Active NPI 1376545673 Individual Practitioner Male Practitioner

Dr. Douglas L Gaker , MD

Urology • Middletown, OH

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Gaker, MD is a registered healthcare professional specializing in Urology in Middletown, OH. Practice services are available at 112 S MAIN ST under active NPI credentials.

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

112 S Main St

Middletown, OH 450444023

Telephone 5134230739

Fax 5134232265

Associated Practice Facility / Clinic

🏢 Douglas L Gaker Md Inc Facility NPI 1578745469

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Middletown, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 30.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Middletown, OH (564 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.4% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	432	218	$177.74	$73.42
81003 Automated urinalysis test	423	225	$28.75	$2.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	68	$262.08	$106.72
52000 Diagnostic exam of bladder and urethra using an endoscope	46	41	$488.90	$204.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$403.23	$156.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	31	$106.33	$43.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	13	$48.69	$13.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$259.78	$105.02
51798 Ultrasound measurement of bladder capacity after voiding	23	18	$60.57	$9.70
81001 Manual urinalysis test with examination using microscope, automated	16	16	$29.00	$3.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	369	265	$130.88	$72.12
81003 Automated urinalysis test	121	93	$28.00	$2.44
36415 Insertion of needle into vein for collection of blood sample	103	100	$11.00	$2.92
81001 Manual urinalysis test with examination using microscope, automated	87	76	$24.52	$3.45
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	71	12	$653.00	$226.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	54	$234.91	$105.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	14	$48.79	$16.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$76.87	$43.48
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	21	12	$81.14	$29.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$305.33	$160.78
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$455.79	$183.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	55,600	13	$0.15	$0.03
99213 Established patient office or other outpatient visit, typically 15 minutes	835	503	$106.00	$70.03
36415 Insertion of needle into vein for collection of blood sample	381	289	$11.00	$2.93
81001 Manual urinalysis test with examination using microscope, automated	235	185	$19.00	$3.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	226	51	$40.00	$19.39
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	111	16	$653.00	$213.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	64	$156.00	$100.90
52000 Diagnostic exam of bladder and urethra using an endoscope	67	57	$424.00	$158.83
J1580 Injection, garamycin, gentamicin, up to 80 mg	45	20	$27.00	$1.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$242.00	$159.12
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	39	15	$80.00	$28.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	36	$65.00	$41.43
81000 Manual urinalysis test with examination using microscope, non-automated	38	38	$19.00	$3.94
76705 Limited ultrasound scan of abdomen	33	24	$262.00	$84.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$154.00	$103.93
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	12	$496.36	$148.01
55700 Biopsy of prostate gland	20	20	$543.00	$240.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$189.00	$134.04
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$372.00	$55.39
76770 Complete ultrasound scan behind abdominal cavity	16	13	$323.00	$107.37
76872 Ultrasound scan of pelvic region through rectum	16	16	$320.00	$87.24
76857 Limited ultrasound scan of pelvis	15	15	$281.00	$46.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	13	$301.00	$198.71
50590 Shock wave crushing of kidney stones	14	12	$1407.00	$567.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	51,200	13	$0.15	$0.02
99213 Established patient office or other outpatient visit, typically 15 minutes	813	491	$106.00	$69.51
36415 Insertion of needle into vein for collection of blood sample	423	321	$11.00	$2.93
81001 Manual urinalysis test with examination using microscope, automated	382	294	$19.00	$4.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	177	33	$38.00	$23.89
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	82	13	$653.00	$210.60
52000 Diagnostic exam of bladder and urethra using an endoscope	78	63	$424.00	$152.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	51	$156.00	$102.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	50	$65.00	$41.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$154.00	$103.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$242.00	$151.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$189.00	$133.68
76857 Limited ultrasound scan of pelvis	34	27	$274.21	$44.01
J1580 Injection, garamycin, gentamicin, up to 80 mg	29	13	$27.00	$1.52
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	28	13	$80.00	$30.51
76775 Limited ultrasound scan behind abdominal cavity	23	18	$265.00	$48.36
55700 Biopsy of prostate gland	20	20	$543.00	$237.32
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	16	$451.58	$101.44
76872 Ultrasound scan of pelvic region through rectum	17	17	$320.00	$89.61
50590 Shock wave crushing of kidney stones	15	13	$1407.00	$457.83

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 35059236

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

0795135 (OH)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Frances Cathcart , PA

Physician Assistant

NPI 1235148248

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 21, 2013

Registered at 112 S MAIN ST, MIDDLETOWN, OH 450444023 (Tel: 5134230739)

📍

Updated Business Mailing Address November 21, 2013

Registered at 112 S MAIN ST, MIDDLETOWN, OH 450444023 (Tel: 5134230739)

👤

Provider Name / Credentials Updated November 21, 2013

Recorded as DOUGLAS GAKER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2013

Urology (License #35059236 in OH)

🟢

Initial NPI Registration & Enumeration June 01, 2005

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: 1376545673

Entity Type:

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

Enumeration Date: June 01, 2005

Last Update: November 21, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

112 S Main St

Middletown, OH 450444023

Phone: 5134230739

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.