specialties & State Licenses

CMS Verified: 2024-09-27

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 35042212S

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

0544094 (OH)

Hospital & Practice Group Affiliations

Southwest Urology, Llc

6900 Pearl Rd, Middleburg Heights, OH 441303640

Phone: 4408450900

Secondary Practice Locations

3647 Medina Rd

Medina, OH 442569649

Phone: 3307250600

Practice Associates & Co-Workers

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

16 Associated Practitioners

Halle Lynch , CNP

Nurse Practitioner

NPI 1013431402

Certified Nurse Practitioner

Dr. Michael Berte , MD

Urology

NPI 1013985316

Doctor of Medicine (M.D.)

Matthew Mates , PA-C

Physician Assistant

NPI 1033188933

Physician Assistant (Certified)

Mackenzie Brown , PA-C

Physician Assistant

NPI 1053296699

Physician Assistant (Certified)

Dr. Jaber Alanzi , MD

Urology

NPI 1073748257

Doctor of Medicine (M.D.)

Julie Simko , CNP

Nurse Practitioner - Adult Health

NPI 1144299280

Certified Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location September 27, 2024

Registered at 6900 PEARL RD STE 200, MIDDLEBURG HEIGHTS, OH 441303640 (Tel: 4408450900)

📍

Updated Business Mailing Address September 27, 2024

Registered at 104 WOODMONT BLVD STE 500, NASHVILLE, TN 372052245 (Tel: 5594754151)

👤

Provider Name / Credentials Updated September 27, 2024

Recorded as JOHN SPIRNAK, MD

✅

NPI Profile Active December 28, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location December 28, 2012

Registered at 2500 METROHEALTH DR, CLEVELAND, OH 441091900 (Tel: 2167787800)

📍

Updated Business Mailing Address December 28, 2012

Registered at 2500 METROHEALTH DR, CLEVELAND, OH 441091900 (Tel: 2167787800)

👤

Provider Name / Credentials Updated December 28, 2012

Recorded as J. PATRICK SPIRNAK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2012

Urology (License #35042212S in OH)

🟢

Initial NPI Registration & Enumeration October 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1295724136

Entity Type:

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

Enumeration Date: October 13, 2005

Last Update: September 27, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

104 Woodmont Blvd Ste 500

Nashville, TN 372052245

Phone: 5594754151

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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