Active NPI 1114196169 Individual Practitioner Male Practitioner

Dr. Robert John Laciak , MD

Urology • Corvallis, OR

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Robert Laciak, MD is a certified Urology practicing in Corvallis, OR. With approximately 20 years of clinical experience since graduating from Chicago College Of Medicine And Surgery in 2006, Dr. Laciak delivers high-quality medical care to the local community at 990 NW CIRCLE BLVD.

Dr. Laciak maintains professional affiliations with Samaritan Pacific Health Services Inc, Good Samaritan Hospital Corvallis 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

990 Nw Circle Blvd
Suite 102

Corvallis, OR 973301967

Telephone 5417685486

Associated Practice Facility / Clinic

🏢 Albany General Hospital Facility NPI 1154697001

Medicare Profile & Education

Medical School

Chicago College Of Medicine And Surgery

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Corvallis, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -3.2 yrs vs City Avg

City Avg: 23.2 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

7 Specialists

Practicing in Corvallis, OR (201 Statewide)

Telehealth Adoption Rate

42.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

73.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Laciak (20 Years) 20 Yrs

Corvallis Specialty Average (23.2 Years) 23.2 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	154	120	$190.45	$92.67
52000 Diagnostic exam of bladder and urethra using an endoscope	131	118	$562.87	$75.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$239.28	$127.89
76872 Ultrasound scan of pelvic region through rectum	67	67	$119.00	$31.03
99213 Established patient office or other outpatient visit, typically 15 minutes	67	60	$128.24	$63.50
51741 Electronic assessment of bladder emptying	42	36	$41.00	$4.55
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	25	23	$45.00	$15.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$96.82	$34.62
76872 Ultrasound scan of pelvic region through rectum	21	21	$119.00	$31.27
55700 Biopsy of prostate gland	18	18	$391.78	$122.98
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	16	$1776.00	$399.97
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	18	$774.78	$142.54
55700 Biopsy of prostate gland	14	14	$356.86	$123.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$359.00	$124.67

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	118	97	$230.59	$94.88
52000 Diagnostic exam of bladder and urethra using an endoscope	105	98	$958.33	$75.65
99213 Established patient office or other outpatient visit, typically 15 minutes	74	68	$182.35	$64.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$367.05	$129.27
51702 Simple insertion of temporary bladder tube	57	16	$248.72	$24.09
76872 Ultrasound scan of pelvic region through rectum	52	52	$119.00	$31.71
51741 Electronic assessment of bladder emptying	37	35	$41.00	$4.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$374.00	$139.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$113.59	$34.48
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$1220.63	$144.10
99441 Telephone medical discussion with physician, 5-10 minutes	15	15	$138.00	$34.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$395.00	$126.50
51700 Simple bladder irrigation and/or instillation	11	11	$292.55	$28.87
55700 Biopsy of prostate gland	11	11	$439.27	$124.01

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	139	117	$146.00	$95.37
52000 Diagnostic exam of bladder and urethra using an endoscope	132	126	$274.01	$75.35
76872 Ultrasound scan of pelvic region through rectum	87	87	$120.00	$32.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$188.00	$130.51
99213 Established patient office or other outpatient visit, typically 15 minutes	67	63	$103.00	$64.82
51741 Electronic assessment of bladder emptying	62	56	$25.00	$5.64
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	57	12	$1465.44	$46.00
51702 Simple insertion of temporary bladder tube	46	18	$76.43	$24.50
55700 Biopsy of prostate gland	26	26	$292.00	$124.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$63.00	$34.93
99442 Telephone medical discussion with physician, 11-20 minutes	18	17	$257.00	$64.46
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	15	15	$1347.00	$354.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$204.00	$141.53
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	12	12	$2037.50	$186.06
51700 Simple bladder irrigation and/or instillation	11	11	$92.00	$26.65
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$365.00	$143.95

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	175	142	$192.40	$96.30
52000 Diagnostic exam of bladder and urethra using an endoscope	157	138	$131.41	$76.27
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	128	31	$87.56	$49.67
76872 Ultrasound scan of pelvic region through rectum	92	92	$114.00	$32.66
51741 Electronic assessment of bladder emptying	81	75	$30.00	$5.53
99213 Established patient office or other outpatient visit, typically 15 minutes	68	59	$137.76	$65.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$247.98	$132.70
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	31	31	$352.03	$197.68
55700 Biopsy of prostate gland	26	26	$214.62	$121.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$72.00	$35.19
76000 Imaging guidance for procedure, 60 minutes or less	24	21	$52.00	$14.65
51700 Simple bladder irrigation and/or instillation	22	18	$45.91	$23.71
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	21	$242.29	$139.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$276.86	$143.36
51610 Injection procedure through bladder and urethra for x-ray imaging	19	18	$223.00	$31.03
99442 Telephone medical discussion with physician, 11-20 minutes	16	16	$288.00	$66.14
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	15	$1503.50	$402.85
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$179.00	$35.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	107	90	$88.00	$51.12
52000 Diagnostic exam of bladder and urethra using an endoscope	86	75	$108.00	$81.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	58	$127.00	$78.85
51741 Electronic assessment of bladder emptying	38	36	$29.00	$5.98
76872 Ultrasound scan of pelvic region through rectum	28	28	$110.00	$34.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$193.00	$129.16
99441 Telephone medical discussion with physician, 5-10 minutes	23	21	$42.00	$25.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	18	$53.00	$25.69
76000 Imaging guidance for procedure, 60 minutes or less	22	18	$51.00	$15.50
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	20	$202.00	$152.84
51700 Simple bladder irrigation and/or instillation	20	17	$42.00	$27.41
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	13	$517.00	$136.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$126.00	$75.59
99442 Telephone medical discussion with physician, 11-20 minutes	16	16	$81.00	$50.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	197	144	$85.00	$50.82
52000 Diagnostic exam of bladder and urethra using an endoscope	140	122	$107.00	$81.27
51741 Electronic assessment of bladder emptying	72	65	$27.00	$5.30
76872 Ultrasound scan of pelvic region through rectum	57	54	$108.00	$33.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	45	$125.00	$78.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$189.00	$128.21
52332 Insertion of stent in urinary duct (ureter) using an endoscope	28	19	$513.00	$134.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$52.00	$25.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$124.00	$75.61
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	17	17	$2404.00	$740.09
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$200.00	$153.66
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	13	$1374.00	$423.02
55700 Biopsy of prostate gland	12	12	$172.00	$132.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	188	138	$82.66	$50.37
52000 Diagnostic exam of bladder and urethra using an endoscope	169	148	$107.95	$81.56
51741 Electronic assessment of bladder emptying	92	87	$27.00	$4.91
76872 Ultrasound scan of pelvic region through rectum	60	57	$108.00	$33.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	44	$122.00	$77.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$186.00	$126.97
51700 Simple bladder irrigation and/or instillation	27	22	$40.00	$24.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	18	$50.00	$24.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$122.00	$75.05
55700 Biopsy of prostate gland	17	17	$184.94	$131.24
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	16	$197.00	$151.59
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	12	$1431.06	$424.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
52000 Diagnostic exam of bladder and urethra using an endoscope	152	132	$131.55	$99.23
99213 Established patient office or other outpatient visit, typically 15 minutes	109	95	$85.44	$48.69
51741 Electronic assessment of bladder emptying	85	83	$26.00	$4.55
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	72	20	$77.00	$60.14
76872 Ultrasound scan of pelvic region through rectum	45	44	$105.00	$33.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	33	$119.00	$76.82
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	15	$529.82	$146.70
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	20	20	$289.00	$225.36
51700 Simple bladder irrigation and/or instillation	18	17	$46.00	$27.82
55700 Biopsy of prostate gland	17	17	$167.00	$130.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$48.00	$24.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$202.92	$119.11
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$193.00	$150.88
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$101.00	$31.98

Medical Specialties & State Licenses

CMS Verified: 2020-11-05

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OR MD152679

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 UT 6851346-1205

Hospital & Practice Group Affiliations

Good Samaritan Hospital Corvallis

114 Gill Coliseum, Corvallis, OR 973318547

Phone: 5417374527

Samaritan Pacific Health Services Inc

930 Sw Abbey St, Newport, OR 973654820

Phone: 5412652244

Samaritan Pacific Health Services Inc

930 Sw Abbey St, Newport, OR 973654820

Phone: 5415747235

Practice Associates & Co-Workers

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

9 Associated Practitioners

Kevin Chiappone , PA-C

Physician Assistant

NPI 1144645466

Physician Assistant (Certified)

Angela Reploeg , FNP

Nurse Practitioner

NPI 1205886025

Family Nurse Practitioner

Dr. Layron Long , MD

Urology

NPI 1649382417

Doctor of Medicine (M.D.)

Dr. Kadi-Ann Bryan , MD

Urology

NPI 1659530442

Doctor of Medicine (M.D.)

Jordan Johnson , PA-C

Physician Assistant

NPI 1669085981

Physician Assistant (Certified)

Phyllis Adjei

Nurse Practitioner - Family

NPI 1699220491

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address November 05, 2020

Registered at PO BOX 1189, CORVALLIS, OR 973391189

✅

NPI Profile Active March 15, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 15, 2013

Registered at 990 NW CIRCLE BLVD, SUITE 102, CORVALLIS, OR 973301967 (Tel: 5417685486)

📍

Updated Business Mailing Address March 15, 2013

Registered at 990 NW CIRCLE BLVD, SUITE 102, CORVALLIS, OR 973301967 (Tel: 5417685486)

👤

Provider Name / Credentials Updated March 15, 2013

Recorded as ROBERT LACIAK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2013

Urology (License #MD152679 in OR)

🟢

Initial NPI Registration & Enumeration February 25, 2008

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: 1114196169

Entity Type:

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

Enumeration Date: February 25, 2008

Last Update: November 05, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1189

Corvallis, OR 973391189

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.