Active NPI 1720018120 Individual Practitioner Male Practitioner

Dr. Allan Chad Van Horn , MD

Urology • Desoto, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Allan Van Horn, MD is a certified Urology practicing in Desoto, TX. With approximately 39 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1987, Dr. Van Horn delivers high-quality medical care to the local community at 2705 PRINCE GEORGE AVE.

Dr. Van Horn is affiliated with Texas Oncology Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include manual urinalysis test with examination using microscope, automated, 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

2705 Prince George Ave

Desoto, TX 751152045

Telephone 9727800480

Fax 9727801453

Associated Practice Facility / Clinic

🏢 Texas Oncology Pa Facility NPI 1811944101

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Desoto, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +9.3 yrs vs City Avg

City Avg: 29.7 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Desoto, TX (1027 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

75.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van Horn (39 Years) 39 Yrs

Desoto Specialty Average (29.7 Years) 29.7 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
81001 Manual urinalysis test with examination using microscope, automated	530	341	$28.00	$3.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	460	312	$368.00	$124.44
51798 Ultrasound measurement of bladder capacity after voiding	391	266	$97.00	$10.93
99213 Established patient office or other outpatient visit, typically 15 minutes	294	233	$250.00	$88.35
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	224	192	$35.00	$15.97
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	138	18	$3675.00	$177.53
J0696 Injection, ceftriaxone sodium, per 250 mg	93	23	$36.00	$0.44
A9595 Piflufolastat f-18, diagnostic, 1 millicurie	91	11	$1401.23	$621.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$565.00	$159.80
36415 Insertion of needle into vein for collection of blood sample	80	52	$20.00	$8.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	67	$150.00	$54.68
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	41	19	$145.00	$34.47
52000 Diagnostic exam of bladder and urethra using an endoscope	40	38	$684.00	$222.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	19	$247.00	$76.71
51701 Insertion of temporary bladder tube	34	29	$260.00	$42.62
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	29	24	$633.00	$57.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$372.00	$108.12
55700 Biopsy of prostate gland	23	23	$775.00	$237.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$470.00	$126.89
81003 Automated urinalysis test	14	14	$16.00	$2.20
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	11	11	$4802.00	$1499.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q5101 Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram	8,760	11	$2.00	$0.20
81001 Manual urinalysis test with examination using microscope, automated	536	364	$28.00	$3.00
51798 Ultrasound measurement of bladder capacity after voiding	502	326	$97.00	$10.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	479	324	$368.00	$125.48
99213 Established patient office or other outpatient visit, typically 15 minutes	267	205	$250.00	$87.06
87798 Detection test for organism	208	12	$166.00	$34.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	65	$150.00	$54.97
36415 Insertion of needle into vein for collection of blood sample	69	50	$20.00	$8.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$565.00	$162.52
52000 Diagnostic exam of bladder and urethra using an endoscope	53	44	$684.00	$234.77
81003 Automated urinalysis test	52	50	$16.00	$2.20
87799 Detection test by nucleic acid for organism, quantification	48	12	$222.00	$41.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	25	$247.00	$75.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	16	$96.00	$13.59
51701 Insertion of temporary bladder tube	34	32	$260.00	$43.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$372.00	$109.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$470.00	$128.31
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	20	11	$313.00	$60.60
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	16	$633.00	$56.87
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	16	12	$153.00	$34.39
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	16	12	$123.00	$34.39
87652 Detection test by nucleic acid for strep (streptococcus, group a), quantification	16	12	$146.00	$40.92
87641 Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique	16	12	$153.00	$34.39
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	16	12	$182.00	$34.39
87481 Detection test for candida species (yeast), amplified probe technique	16	12	$123.00	$34.39
55700 Biopsy of prostate gland	16	16	$775.00	$232.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	621	423	$28.00	$3.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	526	344	$368.00	$127.45
51798 Ultrasound measurement of bladder capacity after voiding	470	313	$97.00	$10.47
99213 Established patient office or other outpatient visit, typically 15 minutes	289	235	$250.00	$89.86
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	108	16	$3675.00	$177.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$565.00	$164.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	82	$150.00	$56.35
36415 Insertion of needle into vein for collection of blood sample	58	34	$20.00	$2.96
52000 Diagnostic exam of bladder and urethra using an endoscope	55	46	$684.00	$251.31
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	54	11	$100.00	$20.49
J0696 Injection, ceftriaxone sodium, per 250 mg	53	20	$36.00	$0.50
81003 Automated urinalysis test	52	51	$16.00	$2.22
51701 Insertion of temporary bladder tube	49	46	$260.00	$44.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	28	$96.00	$14.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	28	$247.00	$70.73
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	44	17	$313.00	$65.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$372.00	$111.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	36	$470.00	$133.59
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	35	18	$145.00	$33.81
55700 Biopsy of prostate gland	28	28	$775.00	$248.34
96413 Infusion of chemotherapy into a vein up to 1 hour	21	13	$707.00	$131.86
76872 Ultrasound scan of pelvic region through rectum	16	16	$431.00	$145.89
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$633.00	$59.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	899	534	$28.00	$3.11
51798 Ultrasound measurement of bladder capacity after voiding	464	304	$97.00	$10.45
99213 Established patient office or other outpatient visit, typically 15 minutes	403	322	$250.00	$91.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	391	282	$368.00	$130.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	256	213	$150.00	$57.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	135	52	$247.00	$72.42
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	131	15	$3675.00	$174.60
81003 Automated urinalysis test	105	85	$16.00	$2.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$565.00	$167.97
52000 Diagnostic exam of bladder and urethra using an endoscope	84	64	$684.00	$241.79
51701 Insertion of temporary bladder tube	81	62	$260.00	$46.88
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	80	16	$160.00	$160.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	51	$470.00	$136.75
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	39	15	$145.00	$31.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	28	$96.00	$14.56
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	30	24	$68.00	$23.59
J0696 Injection, ceftriaxone sodium, per 250 mg	30	26	$36.00	$0.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$372.00	$113.57
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	27	26	$633.00	$60.00
55700 Biopsy of prostate gland	26	26	$775.00	$259.89
76872 Ultrasound scan of pelvic region through rectum	23	22	$431.00	$146.50
51741 Electronic assessment of bladder emptying	22	21	$277.00	$12.63
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$257.00	$73.39
36415 Insertion of needle into vein for collection of blood sample	17	14	$20.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	1,082	607	$28.00	$3.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	577	451	$368.00	$110.80
99213 Established patient office or other outpatient visit, typically 15 minutes	520	310	$250.00	$76.54
51798 Ultrasound measurement of bladder capacity after voiding	454	290	$97.00	$10.56
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	156	19	$3675.00	$217.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	151	63	$247.00	$74.25
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	128	22	$160.00	$158.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$565.00	$166.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	86	76	$470.00	$140.81
51701 Insertion of temporary bladder tube	72	56	$260.00	$45.96
52000 Diagnostic exam of bladder and urethra using an endoscope	57	43	$684.00	$216.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	23	$96.00	$14.67
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	46	19	$145.00	$29.16
81003 Automated urinalysis test	44	38	$16.00	$2.24
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	43	26	$68.00	$23.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	31	$150.00	$46.75
J0696 Injection, ceftriaxone sodium, per 250 mg	25	22	$36.00	$0.57
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	20	$633.00	$59.47
76872 Ultrasound scan of pelvic region through rectum	19	18	$431.00	$150.07
55700 Biopsy of prostate gland	19	19	$775.00	$259.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$372.00	$110.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,625	28	$3.00	$0.11
81001 Manual urinalysis test with examination using microscope, automated	1,347	699	$28.00	$3.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	736	565	$368.00	$109.60
51798 Ultrasound measurement of bladder capacity after voiding	635	389	$97.00	$13.00
99213 Established patient office or other outpatient visit, typically 15 minutes	581	308	$250.00	$75.37
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	186	20	$3675.00	$223.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	171	171	$565.00	$164.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	143	68	$247.00	$73.83
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	129	20	$160.00	$156.80
51701 Insertion of temporary bladder tube	119	94	$260.00	$45.87
36415 Insertion of needle into vein for collection of blood sample	116	93	$20.00	$2.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	88	78	$470.00	$138.83
52000 Diagnostic exam of bladder and urethra using an endoscope	79	61	$684.00	$194.55
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	75	37	$68.00	$23.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	61	$150.00	$45.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	58	28	$96.00	$17.05
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	58	21	$145.00	$31.11
J0696 Injection, ceftriaxone sodium, per 250 mg	31	24	$36.00	$0.59
82565 Blood creatinine level	29	29	$31.00	$5.58
51702 Simple insertion of temporary bladder tube	26	15	$343.00	$63.76
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	22	$633.00	$58.36
81003 Automated urinalysis test	24	23	$16.00	$2.44
55700 Biopsy of prostate gland	23	22	$775.00	$257.33
76872 Ultrasound scan of pelvic region through rectum	22	20	$431.00	$131.80
74178 Ct scan of abdomen and pelvis before and after contrast	20	20	$1413.00	$257.93
51792 Assessment of muscle signal of pelvic nerves	18	18	$747.00	$119.37
51797 Insertion of device into abdomen with pressure and urine flow rate study	18	18	$396.00	$143.49
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	18	18	$1205.00	$370.42
74176 Ct scan of abdomen and pelvis without contrast	13	13	$560.00	$115.60
51703 Complicated insertion of bladder tube	12	12	$550.00	$79.87
51741 Electronic assessment of bladder emptying	12	12	$277.00	$7.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,175	23	$3.00	$0.12
81001 Manual urinalysis test with examination using microscope, automated	1,244	666	$28.00	$3.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,067	634	$368.00	$107.23
51798 Ultrasound measurement of bladder capacity after voiding	695	419	$97.00	$16.02
99213 Established patient office or other outpatient visit, typically 15 minutes	271	199	$250.00	$72.63
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	173	23	$160.00	$156.80
36415 Insertion of needle into vein for collection of blood sample	167	121	$20.00	$2.94
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	166	21	$2544.05	$212.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	145	68	$247.00	$73.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	117	117	$565.00	$162.97
51701 Insertion of temporary bladder tube	103	84	$260.00	$47.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	20	$96.00	$19.96
99221 Initial hospital inpatient care per day, typically 30 minutes	72	67	$348.00	$101.30
52000 Diagnostic exam of bladder and urethra using an endoscope	55	50	$684.00	$162.46
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	50	20	$145.00	$31.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	35	$496.00	$142.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$372.00	$108.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	28	$150.00	$43.70
82565 Blood creatinine level	26	26	$31.00	$5.99
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	15	$68.00	$21.82
51702 Simple insertion of temporary bladder tube	25	16	$343.00	$65.24
52281 Dilation of bladder canal (urethra) using an endoscope	19	15	$1068.00	$270.38
74178 Ct scan of abdomen and pelvis before and after contrast	16	16	$1413.00	$252.24
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$633.00	$55.60
55700 Biopsy of prostate gland	12	12	$775.00	$236.04
76872 Ultrasound scan of pelvic region through rectum	12	12	$431.00	$90.26
51700 Simple bladder irrigation and/or instillation	12	11	$296.00	$72.10
81000 Manual urinalysis test with examination using microscope, non-automated	11	11	$26.00	$3.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,250	24	$3.00	$0.12
81001 Manual urinalysis test with examination using microscope, automated	1,517	766	$28.00	$4.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,253	720	$368.00	$106.90
51798 Ultrasound measurement of bladder capacity after voiding	990	634	$97.00	$19.45
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	251	28	$1226.57	$208.71
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	232	28	$160.00	$156.80
36415 Insertion of needle into vein for collection of blood sample	224	167	$20.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	214	163	$250.00	$72.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	150	73	$247.00	$72.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	134	134	$565.00	$161.49
51701 Insertion of temporary bladder tube	107	88	$260.00	$47.80
99221 Initial hospital inpatient care per day, typically 30 minutes	77	72	$348.00	$101.21
51702 Simple insertion of temporary bladder tube	76	18	$343.00	$63.57
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	76	27	$145.00	$32.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	73	24	$96.00	$25.12
J0696 Injection, ceftriaxone sodium, per 250 mg	60	15	$36.00	$0.65
52000 Diagnostic exam of bladder and urethra using an endoscope	58	48	$684.00	$166.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	37	$496.00	$142.47
82565 Blood creatinine level	35	34	$31.00	$6.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$372.00	$108.00
52281 Dilation of bladder canal (urethra) using an endoscope	21	18	$1068.00	$269.73
76872 Ultrasound scan of pelvic region through rectum	17	16	$431.00	$96.31
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	16	$633.00	$60.84
74178 Ct scan of abdomen and pelvis before and after contrast	17	17	$1413.00	$236.18
55700 Biopsy of prostate gland	16	16	$775.00	$250.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$470.00	$136.79
51703 Complicated insertion of bladder tube	12	12	$550.00	$78.13
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$257.00	$74.93
74176 Ct scan of abdomen and pelvis without contrast	11	11	$560.00	$112.87

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License TX H4762

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

035084503 (TX)

Medicaid State Provider ID

035084501 (TX)

Medicaid State Provider ID

035084502 (TX)

Commercial Insurance / Payer ID United Health

001382060 (TX)

Commercial Insurance / Payer ID Bluecross Blueshield

8A9483 (TX)

Commercial Insurance / Payer ID Cigna

1344721009 (TX)

Commercial Insurance / Payer ID Aetna

0614904 (TX)

Commercial Insurance / Payer ID Rail Road Medicare

340009464 (TX)

Commercial Insurance / Payer ID Railroad Medicare

P01346795 (TX)

Hospital & Practice Group Affiliations

Texas Oncology Pa

2705 Prince George Ave, Desoto, TX 751152045

Phone: 9727800480

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Siddharth Jain , MD

Urology

NPI 1093810632

Doctor of Medicine (M.D.)

Srinath Kotamarti

Urology

NPI 1801281316

Phuong-Thao Chounlamany , PA-C

Physician Assistant

NPI 1871877209

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 30, 2016

Registered at 2705 PRINCE GEORGE AVE, DESOTO, TX 751152045 (Tel: 9727800480)

📍

Updated Business Mailing Address December 30, 2016

Registered at PO BOX 911230, DALLAS, TX 753911230 (Tel: 9729978000)

👤

Provider Name / Credentials Updated December 30, 2016

Recorded as ALLAN VAN HORN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2016

Urology (License #H4762 in TX)

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Initial NPI Registration & Enumeration July 03, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720018120

Entity Type:

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

Enumeration Date: July 03, 2006

Last Update: December 30, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 911230

Dallas, TX 753911230

Phone: 9729978000

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.