Active NPI 1508828344 Individual Practitioner Male Practitioner

Dr. Izzuddin Ali Mansur , MD

Urology • Crossville, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Izzuddin Mansur, MD is a certified Urology practicing in Crossville, TN. With approximately 47 years of clinical experience since completing medical education in 1979, Dr. Mansur delivers high-quality medical care to the local community at 49 CLEVELAND ST.

Dr. Mansur is affiliated with Covenant Medical Group Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

49 Cleveland St
Suite 220

Crossville, TN 385552855

Telephone 9317078050

Fax 9317078048

Associated Practice Facility / Clinic

🏢 The Group For Women Llc Facility NPI 1609963149

Medicare Profile & Education

Medical School

Other

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Crossville, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +9.7 yrs vs City Avg

City Avg: 37.3 Yrs

State Avg: 24.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Crossville, TN (323 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mansur (47 Years) 47 Yrs

Crossville Specialty Average (37.3 Years) 37.3 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
81003 Automated urinalysis test	562	352	$8.00	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	389	266	$160.00	$83.89
52000 Diagnostic exam of bladder and urethra using an endoscope	183	153	$573.00	$213.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	66	$228.00	$117.74
51798 Ultrasound measurement of bladder capacity after voiding	27	24	$53.00	$9.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	22	$252.00	$120.90
52281 Dilation of bladder canal (urethra) using an endoscope	24	23	$783.00	$294.60
55700 Biopsy of prostate gland	18	18	$700.00	$218.66
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	17	17	$2463.00	$665.73
76872 Ultrasound scan of pelvic region through rectum	17	17	$380.00	$124.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$99.00	$51.86
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	11	$973.00	$111.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	508	324	$8.00	$2.19
99213 Established patient office or other outpatient visit, typically 15 minutes	445	315	$160.00	$83.73
52000 Diagnostic exam of bladder and urethra using an endoscope	137	104	$573.00	$220.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	89	$228.00	$118.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$252.00	$119.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$295.00	$155.18
55700 Biopsy of prostate gland	24	24	$700.00	$222.12
76872 Ultrasound scan of pelvic region through rectum	23	23	$380.00	$125.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$196.00	$103.96
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	16	$973.00	$115.17
52281 Dilation of bladder canal (urethra) using an endoscope	16	16	$783.00	$300.05
51798 Ultrasound measurement of bladder capacity after voiding	14	14	$53.00	$9.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$99.00	$52.31
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$2463.00	$672.75
50590 Shock wave crushing of kidney stones	14	14	$1650.00	$546.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	557	384	$158.99	$84.61
81003 Automated urinalysis test	541	383	$8.00	$2.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	124	$227.36	$120.08
52000 Diagnostic exam of bladder and urethra using an endoscope	132	90	$573.00	$226.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$295.00	$155.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	36	$98.47	$52.41
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	16	13	$844.00	$266.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$252.00	$125.88
55700 Biopsy of prostate gland	15	15	$700.00	$213.86
52281 Dilation of bladder canal (urethra) using an endoscope	15	15	$783.00	$307.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$196.00	$104.16
76872 Ultrasound scan of pelvic region through rectum	12	12	$380.00	$129.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	658	449	$125.03	$85.77
81003 Automated urinalysis test	593	409	$8.00	$2.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	142	$178.85	$121.18
52000 Diagnostic exam of bladder and urethra using an endoscope	148	90	$538.54	$218.46
81002 Urinalysis, manual test	123	114	$15.00	$3.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	45	$79.00	$52.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$250.00	$158.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	19	$117.00	$67.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$249.19	$128.29
51702 Simple insertion of temporary bladder tube	24	15	$195.58	$59.39
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	15	$939.45	$97.29
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$2539.33	$689.29
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	14	12	$720.00	$231.31
52281 Dilation of bladder canal (urethra) using an endoscope	12	12	$746.83	$312.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,485	911	$95.00	$70.49
81002 Urinalysis, manual test	1,407	873	$15.00	$3.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	180	$125.00	$101.63
52000 Diagnostic exam of bladder and urethra using an endoscope	175	108	$369.00	$194.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	132	32	$85.00	$69.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$195.00	$155.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	37	$165.00	$132.30
52281 Dilation of bladder canal (urethra) using an endoscope	40	40	$566.00	$295.42
52332 Insertion of stent in urinary duct (ureter) using an endoscope	31	23	$850.00	$130.93
76872 Ultrasound scan of pelvic region through rectum	25	25	$220.00	$132.74
55700 Biopsy of prostate gland	25	25	$341.00	$233.56
51702 Simple insertion of temporary bladder tube	25	12	$125.00	$57.15
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	25	25	$260.00	$54.04
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	24	23	$2692.00	$686.09
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	22	15	$1367.00	$198.31
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$95.00	$49.47
52240 Destruction and/or removal of large growth of bladder using an endoscope	19	13	$2269.00	$371.04
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$647.00	$259.84
50590 Shock wave crushing of kidney stones	15	14	$2551.20	$620.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	1,553	1,073	$15.00	$3.38
99213 Established patient office or other outpatient visit, typically 15 minutes	1,523	1,017	$95.00	$69.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	285	235	$125.00	$102.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	214	214	$195.00	$153.04
52000 Diagnostic exam of bladder and urethra using an endoscope	157	111	$369.00	$176.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	90	41	$85.00	$69.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	50	$165.00	$130.78
51702 Simple insertion of temporary bladder tube	47	17	$125.00	$57.78
55700 Biopsy of prostate gland	41	41	$341.00	$234.56
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	41	41	$260.00	$53.68
76872 Ultrasound scan of pelvic region through rectum	41	41	$220.00	$118.59
52281 Dilation of bladder canal (urethra) using an endoscope	38	37	$566.00	$275.19
52332 Insertion of stent in urinary duct (ureter) using an endoscope	33	28	$875.76	$128.38
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	23	23	$2692.00	$705.92
50590 Shock wave crushing of kidney stones	18	16	$2362.22	$595.52
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	17	$647.00	$240.32
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	14	14	$1367.00	$197.95
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	14	12	$1300.00	$279.83
57288 Creation of sling around bladder canal (urethra) to control leakage	13	13	$2421.00	$649.18
52240 Destruction and/or removal of large growth of bladder using an endoscope	13	12	$2269.00	$380.43
52285 Examination of bladder and bladder canal (urethra) for treatment of female urethral syndrome using an endoscope	12	12	$726.00	$265.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	1,741	1,137	$15.00	$3.39
99213 Established patient office or other outpatient visit, typically 15 minutes	1,600	1,063	$84.54	$66.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	397	328	$112.91	$97.44
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	279	35	$295.00	$213.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	232	232	$181.47	$149.38
52000 Diagnostic exam of bladder and urethra using an endoscope	176	131	$369.00	$148.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	124	45	$85.00	$67.15
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	93	35	$40.00	$27.47
51720 Instillation of anti-cancer drug into bladder	59	11	$261.00	$48.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	53	$165.00	$125.88
52332 Insertion of stent in urinary duct (ureter) using an endoscope	44	38	$850.00	$117.08
51702 Simple insertion of temporary bladder tube	39	19	$125.00	$57.57
76872 Ultrasound scan of pelvic region through rectum	36	34	$220.00	$87.00
52281 Dilation of bladder canal (urethra) using an endoscope	34	34	$566.00	$248.75
55700 Biopsy of prostate gland	34	34	$341.00	$226.10
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	34	34	$260.00	$54.33
50590 Shock wave crushing of kidney stones	28	22	$2126.00	$565.83
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	20	20	$647.00	$223.22
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	19	19	$2692.00	$679.75
52240 Destruction and/or removal of large growth of bladder using an endoscope	19	14	$2269.00	$356.82
57288 Creation of sling around bladder canal (urethra) to control leakage	14	14	$2421.00	$652.77
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	13	12	$1300.00	$259.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$137.73	$92.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	1,846	1,199	$15.00	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	1,488	990	$75.00	$65.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	523	406	$105.00	$96.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	314	314	$175.00	$147.68
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	285	35	$295.00	$208.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	170	64	$85.00	$65.73
52000 Diagnostic exam of bladder and urethra using an endoscope	158	119	$369.00	$145.81
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	95	35	$40.00	$28.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	65	$165.00	$123.12
51702 Simple insertion of temporary bladder tube	51	29	$125.00	$55.87
52332 Insertion of stent in urinary duct (ureter) using an endoscope	38	33	$850.00	$123.67
76872 Ultrasound scan of pelvic region through rectum	33	33	$220.00	$80.48
52281 Dilation of bladder canal (urethra) using an endoscope	33	33	$566.00	$238.41
55700 Biopsy of prostate gland	32	32	$341.00	$211.04
52285 Examination of bladder and bladder canal (urethra) for treatment of female urethral syndrome using an endoscope	29	29	$726.00	$253.01
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	28	28	$2692.00	$780.69
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	28	28	$260.00	$54.18
50590 Shock wave crushing of kidney stones	24	22	$2126.00	$562.20
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	24	24	$600.00	$302.32
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$75.00	$46.55
52240 Destruction and/or removal of large growth of bladder using an endoscope	19	19	$2269.00	$353.35
57288 Creation of sling around bladder canal (urethra) to control leakage	19	19	$2421.00	$649.76
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$647.00	$218.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$125.00	$97.13
51798 Ultrasound measurement of bladder capacity after voiding	13	13	$35.00	$16.65
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	12	11	$1300.00	$266.98
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$369.00	$89.27
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	11	11	$1367.00	$610.64

Medical Specialties & State Licenses

CMS Verified: 2021-06-14

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License TN MD30604

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

Q063406 (TN)

Hospital & Practice Group Affiliations

Covenant Medical Group Inc

111 Clyde St, Loudon, TN 377741600

Phone: 8654581554

Covenant Medical Group Inc

49 Cleveland St, Crossville, TN 385552854

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Rabih Hijazi , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1437110467

Doctor of Medicine (M.D.)

Dr. David Tabor , MD

Internal Medicine - Hematology & Oncology

NPI 1447279898

Doctor of Medicine (M.D.)

Dr. John Milligan , MD

Surgery

NPI 1518113679

Doctor of Medicine (M.D.)

Dr. Richard Martin , MD

Preventive Medicine - Undersea and Hyperbaric Medicine

NPI 1538125273

Doctor of Medicine (M.D.)

Dr. Samuel Ong , MD

Internal Medicine - Cardiovascular Disease

NPI 1619991544

Doctor of Medicine (M.D.)

Margaret Wilson , FNP

Nurse Practitioner - Family

NPI 1669548210

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 28, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2012

Registered at 49 CLEVELAND ST, SUITE 220, CROSSVILLE, TN 385552855 (Tel: 9317078050)

📍

Updated Business Mailing Address September 28, 2012

Registered at 49 CLEVELAND ST, SUITE 220, CROSSVILLE, TN 385552855 (Tel: 9317078050)

👤

Provider Name / Credentials Updated September 28, 2012

Recorded as IZZUDDIN MANSUR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2012

Urology (License #MD30604 in TN)

🟢

Initial NPI Registration & Enumeration April 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1508828344

Entity Type:

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

Enumeration Date: April 05, 2006

Last Update: June 14, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

49 Cleveland St, Suite 220

Crossville, TN 385552855

Phone: 9317078050

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.