Active NPI 1285783282 Individual Practitioner Male Practitioner

Dr. James Edgar Allen , MD

Urology • Clairton, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Allen, MD is a certified Urology practicing in Clairton, PA. With approximately 42 years of clinical experience since completing medical education in 1984, Dr. Allen delivers high-quality medical care to the local community at 1200 BROOKS LN.

Dr. Allen maintains professional affiliations with Allegheny Clinic, South Pittsburgh Urology Associates and accepts Medicare assignment.

Frequently performed procedures and clinical services include urinalysis, manual test, established patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 Brooks Ln
Suite 220

Clairton, PA 150253747

Telephone 4124691002

Fax 4124698925

Associated Practice Facility / Clinic

🏢 Regional Diagnostics, Llc Facility NPI 1972591279

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Clairton, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs -6.5 yrs vs City Avg

City Avg: 48.5 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Clairton, PA (720 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Allen (42 Years) 42 Yrs

Clairton Specialty Average (48.5 Years) 48.5 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
81002 Urinalysis, manual test	505	363	$10.00	$3.38
99213 Established patient office or other outpatient visit, typically 15 minutes	363	302	$260.23	$87.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	198	79	$142.89	$48.00
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	111	12	$550.81	$177.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	71	$162.03	$53.56
99221 Initial hospital inpatient care per day, typically 30 minutes	72	61	$239.11	$80.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$322.75	$108.27
52000 Diagnostic exam of bladder and urethra using an endoscope	38	28	$685.34	$227.19
51702 Simple insertion of temporary bladder tube	37	11	$176.38	$59.46
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	37	12	$98.65	$33.55
51798 Ultrasound measurement of bladder capacity after voiding	30	24	$31.20	$10.24
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	13	$462.78	$143.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	469	339	$10.00	$3.39
99213 Established patient office or other outpatient visit, typically 15 minutes	325	281	$264.28	$87.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	220	83	$139.10	$48.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	85	$167.00	$54.41
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	102	14	$575.88	$171.60
99221 Initial hospital inpatient care per day, typically 30 minutes	90	79	$258.70	$81.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$331.00	$106.91
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	33	14	$99.70	$32.40
52332 Insertion of stent in urinary duct (ureter) using an endoscope	31	23	$466.13	$142.92
52000 Diagnostic exam of bladder and urethra using an endoscope	28	24	$718.14	$231.63
51798 Ultrasound measurement of bladder capacity after voiding	28	23	$31.61	$9.76
51703 Complicated insertion of bladder tube	14	11	$223.86	$74.43
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$1204.43	$400.86
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$952.00	$308.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	486	362	$10.00	$3.42
99213 Established patient office or other outpatient visit, typically 15 minutes	293	256	$259.38	$88.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	176	71	$111.36	$38.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	143	108	$165.64	$55.12
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	108	13	$620.89	$176.41
99221 Initial hospital inpatient care per day, typically 30 minutes	86	72	$288.14	$98.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$328.64	$109.27
51798 Ultrasound measurement of bladder capacity after voiding	45	34	$32.40	$9.87
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	36	13	$98.33	$32.32
52000 Diagnostic exam of bladder and urethra using an endoscope	33	26	$729.79	$240.95
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	19	$483.63	$149.68
74420 Imaging of urinary tract	18	14	$76.00	$24.55
76872 Ultrasound scan of pelvic region through rectum	16	16	$112.00	$32.43
55700 Biopsy of prostate gland	16	16	$379.00	$120.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	434	317	$10.00	$3.47
99213 Established patient office or other outpatient visit, typically 15 minutes	240	199	$261.00	$90.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	181	75	$109.00	$38.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	176	136	$162.23	$55.31
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	87	11	$687.00	$180.00
99221 Initial hospital inpatient care per day, typically 30 minutes	82	81	$282.00	$99.83
51798 Ultrasound measurement of bladder capacity after voiding	49	40	$38.00	$9.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$319.00	$111.04
52000 Diagnostic exam of bladder and urethra using an endoscope	28	24	$703.00	$231.66
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	20	$494.44	$154.37
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	27	11	$96.00	$31.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	345	244	$10.00	$3.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	205	150	$121.00	$44.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	136	60	$108.00	$39.57
99213 Established patient office or other outpatient visit, typically 15 minutes	122	107	$201.00	$74.22
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	113	13	$700.00	$223.37
51798 Ultrasound measurement of bladder capacity after voiding	64	48	$37.00	$9.78
99221 Initial hospital inpatient care per day, typically 30 minutes	60	57	$279.00	$102.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$293.00	$101.87
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	39	13	$89.00	$30.80
52000 Diagnostic exam of bladder and urethra using an endoscope	24	20	$558.00	$207.39
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	15	$1600.80	$158.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	387	255	$9.00	$3.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	193	78	$98.00	$39.29
99213 Established patient office or other outpatient visit, typically 15 minutes	185	154	$179.00	$72.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	169	123	$107.00	$43.57
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	126	16	$700.00	$224.42
99221 Initial hospital inpatient care per day, typically 30 minutes	70	66	$253.00	$101.28
51798 Ultrasound measurement of bladder capacity after voiding	66	51	$49.00	$12.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$265.00	$106.38
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	42	16	$82.00	$29.74
52000 Diagnostic exam of bladder and urethra using an endoscope	29	17	$506.00	$185.46
76872 Ultrasound scan of pelvic region through rectum	12	12	$108.00	$33.61
55700 Biopsy of prostate gland	12	12	$616.00	$122.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	370	231	$9.00	$3.39
99213 Established patient office or other outpatient visit, typically 15 minutes	215	163	$176.70	$68.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	141	49	$97.68	$37.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	111	80	$106.28	$39.96
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	90	12	$700.00	$214.65
51798 Ultrasound measurement of bladder capacity after voiding	59	46	$49.00	$14.44
99221 Initial hospital inpatient care per day, typically 30 minutes	50	47	$252.20	$96.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$262.31	$101.26
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	31	13	$82.00	$27.05
52000 Diagnostic exam of bladder and urethra using an endoscope	30	19	$506.00	$155.44
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	15	$1282.00	$146.64
74420 Imaging of urinary tract	12	11	$52.00	$16.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	205	165	$18.00	$4.16
99213 Established patient office or other outpatient visit, typically 15 minutes	151	132	$120.55	$68.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	71	$84.80	$38.92
81002 Urinalysis, manual test	85	79	$9.00	$3.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	80	36	$87.14	$37.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$181.95	$99.08
51798 Ultrasound measurement of bladder capacity after voiding	43	37	$49.72	$17.58
99221 Initial hospital inpatient care per day, typically 30 minutes	42	39	$181.07	$96.10
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	31	11	$73.48	$28.24
52000 Diagnostic exam of bladder and urethra using an endoscope	22	14	$392.55	$152.94
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	11	$620.50	$143.42

Medical Specialties & State Licenses

CMS Verified: 2021-08-10

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License PA MD037185E

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

001217193 (PA)

Commercial Insurance / Payer ID Caqh

10922058

Hospital & Practice Group Affiliations

South Pittsburgh Urology Associates

1200 Brooks Ln, Clairton, PA 150253750

Phone: 4124691002

Allegheny Clinic

1200 Brooks Ln, Jefferson Hills, PA 150253750

Phone: 4124691002

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. John Schulhoff , MD

Urology

NPI 1184773137

Doctor of Medicine (M.D.)

Dr. Jordan Allen , MD

Urology

NPI 1245626266

Doctor of Medicine (M.D.)

Dr. Vijay Athani , MD

Urology

NPI 1255480398

Doctor of Medicine (M.D.)

Olivia Miller , PA-C

Physician Assistant

NPI 1518683648

Physician Assistant (Certified)

Madison Smith , PA-C

Physician Assistant

NPI 1760204887

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events

👤

Provider Name / Credentials Updated August 10, 2021

Recorded as JAMES ALLEN, MD

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1200 BROOKS LN, SUITE 220, CLAIRTON, PA 150253747 (Tel: 4124691002)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1200 BROOKS LN, SUITE 220, CLAIRTON, PA 150253747 (Tel: 4124691002)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES ALLEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Urology (License #MD037185E in PA)

🟢

Initial NPI Registration & Enumeration January 09, 2007

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: 1285783282

Entity Type:

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

Enumeration Date: January 09, 2007

Last Update: August 10, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1200 Brooks Ln, Suite 220

Clairton, PA 150253747

Phone: 4124691002

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.