Active NPI 1467618447 Individual Practitioner Male Practitioner

Dr. Thomas Gerard Zaciewski , MD

Urology • Tiffin, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Zaciewski, MD is a certified Urology practicing in Tiffin, OH. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Zaciewski delivers high-quality medical care to the local community at 27 ST LAWRENCE DR.

Dr. Zaciewski maintains professional affiliations with Specialty Physicians Of Blanchard Valley Llc, Mercy Health Physicians North Specialty Care Llc, Wyandot Memorial Hospital and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

27 St Lawrence Dr
Suite 204

Tiffin, OH 448838312

Telephone 4194558570

Fax 4194558579

Associated Practice Facility / Clinic

🏢 Mercy Health - St Vincent Medical Center Llc Facility NPI 1043255698

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Tiffin, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs Matches City Avg

City Avg: 19.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Tiffin, OH (564 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

64.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Zaciewski (19 Years) 19 Yrs

Tiffin Specialty Average (19.0 Years) 19.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	523	384	$145.23	$92.34
52000 Diagnostic exam of bladder and urethra using an endoscope	245	195	$207.10	$75.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	166	166	$200.33	$126.40
99213 Established patient office or other outpatient visit, typically 15 minutes	164	145	$99.23	$62.53
52356 Crushing of stone of ureter with insertion of stent using an endoscope	60	52	$687.03	$388.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	38	$204.75	$124.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	32	$215.65	$136.63
76872 Ultrasound scan of pelvic region through rectum	33	32	$55.00	$30.67
55700 Biopsy of prostate gland	33	32	$223.00	$123.46
52000 Diagnostic exam of bladder and urethra using an endoscope	32	25	$402.00	$214.75
52648 Laser vaporization of prostate including control of bleeding using an endoscope	27	27	$3018.00	$657.40
64561 Insertion of sacral nerve neurostimulator electrode array	22	15	$1745.27	$334.21
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	20	$349.95	$125.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	15	$201.95	$113.97
51702 Simple insertion of temporary bladder tube	17	11	$48.00	$24.06
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$134.67	$85.23
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	12	12	$265.00	$180.48

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	324	256	$144.09	$94.07
99213 Established patient office or other outpatient visit, typically 15 minutes	292	243	$98.00	$63.73
52000 Diagnostic exam of bladder and urethra using an endoscope	252	196	$202.00	$77.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	164	164	$198.00	$128.89
52356 Crushing of stone of ureter with insertion of stent using an endoscope	55	47	$718.10	$382.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	44	$214.00	$137.92
52000 Diagnostic exam of bladder and urethra using an endoscope	31	24	$402.00	$224.94
52648 Laser vaporization of prostate including control of bleeding using an endoscope	31	31	$3073.67	$664.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$208.27	$125.86
55700 Biopsy of prostate gland	22	22	$272.34	$124.97
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	21	17	$661.24	$262.34
76872 Ultrasound scan of pelvic region through rectum	21	21	$55.00	$31.06
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	19	$255.00	$107.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$205.80	$116.88
52276 Incision of the bladder canal (urethra) using an endoscope	11	11	$428.00	$233.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	376	314	$98.17	$65.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	207	$144.08	$95.72
52000 Diagnostic exam of bladder and urethra using an endoscope	252	198	$228.95	$78.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$200.15	$132.47
99213 Established patient office or other outpatient visit, typically 15 minutes	57	55	$138.07	$86.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	49	$214.00	$142.42
52356 Crushing of stone of ureter with insertion of stent using an endoscope	43	34	$673.00	$401.10
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	38	29	$516.93	$271.91
52000 Diagnostic exam of bladder and urethra using an endoscope	34	27	$401.53	$224.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	25	$191.00	$122.53
52648 Laser vaporization of prostate including control of bleeding using an endoscope	30	30	$3223.77	$676.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$201.15	$130.98
51798 Ultrasound measurement of bladder capacity after voiding	25	25	$32.00	$9.79
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	22	$524.45	$128.92
55700 Biopsy of prostate gland	24	24	$309.26	$127.27
76872 Ultrasound scan of pelvic region through rectum	23	23	$55.00	$31.85
50590 Shock wave crushing of kidney stones	14	13	$933.00	$558.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	379	305	$97.96	$66.70
52000 Diagnostic exam of bladder and urethra using an endoscope	255	188	$205.35	$79.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	208	158	$142.82	$98.46
99213 Established patient office or other outpatient visit, typically 15 minutes	141	122	$132.79	$87.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	62	$186.57	$122.89
52356 Crushing of stone of ureter with insertion of stent using an endoscope	74	54	$695.62	$413.72
51798 Ultrasound measurement of bladder capacity after voiding	51	43	$42.42	$8.91
52000 Diagnostic exam of bladder and urethra using an endoscope	48	40	$389.16	$203.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$197.50	$134.86
52332 Insertion of stent in urinary duct (ureter) using an endoscope	41	32	$307.49	$117.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	30	$210.97	$144.90
52353 Crushing of stone of ureter using an endoscope	33	27	$639.00	$96.83
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	31	22	$465.68	$286.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$263.73	$159.84
55700 Biopsy of prostate gland	23	23	$223.00	$129.78
76872 Ultrasound scan of pelvic region through rectum	23	23	$54.96	$32.49
52648 Laser vaporization of prostate including control of bleeding using an endoscope	23	23	$3018.00	$688.42
50590 Shock wave crushing of kidney stones	20	18	$933.00	$566.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	11	$259.37	$168.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$198.00	$133.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	485	384	$96.57	$50.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	297	224	$118.26	$78.28
52000 Diagnostic exam of bladder and urethra using an endoscope	280	200	$202.46	$82.05
99213 Established patient office or other outpatient visit, typically 15 minutes	155	129	$113.17	$72.19
51798 Ultrasound measurement of bladder capacity after voiding	102	91	$44.24	$9.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	73	$162.49	$104.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$194.19	$128.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	68	62	$161.76	$110.66
52356 Crushing of stone of ureter with insertion of stent using an endoscope	52	40	$683.94	$418.52
52332 Insertion of stent in urinary duct (ureter) using an endoscope	37	27	$309.29	$109.27
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	33	18	$53.00	$29.68
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	30	24	$461.00	$292.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$256.86	$154.48
50590 Shock wave crushing of kidney stones	25	23	$910.00	$555.02
55700 Biopsy of prostate gland	24	24	$223.00	$133.16
52648 Laser vaporization of prostate including control of bleeding using an endoscope	24	23	$3018.00	$701.18
52353 Crushing of stone of ureter using an endoscope	24	18	$639.00	$104.74
76872 Ultrasound scan of pelvic region through rectum	23	23	$54.00	$33.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	19	$209.14	$136.33
52000 Diagnostic exam of bladder and urethra using an endoscope	22	19	$337.80	$203.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$248.95	$167.39
51700 Simple bladder irrigation and/or instillation	18	15	$71.00	$31.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	650	514	$109.01	$70.93
51798 Ultrasound measurement of bladder capacity after voiding	422	301	$32.22	$11.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	404	282	$158.99	$103.83
52000 Diagnostic exam of bladder and urethra using an endoscope	317	237	$330.00	$180.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$246.00	$158.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	76	69	$213.00	$140.07
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	74	13	$509.00	$224.64
52356 Crushing of stone of ureter with insertion of stent using an endoscope	43	36	$664.00	$413.45
52332 Insertion of stent in urinary duct (ureter) using an endoscope	34	26	$500.39	$126.74
52648 Laser vaporization of prostate including control of bleeding using an endoscope	30	30	$3018.00	$689.45
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	28	22	$461.00	$283.93
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	28	14	$53.00	$28.88
51700 Simple bladder irrigation and/or instillation	28	24	$135.00	$70.90
76872 Ultrasound scan of pelvic region through rectum	25	25	$151.00	$119.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$224.45	$133.86
55700 Biopsy of prostate gland	25	25	$393.00	$240.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$305.00	$199.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	12	$60.00	$38.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	635	449	$109.00	$70.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	306	219	$158.93	$103.33
52000 Diagnostic exam of bladder and urethra using an endoscope	267	201	$330.00	$158.94
51798 Ultrasound measurement of bladder capacity after voiding	163	133	$32.27	$14.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$246.06	$157.96
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	76	12	$509.00	$211.76
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	37	19	$53.00	$28.85
52356 Crushing of stone of ureter with insertion of stent using an endoscope	32	28	$664.00	$418.66
52648 Laser vaporization of prostate including control of bleeding using an endoscope	30	30	$3018.00	$689.78
52332 Insertion of stent in urinary duct (ureter) using an endoscope	28	24	$257.89	$123.64
55700 Biopsy of prostate gland	26	26	$393.00	$240.35
51700 Simple bladder irrigation and/or instillation	21	18	$135.00	$67.20
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	21	15	$461.00	$283.16
50590 Shock wave crushing of kidney stones	21	16	$910.00	$567.17
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	15	$338.00	$57.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	11	$198.00	$134.05
76872 Ultrasound scan of pelvic region through rectum	11	11	$151.00	$91.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	710	478	$108.99	$69.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	353	237	$158.96	$101.44
52000 Diagnostic exam of bladder and urethra using an endoscope	296	229	$330.00	$155.98
51798 Ultrasound measurement of bladder capacity after voiding	148	128	$32.00	$17.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$246.00	$155.55
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	68	11	$509.00	$209.77
52356 Crushing of stone of ureter with insertion of stent using an endoscope	41	37	$663.00	$411.01
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	38	17	$53.00	$30.44
52648 Laser vaporization of prostate including control of bleeding using an endoscope	36	36	$3018.00	$670.39
52332 Insertion of stent in urinary duct (ureter) using an endoscope	35	32	$270.34	$120.91
50590 Shock wave crushing of kidney stones	34	30	$910.00	$551.24
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	22	14	$461.00	$288.65
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$338.00	$57.50
51702 Simple insertion of temporary bladder tube	19	11	$116.00	$59.70
55700 Biopsy of prostate gland	18	18	$389.00	$237.16
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$383.57	$99.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$198.00	$133.76
51741 Electronic assessment of bladder emptying	12	11	$26.00	$13.28

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 57.013762

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.

Urology

NUCC Taxonomy Code: 208800000X

State License OH 35.121250

Hospital & Practice Group Affiliations

Mercy Health Physicians North Specialty Care Llc

3900 Sunforest Ct, Toledo, OH 436234481

Phone: 4194751600

Mercy Health Physicians North Specialty Care Llc

27 St Lawrence Dr, Tiffin, OH 448838312

Phone: 4194558500

Mercy Health Physicians North Specialty Care Llc

45 St Lawrence Dr, Tiffin, OH 448838310

Phone: 4194558501

Specialty Physicians Of Blanchard Valley Llc

1651 N Lake Ct, Findlay, OH 458401351

Phone: 4194238090

Mercy Health Physicians North Specialty Care Llc

27 St Lawrence Dr, Tiffin, OH 448838312

Phone: 4194558501

Wyandot Memorial Hospital

885 N Sandusky Ave, Upper Sandusky, OH 433511031

Phone: 41929449912157

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Ajitkumar Desai , MD

Specialist

NPI 1457398588

Doctor of Medicine (M.D.)

Kyle Dorkoskie , PA-C

Physician Assistant

NPI 1558454488

Physician Assistant (Certified)

Bethany Parsell , FNP-C

Nurse Practitioner - Family

NPI 1639561392

Family Nurse Practitioner (Certified)

Jennifer Perry , PA-C

Physician Assistant - Medical

NPI 1821387846

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 24, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 24, 2013

Registered at 27 ST LAWRENCE DR, SUITE 204, TIFFIN, OH 448838312 (Tel: 4194558570)

📍

Updated Business Mailing Address July 24, 2013

Registered at 27 ST LAWRENCE DR, SUITE 204, TIFFIN, OH 448838312 (Tel: 4194558570)

👤

Provider Name / Credentials Updated July 24, 2013

Recorded as THOMAS ZACIEWSKI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2013

Urology (License #57.013762 in OH)

🟢

Initial NPI Registration & Enumeration July 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1467618447

Entity Type:

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

Enumeration Date: July 30, 2008

Last Update: July 24, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

27 St Lawrence Dr, Suite 204

Tiffin, OH 448838312

Phone: 4194558570

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.