Active NPI 1437224508 Individual Practitioner Male Practitioner

Dr. Vlada W Mardovin , MD

Specialist • Springfield, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Vlada Mardovin, MD is a certified Specialist practicing in Springfield, OH. With approximately 32 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 1994, Dr. Mardovin delivers high-quality medical care to the local community at 1164 E HOME RD.

Dr. Mardovin is affiliated with Springfield Urology Llc and accepts Medicare assignment.

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

1164 E Home Rd

Springfield, OH 455032726

Telephone 9373429260

Fax 9373429262

Associated Practice Facility / Clinic

🏢 Springfield Urology Llc Facility NPI 1992922025

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Springfield, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs -2.7 yrs vs City Avg

City Avg: 34.7 Yrs

State Avg: 37.3 Yrs

Regional Practice Density

11 Specialists

Practicing in Springfield, OH (1444 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mardovin (32 Years) 32 Yrs

Springfield Specialty Average (34.7 Years) 34.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	607	353	$119.87	$85.56
81002 Urinalysis, manual test	577	342	$12.59	$3.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	245	173	$175.88	$120.38
51798 Ultrasound measurement of bladder capacity after voiding	230	162	$32.00	$10.16
84311 Chemical analysis using spectrophotometry (light)	118	76	$10.30	$7.94
82247 Bilirubin level	88	77	$5.02	$4.92
83986 Body fluid ph level	88	77	$3.58	$3.51
82570 Creatinine level to test for kidney function or muscle injury	88	77	$5.18	$5.08
82010 Ketone bodies analysis, quantitative	88	77	$8.17	$8.01
83069 Urine hemoglobin level	86	75	$3.95	$3.87
52000 Diagnostic exam of bladder and urethra using an endoscope	86	77	$454.37	$197.45
82945 Glucose (sugar) level on body fluid	85	74	$3.93	$3.85
82043 Urine microalbumin (protein) level	85	75	$5.78	$5.66
84156 Total protein level, urine	85	74	$3.67	$3.60
97530 Therapy procedure using functional activities	74	18	$61.00	$29.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$181.04	$105.11
51702 Simple insertion of temporary bladder tube	53	14	$105.51	$57.39
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	45	41	$451.53	$181.01
51741 Electronic assessment of bladder emptying	45	40	$120.44	$6.17
81007 Urinalysis for bacteria	42	42	$47.60	$29.38
36415 Insertion of needle into vein for collection of blood sample	37	35	$10.00	$8.65
76705 Limited ultrasound scan of abdomen	35	34	$159.00	$26.24
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	29	$36.71	$21.41
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	32	16	$252.44	$44.40
97032 Application of electrical stimulation with therapist present, each 15 minutes	31	14	$35.00	$11.10
74420 Imaging of urinary tract	30	23	$302.40	$23.02
51705 Removal of skin suture with change of bladder tube	21	15	$238.00	$90.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$255.20	$157.60
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	18	$296.40	$142.85
91122 Study of rectum sensitivity and function	18	13	$232.17	$172.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	691	374	$12.00	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	462	303	$110.00	$85.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	346	221	$162.00	$121.59
51798 Ultrasound measurement of bladder capacity after voiding	245	163	$32.00	$9.78
36415 Insertion of needle into vein for collection of blood sample	122	94	$10.00	$8.40
52000 Diagnostic exam of bladder and urethra using an endoscope	82	75	$427.00	$190.63
51741 Electronic assessment of bladder emptying	74	68	$117.59	$6.22
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	67	61	$420.46	$196.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$163.00	$106.98
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	36	27	$259.28	$37.96
74420 Imaging of urinary tract	36	21	$252.00	$23.52
76705 Limited ultrasound scan of abdomen	35	35	$159.00	$32.22
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	27	$32.00	$21.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$249.00	$159.20
91122 Study of rectum sensitivity and function	23	19	$232.52	$174.43
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	17	$244.00	$126.17
51797 Insertion of device into abdomen with pressure and urine flow rate study	20	18	$268.80	$99.45
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$156.00	$80.62
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$786.00	$396.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87798 Detection test for organism	1,832	96	$68.00	$34.88
81002 Urinalysis, manual test	705	389	$12.00	$3.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	439	266	$162.00	$123.26
51798 Ultrasound measurement of bladder capacity after voiding	345	203	$32.00	$9.76
99213 Established patient office or other outpatient visit, typically 15 minutes	338	234	$110.00	$87.34
87481 Detection test for candida species (yeast), amplified probe technique	138	86	$68.00	$34.89
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	138	86	$68.00	$34.89
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	138	86	$68.00	$34.89
36415 Insertion of needle into vein for collection of blood sample	119	86	$10.00	$2.96
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	114	14	$318.00	$167.49
52000 Diagnostic exam of bladder and urethra using an endoscope	66	61	$427.00	$207.76
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	54	14	$1408.00	$849.46
51741 Electronic assessment of bladder emptying	49	46	$106.86	$5.64
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	49	46	$410.53	$201.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$249.00	$159.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$163.00	$106.87
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	30	25	$32.00	$21.92
76705 Limited ultrasound scan of abdomen	28	28	$158.95	$68.54
74420 Imaging of urinary tract	27	19	$252.00	$24.24
91122 Study of rectum sensitivity and function	25	22	$216.44	$168.77
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	24	16	$231.92	$42.63
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	19	14	$55.00	$28.05
51797 Insertion of device into abdomen with pressure and urine flow rate study	18	15	$270.83	$106.25
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	16	$244.00	$143.15
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	14	$786.00	$407.58
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	14	14	$1945.00	$1245.07
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	12	12	$604.50	$137.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87798 Detection test for organism	2,765	128	$68.22	$34.82
81002 Urinalysis, manual test	743	425	$12.00	$3.47
51798 Ultrasound measurement of bladder capacity after voiding	471	270	$28.60	$9.62
99213 Established patient office or other outpatient visit, typically 15 minutes	436	297	$110.00	$88.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	378	265	$162.00	$126.32
87481 Detection test for candida species (yeast), amplified probe technique	216	129	$68.26	$34.79
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	216	129	$68.26	$34.79
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	216	129	$68.26	$34.79
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	156	15	$318.00	$170.68
36415 Insertion of needle into vein for collection of blood sample	116	92	$10.00	$3.00
52000 Diagnostic exam of bladder and urethra using an endoscope	96	88	$363.96	$201.15
51741 Electronic assessment of bladder emptying	85	73	$75.55	$6.45
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	55	46	$398.85	$192.87
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	51	13	$1408.00	$936.03
76705 Limited ultrasound scan of abdomen	45	44	$156.00	$69.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$249.00	$164.49
51702 Simple insertion of temporary bladder tube	42	14	$96.00	$60.38
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	37	26	$32.00	$21.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$163.00	$109.66
74420 Imaging of urinary tract	32	22	$252.00	$24.64
91122 Study of rectum sensitivity and function	30	22	$230.30	$170.70
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	26	15	$50.77	$29.94
51797 Insertion of device into abdomen with pressure and urine flow rate study	24	17	$202.79	$98.91
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	22	14	$152.00	$26.66
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$156.00	$99.48
84153 Psa (prostate specific antigen) measurement, total	20	19	$22.00	$18.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	16	$60.00	$37.67
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	15	$244.00	$140.41
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$720.50	$413.72
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	13	13	$1851.00	$1323.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	628	374	$12.00	$3.45
99213 Established patient office or other outpatient visit, typically 15 minutes	530	342	$110.00	$72.19
51798 Ultrasound measurement of bladder capacity after voiding	408	241	$23.00	$9.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	295	208	$162.00	$105.70
87798 Detection test for organism	251	15	$71.00	$35.09
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	174	21	$319.83	$214.90
52000 Diagnostic exam of bladder and urethra using an endoscope	97	90	$249.00	$201.82
36415 Insertion of needle into vein for collection of blood sample	80	64	$10.00	$2.98
51741 Electronic assessment of bladder emptying	76	61	$19.92	$7.19
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	66	18	$1408.00	$928.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$163.00	$104.56
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	42	41	$66.00	$14.21
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	39	22	$63.77	$25.88
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	38	30	$32.00	$21.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$249.00	$160.98
76705 Limited ultrasound scan of abdomen	36	36	$154.64	$38.65
51797 Insertion of device into abdomen with pressure and urine flow rate study	35	19	$85.69	$73.47
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	35	19	$240.09	$168.98
74420 Imaging of urinary tract	29	22	$252.00	$25.34
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	28	21	$45.00	$28.84
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	20	16	$71.00	$35.09
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	20	20	$1851.00	$1253.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	13	$60.00	$39.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$66.00	$34.63
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	20	16	$71.00	$35.09
87481 Detection test for candida species (yeast), amplified probe technique	20	16	$71.00	$35.09
51702 Simple insertion of temporary bladder tube	20	11	$96.00	$57.94
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	13	$244.00	$152.03
55700 Biopsy of prostate gland	15	15	$377.00	$242.98
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$156.00	$101.37
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	14	12	$322.00	$203.05
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	14	$701.79	$435.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	661	391	$110.00	$71.10
81002 Urinalysis, manual test	605	349	$12.00	$3.41
51798 Ultrasound measurement of bladder capacity after voiding	496	284	$23.00	$11.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	340	243	$162.00	$103.99
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	138	14	$318.00	$207.80
52000 Diagnostic exam of bladder and urethra using an endoscope	137	123	$249.00	$179.68
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	118	35	$1408.00	$886.18
51741 Electronic assessment of bladder emptying	70	63	$22.10	$8.29
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	63	45	$32.00	$21.39
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	54	23	$87.50	$48.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$163.00	$104.01
76705 Limited ultrasound scan of abdomen	45	44	$150.78	$40.12
74420 Imaging of urinary tract	44	34	$252.00	$25.33
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	36	35	$1851.00	$1190.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$249.00	$155.16
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	24	14	$45.00	$26.64
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	21	13	$248.81	$166.38
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	16	$244.00	$136.95
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$156.00	$99.25
51702 Simple insertion of temporary bladder tube	19	12	$96.00	$58.89
51797 Insertion of device into abdomen with pressure and urine flow rate study	19	12	$88.95	$68.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	15	$60.00	$38.52
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	17	$691.39	$410.03
36415 Insertion of needle into vein for collection of blood sample	18	14	$10.00	$2.94
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	18	17	$322.00	$204.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,401	11	$10.52	$6.05
81002 Urinalysis, manual test	800	491	$12.00	$3.40
99213 Established patient office or other outpatient visit, typically 15 minutes	699	414	$109.83	$69.97
51798 Ultrasound measurement of bladder capacity after voiding	580	301	$23.33	$14.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	359	270	$161.91	$103.12
52000 Diagnostic exam of bladder and urethra using an endoscope	127	116	$252.14	$157.53
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	111	15	$316.54	$213.01
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	84	56	$31.71	$20.40
51741 Electronic assessment of bladder emptying	81	69	$21.37	$8.34
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	61	35	$92.07	$45.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$162.88	$103.97
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	56	16	$1420.68	$894.06
36415 Insertion of needle into vein for collection of blood sample	55	47	$10.00	$2.94
99221 Initial hospital inpatient care per day, typically 30 minutes	45	44	$156.00	$99.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$248.95	$159.22
74420 Imaging of urinary tract	40	27	$252.00	$17.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	25	$60.00	$38.51
51702 Simple insertion of temporary bladder tube	31	16	$96.45	$61.11
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	22	$243.85	$133.60
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	26	19	$241.81	$150.69
76705 Limited ultrasound scan of abdomen	25	24	$158.50	$38.40
51797 Insertion of device into abdomen with pressure and urine flow rate study	25	18	$90.08	$57.62
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	24	16	$45.08	$27.82
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	18	17	$321.50	$205.94
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	16	16	$1854.94	$1176.73
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	14	$654.20	$418.86
91122 Study of rectum sensitivity and function	15	14	$278.87	$178.06
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	12	12	$557.00	$230.02
52353 Crushing of stone of ureter using an endoscope	12	11	$616.58	$343.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	897	503	$12.00	$3.16
99213 Established patient office or other outpatient visit, typically 15 minutes	727	447	$108.00	$69.74
51798 Ultrasound measurement of bladder capacity after voiding	571	330	$27.00	$17.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	406	274	$161.00	$102.78
52000 Diagnostic exam of bladder and urethra using an endoscope	146	134	$306.00	$154.10
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	127	16	$291.00	$208.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	114	84	$60.00	$37.74
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	80	61	$29.00	$19.06
36415 Insertion of needle into vein for collection of blood sample	79	60	$10.00	$2.94
51741 Electronic assessment of bladder emptying	75	65	$21.75	$8.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$162.00	$103.59
51705 Removal of skin suture with change of bladder tube	59	17	$136.00	$86.69
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	57	40	$214.25	$38.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$248.00	$155.40
74420 Imaging of urinary tract	44	31	$252.00	$16.97
51797 Insertion of device into abdomen with pressure and urine flow rate study	33	26	$95.00	$60.81
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	32	25	$297.88	$172.98
51720 Instillation of anti-cancer drug into bladder	30	12	$165.00	$84.15
99221 Initial hospital inpatient care per day, typically 30 minutes	28	25	$156.00	$99.29
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	19	$242.00	$129.16
51702 Simple insertion of temporary bladder tube	23	16	$103.00	$59.73
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	22	16	$47.00	$29.24
76705 Limited ultrasound scan of abdomen	20	19	$158.50	$34.76
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	18	17	$319.00	$199.04
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	17	$649.00	$387.85
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	18	$365.00	$234.52
55700 Biopsy of prostate gland	16	16	$327.00	$237.55
76872 Ultrasound scan of pelvic region through rectum	15	15	$138.00	$89.69
51701 Insertion of temporary bladder tube	14	11	$81.00	$45.38

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH 35069608

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0267358 (OH)

Commercial Insurance / Payer ID Other Medicare Location

MA4047453 (OH)

Commercial Insurance / Payer ID United Healthcare

1900693

Commercial Insurance / Payer ID Aetna

0007490231 (OH)

Commercial Insurance / Payer ID Rr Medicare

340018970

Hospital & Practice Group Affiliations

Springfield Urology Llc

1164 E Home Rd, Springfield, OH 455032726

Phone: 9373429260

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Ananth Annamraju , MD

Specialist

NPI 1003981168

Doctor of Medicine (M.D.)

Nicholas Beecroft

Urology

NPI 1104452275

Ashley Leutze , PA

Physician Assistant

NPI 1164930087

Physician Assistant

Eric Espinosa

Urology

NPI 1265405914

Cody Franklin , PA

Physician Assistant

NPI 1457998726

Physician Assistant

Gaurav Pahouja

Urology

NPI 1760922538

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 05, 2011

Registered at 1164 E HOME RD, SPRINGFIELD, OH 455032726 (Tel: 9373429260)

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Updated Business Mailing Address January 05, 2011

Registered at 1164 E HOME RD, SUITE J, SPRINGFIELD, OH 455032726 (Tel: 9373429260)

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Provider Name / Credentials Updated January 05, 2011

Recorded as VLADA MARDOVIN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2011

Specialist (License #35069608 in OH)

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Initial NPI Registration & Enumeration November 22, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1437224508

Entity Type:

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

Enumeration Date: November 22, 2006

Last Update: January 05, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1164 E Home Rd, Suite J

Springfield, OH 455032726

Phone: 9373429260

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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