Active NPI 1013983741 Individual Practitioner Male Practitioner

Dr. Kevin Joseph Gancarczyk , MD

Urology • Tulsa, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Gancarczyk, MD is a certified Urology practicing in Tulsa, OK. With approximately 31 years of clinical experience since graduating from University Of Arkansas College Of Medicine in 1995, Dr. Gancarczyk delivers high-quality medical care to the local community at 10901 E 48TH ST.

Dr. Gancarczyk maintains professional affiliations with Mcalester Medical Services Llc, Urologic Specialists Of Oklahoma Inc, Mercy Clinic Springfield Communities and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, testosterone cypionate, 1 mg, chronic care management services, first, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10901 E 48th St

Tulsa, OK 741465830

Telephone 9187498765

Fax 9183922155

Associated Practice Facility / Clinic

🏢 Urologic Specialists Of Oklahoma Inc Facility NPI 1174546162

Medicare Profile & Education

Medical School

University Of Arkansas College Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Tulsa, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +4.3 yrs vs City Avg

City Avg: 26.7 Yrs

State Avg: 31.6 Yrs

Regional Practice Density

46 Specialists

Practicing in Tulsa, OK (179 Statewide)

Telehealth Adoption Rate

17.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gancarczyk (31 Years) 31 Yrs

Tulsa Specialty Average (26.7 Years) 26.7 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
J1071 Injection, testosterone cypionate, 1 mg	11,870	42	$0.10	$0.02
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,086	134	$64.94	$57.66
81003 Automated urinalysis test	791	616	$12.00	$2.20
J1644 Injection, heparin sodium, per 1000 units	720	26	$5.00	$0.25
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	639	542	$30.00	$15.32
51798 Ultrasound measurement of bladder capacity after voiding	592	517	$70.00	$9.73
99213 Established patient office or other outpatient visit, typically 15 minutes	366	344	$200.00	$82.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	242	$300.00	$117.62
36415 Insertion of needle into vein for collection of blood sample	254	206	$10.00	$8.65
84153 Psa (prostate specific antigen) measurement, total	217	177	$80.00	$18.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	215	180	$120.00	$51.51
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	167	68	$80.00	$44.02
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	156	21	$750.00	$177.43
52000 Diagnostic exam of bladder and urethra using an endoscope	119	96	$550.00	$211.08
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	89	70	$70.00	$13.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$465.00	$154.20
74018 X-ray of abdomen, 1 view	81	68	$35.00	$18.92
51705 Removal of skin suture with change of bladder tube	54	35	$250.00	$87.42
51702 Simple insertion of temporary bladder tube	51	36	$190.00	$55.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$300.00	$101.57
51701 Insertion of temporary bladder tube	42	39	$150.00	$39.36
51700 Simple bladder irrigation and/or instillation	40	29	$230.00	$67.52
84403 Testosterone (hormone) level, total	35	29	$105.00	$25.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	16	$110.00	$44.19
76775 Limited ultrasound scan behind abdominal cavity	32	30	$96.00	$28.57
50590 Shock wave crushing of kidney stones	31	31	$1793.00	$511.45
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	30	23	$100.00	$31.34
51720 Instillation of anti-cancer drug into bladder	28	13	$310.00	$77.99
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	26	$1368.65	$130.05
99459 Pelvic exam	25	24	$33.00	$19.85
76872 Ultrasound scan of pelvic region through rectum	20	20	$158.10	$94.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$395.00	$120.72
A4562 Pessary, reusable, non rubber, any type	18	18	$160.00	$68.73
84154 Psa (prostate specific antigen) measurement, free	18	17	$103.00	$18.02
81001 Manual urinalysis test with examination using microscope, automated	18	18	$13.00	$3.11
74176 Ct scan of abdomen and pelvis without contrast	17	17	$337.00	$92.51
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	17	12	$325.00	$102.77
76872 Ultrasound scan of pelvic region through rectum	16	16	$103.31	$30.19
55700 Biopsy of prostate gland	15	15	$610.00	$119.19
57160 Fitting and insertion of vaginal support device	14	14	$210.00	$67.72
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$1248.92	$377.66
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$290.00	$76.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	15,105	48	$0.10	$0.03
J1644 Injection, heparin sodium, per 1000 units	1,200	35	$5.00	$0.23
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	955	120	$65.00	$58.96
81003 Automated urinalysis test	811	650	$12.00	$2.20
51798 Ultrasound measurement of bladder capacity after voiding	576	502	$70.12	$9.43
99213 Established patient office or other outpatient visit, typically 15 minutes	301	287	$200.00	$83.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	260	$300.00	$119.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	243	212	$120.00	$52.52
36415 Insertion of needle into vein for collection of blood sample	219	177	$10.00	$8.40
84153 Psa (prostate specific antigen) measurement, total	180	148	$80.00	$18.02
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	121	15	$750.00	$169.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	110	80	$70.00	$13.19
52000 Diagnostic exam of bladder and urethra using an endoscope	102	87	$550.00	$217.49
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	92	59	$80.00	$44.55
51701 Insertion of temporary bladder tube	87	85	$150.00	$40.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$465.00	$153.55
51700 Simple bladder irrigation and/or instillation	67	42	$230.00	$67.83
74018 X-ray of abdomen, 1 view	64	55	$36.88	$19.63
51705 Removal of skin suture with change of bladder tube	54	41	$250.00	$89.38
51702 Simple insertion of temporary bladder tube	53	39	$190.00	$55.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$300.00	$104.28
84403 Testosterone (hormone) level, total	30	27	$105.00	$25.29
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	30	20	$100.00	$30.91
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	26	$1370.69	$126.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	15	$110.00	$47.31
50590 Shock wave crushing of kidney stones	25	24	$1793.00	$533.32
76872 Ultrasound scan of pelvic region through rectum	23	23	$153.00	$94.02
76775 Limited ultrasound scan behind abdominal cavity	23	23	$96.00	$28.55
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$205.00	$65.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$395.00	$123.47
84154 Psa (prostate specific antigen) measurement, free	18	18	$103.00	$18.02
51720 Instillation of anti-cancer drug into bladder	14	14	$310.00	$77.90
74176 Ct scan of abdomen and pelvis without contrast	13	13	$337.00	$96.54
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$680.00	$292.84
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$290.00	$77.96
81001 Manual urinalysis test with examination using microscope, automated	11	11	$13.00	$3.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	19,880	62	$0.10	$0.03
J1644 Injection, heparin sodium, per 1000 units	1,360	38	$5.00	$0.24
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,100	11	$1.00	$0.11
81003 Automated urinalysis test	818	653	$12.00	$2.21
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	804	112	$64.68	$59.82
J9030 Bcg live intravesical instillation, 1 mg	750	13	$8.00	$2.80
51798 Ultrasound measurement of bladder capacity after voiding	620	537	$140.00	$9.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	294	262	$120.00	$52.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	240	$300.00	$119.84
99213 Established patient office or other outpatient visit, typically 15 minutes	254	247	$200.00	$84.30
36415 Insertion of needle into vein for collection of blood sample	204	165	$10.00	$2.96
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	186	24	$750.00	$172.40
84153 Psa (prostate specific antigen) measurement, total	174	144	$80.00	$18.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	132	88	$70.00	$13.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	114	114	$465.00	$155.25
52000 Diagnostic exam of bladder and urethra using an endoscope	105	91	$550.00	$225.26
51700 Simple bladder irrigation and/or instillation	85	57	$230.00	$69.56
74018 X-ray of abdomen, 1 view	69	56	$35.00	$19.52
51705 Removal of skin suture with change of bladder tube	55	39	$250.00	$89.87
51702 Simple insertion of temporary bladder tube	54	38	$190.00	$56.48
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	53	35	$80.00	$45.37
51701 Insertion of temporary bladder tube	41	40	$150.00	$41.34
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	39	30	$100.00	$30.46
50590 Shock wave crushing of kidney stones	33	32	$1793.00	$541.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$300.00	$105.19
J1580 Injection, garamycin, gentamicin, up to 80 mg	30	18	$10.00	$1.94
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	26	$1347.86	$106.03
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$205.00	$68.42
76775 Limited ultrasound scan behind abdominal cavity	27	27	$96.00	$27.80
76872 Ultrasound scan of pelvic region through rectum	17	17	$153.00	$97.47
84403 Testosterone (hormone) level, total	16	12	$105.00	$25.45
84154 Psa (prostate specific antigen) measurement, free	16	14	$103.00	$18.21
51720 Instillation of anti-cancer drug into bladder	16	14	$310.00	$81.02
55700 Biopsy of prostate gland	15	15	$610.00	$228.15
55700 Biopsy of prostate gland	12	12	$610.00	$117.21
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	11	11	$1210.00	$159.85
71046 X-ray of chest, 2 views	11	11	$58.00	$21.05
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$715.91	$244.81
76872 Ultrasound scan of pelvic region through rectum	11	11	$99.55	$30.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	24,910	63	$0.10	$0.03
J1644 Injection, heparin sodium, per 1000 units	1,740	45	$5.00	$0.28
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,375	14	$1.00	$0.12
J9030 Bcg live intravesical instillation, 1 mg	950	17	$8.00	$2.85
81003 Automated urinalysis test	916	710	$12.00	$2.25
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	748	91	$50.02	$38.66
51798 Ultrasound measurement of bladder capacity after voiding	590	507	$140.00	$9.08
99213 Established patient office or other outpatient visit, typically 15 minutes	399	372	$200.00	$85.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	259	234	$300.00	$122.50
36415 Insertion of needle into vein for collection of blood sample	218	180	$10.00	$3.00
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	214	25	$750.00	$187.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	159	94	$70.00	$13.34
84153 Psa (prostate specific antigen) measurement, total	152	122	$80.00	$18.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	148	140	$120.00	$52.19
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	130	57	$80.00	$35.24
52000 Diagnostic exam of bladder and urethra using an endoscope	122	107	$550.00	$216.88
51700 Simple bladder irrigation and/or instillation	108	64	$230.00	$70.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$465.00	$158.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$300.00	$104.98
51705 Removal of skin suture with change of bladder tube	63	41	$250.00	$89.44
51701 Insertion of temporary bladder tube	61	59	$150.00	$42.20
74018 X-ray of abdomen, 1 view	57	47	$35.00	$18.86
51702 Simple insertion of temporary bladder tube	56	40	$190.00	$58.97
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	45	29	$100.00	$29.87
J1580 Injection, garamycin, gentamicin, up to 80 mg	42	27	$10.00	$1.80
J0696 Injection, ceftriaxone sodium, per 250 mg	41	11	$25.00	$0.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	24	$110.00	$36.88
52332 Insertion of stent in urinary duct (ureter) using an endoscope	31	27	$1410.47	$117.48
84403 Testosterone (hormone) level, total	29	24	$105.00	$25.81
50590 Shock wave crushing of kidney stones	26	25	$1793.00	$527.35
76775 Limited ultrasound scan behind abdominal cavity	25	25	$96.00	$27.51
81001 Manual urinalysis test with examination using microscope, automated	22	22	$13.00	$3.17
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$290.00	$96.63
76872 Ultrasound scan of pelvic region through rectum	21	19	$153.00	$95.94
51720 Instillation of anti-cancer drug into bladder	21	18	$310.00	$83.11
55700 Biopsy of prostate gland	16	16	$610.00	$235.88
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$205.00	$68.01
84520 Urea nitrogen level to assess kidney function	15	15	$16.00	$3.95
82565 Blood creatinine level	15	15	$21.00	$5.12
80048 Blood test, basic group of blood chemicals (calcium, total)	15	15	$35.00	$8.46
74178 Ct scan of abdomen and pelvis before and after contrast	14	14	$722.00	$250.31
71046 X-ray of chest, 2 views	14	13	$58.00	$20.71
54235 Injection procedure to induce erection	13	13	$255.00	$84.20
84154 Psa (prostate specific antigen) measurement, free	12	12	$103.00	$18.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	17,955	54	$0.10	$0.03
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,100	20	$1.00	$0.11
J9030 Bcg live intravesical instillation, 1 mg	1,150	15	$8.00	$2.80
J1644 Injection, heparin sodium, per 1000 units	1,040	33	$5.00	$0.25
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	949	111	$50.00	$39.93
81003 Automated urinalysis test	633	472	$12.00	$2.23
99213 Established patient office or other outpatient visit, typically 15 minutes	587	503	$200.00	$70.92
51798 Ultrasound measurement of bladder capacity after voiding	509	439	$140.00	$9.22
36415 Insertion of needle into vein for collection of blood sample	266	220	$10.00	$2.98
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	249	27	$750.00	$225.00
84153 Psa (prostate specific antigen) measurement, total	203	167	$80.00	$18.21
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	195	81	$80.00	$35.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	154	$300.00	$102.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	112	73	$70.00	$13.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$300.00	$102.09
52000 Diagnostic exam of bladder and urethra using an endoscope	105	90	$550.00	$197.86
51700 Simple bladder irrigation and/or instillation	73	53	$230.00	$69.60
74018 X-ray of abdomen, 1 view	72	62	$46.67	$18.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	68	32	$109.84	$38.59
81001 Manual urinalysis test with examination using microscope, automated	66	64	$13.00	$3.14
87086 Bacterial colony count, urine	52	50	$35.00	$7.97
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	50	32	$100.00	$29.26
51701 Insertion of temporary bladder tube	47	45	$150.00	$42.75
51705 Removal of skin suture with change of bladder tube	45	34	$250.00	$89.89
87088 Bacterial urine culture	44	42	$25.00	$8.00
51702 Simple insertion of temporary bladder tube	42	33	$190.00	$57.40
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	41	40	$30.00	$7.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$465.00	$158.53
84403 Testosterone (hormone) level, total	27	22	$105.00	$25.58
J1580 Injection, garamycin, gentamicin, up to 80 mg	26	16	$10.00	$1.92
51720 Instillation of anti-cancer drug into bladder	25	16	$310.00	$79.53
50590 Shock wave crushing of kidney stones	25	25	$1793.00	$559.95
84154 Psa (prostate specific antigen) measurement, free	25	23	$103.00	$18.30
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$290.00	$99.24
76775 Limited ultrasound scan behind abdominal cavity	23	21	$96.00	$27.05
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	23	$1380.30	$105.45
84520 Urea nitrogen level to assess kidney function	21	21	$16.00	$3.93
76872 Ultrasound scan of pelvic region through rectum	21	16	$153.00	$99.74
82565 Blood creatinine level	21	21	$21.00	$5.09
74178 Ct scan of abdomen and pelvis before and after contrast	19	18	$722.00	$242.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$120.00	$42.75
80053 Blood test, comprehensive group of blood chemicals	18	18	$45.00	$10.50
74176 Ct scan of abdomen and pelvis without contrast	15	14	$337.00	$102.04
55700 Biopsy of prostate gland	15	15	$610.00	$237.08
J2250 Injection, midazolam hydrochloride, per 1 mg	14	11	$5.00	$0.12
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	14	13	$325.00	$115.70
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$205.00	$72.14
J3010 Injection, fentanyl citrate, 0.1 mg	13	11	$5.00	$0.87
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	13	11	$141.00	$47.12
71046 X-ray of chest, 2 views	12	11	$54.25	$19.65
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	11	11	$1210.00	$144.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	19,331	56	$0.10	$0.03
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,400	24	$1.00	$0.11
J9030 Bcg live intravesical instillation, 1 mg	1,392	24	$8.00	$2.78
J0897 Injection, denosumab, 1 mg	1,320	11	$45.00	$17.41
J1644 Injection, heparin sodium, per 1000 units	920	29	$5.00	$0.20
81003 Automated urinalysis test	864	647	$12.00	$2.44
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	818	140	$50.00	$39.68
51798 Ultrasound measurement of bladder capacity after voiding	637	549	$140.00	$11.41
99213 Established patient office or other outpatient visit, typically 15 minutes	518	468	$200.00	$70.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	307	284	$300.00	$102.67
36415 Insertion of needle into vein for collection of blood sample	293	243	$10.00	$2.94
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	268	37	$750.00	$220.67
84153 Psa (prostate specific antigen) measurement, total	246	200	$80.00	$19.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	147	97	$70.00	$15.55
52000 Diagnostic exam of bladder and urethra using an endoscope	141	107	$550.00	$174.64
87086 Bacterial colony count, urine	130	121	$35.00	$8.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$300.00	$102.51
51700 Simple bladder irrigation and/or instillation	103	83	$230.00	$68.50
81001 Manual urinalysis test with examination using microscope, automated	100	96	$13.00	$3.39
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	87	78	$30.00	$7.51
74018 X-ray of abdomen, 1 view	80	66	$50.58	$17.07
87088 Bacterial urine culture	79	73	$25.00	$8.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	74	40	$110.00	$38.25
51701 Insertion of temporary bladder tube	61	60	$150.00	$42.46
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$205.00	$69.94
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	57	43	$100.00	$28.19
51720 Instillation of anti-cancer drug into bladder	52	34	$310.00	$80.00
99221 Initial hospital inpatient care per day, typically 30 minutes	46	46	$294.54	$98.13
51702 Simple insertion of temporary bladder tube	45	28	$190.00	$58.08
51705 Removal of skin suture with change of bladder tube	44	31	$250.00	$88.81
76872 Ultrasound scan of pelvic region through rectum	39	34	$153.00	$85.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$465.00	$153.84
84403 Testosterone (hormone) level, total	33	31	$105.00	$28.11
55700 Biopsy of prostate gland	32	31	$610.00	$236.91
76775 Limited ultrasound scan behind abdominal cavity	26	26	$93.58	$25.82
84520 Urea nitrogen level to assess kidney function	24	24	$16.00	$4.30
82565 Blood creatinine level	24	24	$21.00	$5.58
J1580 Injection, garamycin, gentamicin, up to 80 mg	24	18	$10.00	$1.82
74178 Ct scan of abdomen and pelvis before and after contrast	24	24	$722.00	$233.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$120.00	$42.02
J9031 Bcg (intravesical) per instillation	22	15	$367.00	$139.02
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	22	21	$1210.00	$177.96
85014 Red blood cell concentration measurement	20	19	$10.00	$2.58
84154 Psa (prostate specific antigen) measurement, free	19	18	$103.00	$20.03
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	18	$1359.89	$130.85
74420 Imaging of urinary tract	19	18	$53.00	$25.24
50590 Shock wave crushing of kidney stones	19	19	$1793.00	$561.24
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	18	13	$325.00	$117.45
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	16	14	$32.00	$8.46
74176 Ct scan of abdomen and pelvis without contrast	15	14	$337.00	$101.26
71046 X-ray of chest, 2 views	15	15	$53.00	$18.56
80053 Blood test, comprehensive group of blood chemicals	12	12	$45.00	$11.51
85018 Blood count, hemoglobin	11	11	$10.00	$2.58
54235 Injection procedure to induce erection	11	11	$255.00	$86.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	22,820	63	$0.10	$0.02
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,000	30	$1.00	$0.12
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,105	184	$50.00	$40.00
81003 Automated urinalysis test	908	669	$12.00	$2.69
51798 Ultrasound measurement of bladder capacity after voiding	631	508	$140.00	$14.14
99213 Established patient office or other outpatient visit, typically 15 minutes	603	491	$200.00	$68.00
J1644 Injection, heparin sodium, per 1000 units	461	17	$5.00	$0.19
36415 Insertion of needle into vein for collection of blood sample	341	287	$10.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	281	231	$80.00	$22.13
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	223	29	$750.00	$215.70
87086 Bacterial colony count, urine	168	149	$35.00	$9.61
52000 Diagnostic exam of bladder and urethra using an endoscope	156	128	$550.00	$153.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	146	88	$70.00	$18.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	137	$300.00	$101.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	142	142	$300.00	$101.04
87088 Bacterial urine culture	105	92	$25.00	$9.62
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	100	87	$30.00	$8.28
51700 Simple bladder irrigation and/or instillation	91	84	$230.00	$68.11
74018 X-ray of abdomen, 1 view	80	58	$50.92	$16.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$465.00	$152.47
81001 Manual urinalysis test with examination using microscope, automated	60	56	$13.00	$3.78
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	57	37	$100.00	$28.18
51705 Removal of skin suture with change of bladder tube	52	38	$250.00	$86.15
51702 Simple insertion of temporary bladder tube	50	39	$190.00	$59.45
99202 New patient office or other outpatient visit, typically 20 minutes	45	45	$205.00	$70.14
51701 Insertion of temporary bladder tube	40	38	$150.00	$43.67
99221 Initial hospital inpatient care per day, typically 30 minutes	37	36	$290.00	$97.43
84403 Testosterone (hormone) level, total	34	30	$105.00	$31.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	25	$110.00	$37.35
52332 Insertion of stent in urinary duct (ureter) using an endoscope	30	26	$1325.00	$118.99
J9031 Bcg (intravesical) per instillation	27	20	$367.00	$135.35
82565 Blood creatinine level	27	26	$21.00	$6.20
84520 Urea nitrogen level to assess kidney function	27	26	$16.00	$4.78
51720 Instillation of anti-cancer drug into bladder	26	20	$310.00	$79.04
76775 Limited ultrasound scan behind abdominal cavity	26	26	$94.38	$25.29
74178 Ct scan of abdomen and pelvis before and after contrast	26	26	$722.00	$221.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$120.00	$40.76
50590 Shock wave crushing of kidney stones	20	19	$1793.00	$555.42
76872 Ultrasound scan of pelvic region through rectum	19	18	$153.00	$56.24
80053 Blood test, comprehensive group of blood chemicals	19	19	$45.00	$12.78
71046 X-ray of chest, 2 views	18	17	$53.00	$18.01
85014 Red blood cell concentration measurement	18	15	$10.00	$2.87
74176 Ct scan of abdomen and pelvis without contrast	18	16	$337.00	$101.20
55700 Biopsy of prostate gland	17	17	$610.00	$234.27
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	17	15	$325.00	$117.93
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$680.00	$219.06
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	15	15	$32.00	$9.40
J1580 Injection, garamycin, gentamicin, up to 80 mg	14	11	$10.00	$1.45
84154 Psa (prostate specific antigen) measurement, free	13	13	$103.00	$22.26
80048 Blood test, basic group of blood chemicals (calcium, total)	11	11	$35.00	$10.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	33,250	68	$0.10	$0.02
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,150	30	$1.56	$0.12
81003 Automated urinalysis test	849	586	$12.00	$3.00
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	510	194	$85.55	$39.51
99213 Established patient office or other outpatient visit, typically 15 minutes	505	403	$200.00	$67.31
51798 Ultrasound measurement of bladder capacity after voiding	439	341	$140.00	$17.00
36415 Insertion of needle into vein for collection of blood sample	302	241	$10.00	$2.92
84153 Psa (prostate specific antigen) measurement, total	241	191	$80.00	$24.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	192	92	$68.64	$23.05
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	180	19	$750.00	$208.08
52000 Diagnostic exam of bladder and urethra using an endoscope	141	106	$550.00	$149.07
87086 Bacterial colony count, urine	131	112	$34.31	$10.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$300.00	$100.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	73	$300.00	$100.31
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	67	56	$29.22	$9.27
87088 Bacterial urine culture	65	57	$25.00	$8.27
51700 Simple bladder irrigation and/or instillation	63	56	$228.33	$65.50
74000 X-ray of abdomen, single view	63	50	$40.71	$12.60
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	53	24	$100.00	$29.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$465.00	$151.47
51702 Simple insertion of temporary bladder tube	42	32	$190.00	$57.82
51705 Removal of skin suture with change of bladder tube	39	24	$250.00	$84.16
51701 Insertion of temporary bladder tube	35	33	$150.00	$44.10
J1580 Injection, garamycin, gentamicin, up to 80 mg	29	21	$10.00	$1.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	24	$120.00	$40.17
76775 Limited ultrasound scan behind abdominal cavity	27	25	$92.11	$25.75
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$290.00	$96.05
76872 Ultrasound scan of pelvic region through rectum	27	21	$153.00	$54.32
84403 Testosterone (hormone) level, total	26	20	$105.00	$34.70
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	24	$1399.38	$127.87
74178 Ct scan of abdomen and pelvis before and after contrast	25	25	$722.00	$221.57
50590 Shock wave crushing of kidney stones	23	23	$1793.00	$545.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	18	$110.00	$37.47
55700 Biopsy of prostate gland	18	18	$605.00	$228.91
81000 Manual urinalysis test with examination using microscope, non-automated	17	15	$13.00	$4.26
82565 Blood creatinine level	17	16	$21.00	$4.15
84154 Psa (prostate specific antigen) measurement, free	16	13	$103.00	$24.73
84520 Urea nitrogen level to assess kidney function	16	15	$16.00	$3.03
80048 Blood test, basic group of blood chemicals (calcium, total)	16	16	$35.00	$11.37
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	12	$61.00	$24.55
71020 X-ray of chest, 2 views, front and side	15	14	$52.87	$14.99
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$205.00	$69.42
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	14	14	$32.00	$9.83
74176 Ct scan of abdomen and pelvis without contrast	13	12	$337.00	$99.54
81001 Manual urinalysis test with examination using microscope, automated	13	13	$13.00	$3.65
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	12	12	$1210.00	$264.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$395.00	$129.37
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$677.27	$225.38

Medical Specialties & State Licenses

CMS Verified: 2022-07-05

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OK 26830

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

200237950A (OK)

Hospital & Practice Group Affiliations

Urologic Specialists Of Oklahoma Inc

6801 Rogers Ave, Fort Smith, AR 729034067

Phone: 9187498765

Mcalester Medical Services Llc

1 E Clark Bass Blvd, Mcalester, OK 745014209

Phone: 9184216071

Urologic Specialists Of Oklahoma Inc

10901 E 48th St, Tulsa, OK 741465830

Phone: 9187498765

Mercy Clinic Springfield Communities

1605 Martin Springs Dr, Rolla, MO 654012982

Phone: 5734586610

Mercy Clinic Springfield Communities

1965 S Fremont Ave, Springfield, MO 658042284

Phone: 4178200300

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Bruce Stoesser , MD

Urology

NPI 1013937911

Doctor of Medicine (M.D.)

Dr. Rustin Walters , MD

Urology

NPI 1053381467

Doctor of Medicine (M.D.)

Monica Lee , PA-C

Physician Assistant

NPI 1053888669

Physician Assistant (Certified)

Dr. Anthony Brooks , MD

Urology

NPI 1073191615

Doctor of Medicine (M.D.)

Dr. Jack Miller , MD

Urology

NPI 1093737538

Doctor of Medicine (M.D.)

Dr. Simer Grewal , MD

Radiology - Vascular & Interventional Radiology

NPI 1114458270

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 11, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 11, 2013

Registered at 10901 E 48TH ST, TULSA, OK 741465830 (Tel: 9187498765)

📍

Updated Business Mailing Address March 11, 2013

Registered at 10901 E 48TH ST, TULSA, OK 741465830 (Tel: 9187498765)

👤

Provider Name / Credentials Updated March 11, 2013

Recorded as KEVIN GANCARCZYK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2013

Urology (License #26830 in OK)

🟢

Initial NPI Registration & Enumeration February 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013983741

Entity Type:

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

Enumeration Date: February 23, 2006

Last Update: July 05, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10901 E 48th St

Tulsa, OK 741465830

Phone: 9187498765

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.