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Active NPI 1568463784 Individual Practitioner Male Practitioner

Dr. Robert L Fiorelli , DO

Urology • Plains, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Fiorelli, DO is a certified Urology practicing in Plains, PA. With approximately 42 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 1984, Dr. Fiorelli delivers high-quality medical care to the local community at 670 S RIVER ST STE 301.

Dr. Fiorelli maintains professional affiliations with Commonwealth Physician Network Llc, Wayne Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include urinalysis, manual test, established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

670 S River St Ste 301

Plains, PA 187051032

Telephone 5702702600
Fax 5702702828
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Plains, PA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
42 Yrs +6.0 yrs vs City Avg
City Avg: 36.0 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Plains, PA (720 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fiorelli (42 Years) 42 Yrs
Plains Specialty Average (36.0 Years) 36.0 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
81002 Urinalysis, manual test
1,260 854 $9.00 $3.38
99213 Established patient office or other outpatient visit, typically 15 minutes
846 662 $125.72 $85.26
51798 Ultrasound measurement of bladder capacity after voiding
731 551 $49.22 $10.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
351 309 $110.01 $53.18
J9217 Leuprolide acetate (for depot suspension), 7.5 mg
172 22 $635.00 $178.25
52000 Diagnostic exam of bladder and urethra using an endoscope
151 105 $500.00 $221.56
51700 Simple bladder irrigation and/or instillation
95 26 $205.00 $70.74
51702 Simple insertion of temporary bladder tube
87 23 $168.89 $57.89
51705 Removal of skin suture with change of bladder tube
85 12 $225.00 $91.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
76 76 $221.55 $77.93
99213 Established patient office or other outpatient visit, typically 15 minutes
73 63 $180.54 $62.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
59 56 $209.33 $119.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
31 26 $255.02 $92.33
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
29 20 $80.00 $32.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
28 28 $333.02 $126.97
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
26 21 $49.83 $21.63
52000 Diagnostic exam of bladder and urethra using an endoscope
24 24 $435.56 $67.98
74019 X-ray of abdomen, 2 views
23 17 $85.00 $29.62
55700 Biopsy of prostate gland
22 22 $676.00 $215.35
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle
22 22 $150.00 $51.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20 20 $283.70 $158.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
15 15 $201.44 $105.12
52287 Exam with injections of chemical for destruction of bladder using an endoscope
15 12 $430.00 $158.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
12 12 $308.83 $123.67
55700 Biopsy of prostate gland
12 12 $424.04 $122.99
99221 Initial hospital inpatient care per day, typically 30 minutes
12 12 $258.32 $78.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
11 11 $425.00 $163.21

Medical Specialties & State Licenses

CMS Verified: 2023-01-06
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License PA OS005553L

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
0010930870 (PA)
Commercial Insurance / Payer ID First Priority Life
608712 (PA)
Commercial Insurance / Payer ID Geisinger Health Plan
35740 (PA)
Commercial Insurance / Payer ID Aetna
4399736 (PA)
Commercial Insurance / Payer ID Highmark Blue Shield
608712 (PA)
Commercial Insurance / Payer ID First Priority Health
822570 (PA)

Hospital & Practice Group Affiliations

Commonwealth Physician Network Llc

4 E Main St, Nanticoke, PA 186341602

Phone: 5707357474

Wayne Memorial Hospital

601 Park St, Honesdale, PA 184311445

Phone: 5702538101

Commonwealth Physician Network Llc

575 N River St, Wilkes Barre, PA 187022634

Phone: 5705528938

Commonwealth Physician Network Llc

423 3rd Ave, Kingston, PA 187045809

Phone: 5702883601

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1730270968

Doctor of Medicine (M.D.)

NPI 1740371970

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location January 06, 2023

Registered at 670 S RIVER ST STE 301, PLAINS, PA 187051032 (Tel: 5702702600)

NPI Profile Active May 02, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2008

Registered at 1155 RTE. 315, WILKES BARRE, PA 187026928 (Tel: 5708203320)

📍
Updated Business Mailing Address May 02, 2008

Registered at 1155 RTE. 315, WILKES BARRE, PA 187026928 (Tel: 5708203320)

👤
Provider Name / Credentials Updated May 02, 2008

Recorded as ROBERT FIORELLI, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2008

Urology (License #OS005553L in PA)

🟢
Initial NPI Registration & Enumeration August 10, 2005

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: 1568463784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2005
Last Update: January 06, 2023
Sole Proprietor: Yes

Mailing Address

1155 Rte. 315

Wilkes Barre, PA 187026928

Phone: 5708203320

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.