Active NPI 1043250533 Individual Practitioner Male Practitioner

Dr. Charles T Dickson , MD

Urology • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Dr. Charles Dickson, MD is a registered healthcare professional specializing in Urology in Tyler, TX. Practice services are available at 700 OLYMPIC PLAZA CIR under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

700 Olympic Plaza Cir
Ste 700

Tyler, TX 757011951

Telephone 9032623900

Fax 9032623993

Associated Practice Facility / Clinic

🏢 Tyler Obstetrics And Gynecology L L P Facility NPI 1265493266

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Tyler, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.2 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

19 Specialists

Practicing in Tyler, TX (1027 Statewide)

Telehealth Adoption Rate

5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

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	816	572	$238.00	$77.67
99213 Established patient office or other outpatient visit, typically 15 minutes	155	120	$160.00	$50.50
52000 Diagnostic exam of bladder and urethra using an endoscope	95	81	$362.00	$80.03
76872 Ultrasound scan of pelvic region through rectum	29	25	$100.00	$32.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	18	$103.00	$38.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	23	$163.00	$70.81
74420 Imaging of urinary tract	26	22	$54.00	$25.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$239.00	$74.27
51741 Electronic assessment of bladder emptying	24	22	$158.00	$6.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$365.00	$127.14
55700 Biopsy of prostate gland	21	21	$395.00	$126.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$322.00	$109.40
84153 Psa (prostate specific antigen) measurement, total	19	19	$75.00	$18.02
51600 Injection procedure for X-ray imaging of the bladder or during voiding	15	15	$140.00	$23.64
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$1317.86	$428.61
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	14	14	$155.00	$19.04
52281 Dilation of bladder canal (urethra) using an endoscope	14	13	$460.00	$150.64
51797 Insertion of device into abdomen with pressure and urine flow rate study	13	13	$152.00	$40.22
74455 Review by radiologist of urinary bladder and urethra images with contrast and after passing urine	13	13	$50.00	$16.16
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	13	13	$317.00	$105.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	9,329	96	$1.90	$0.11
81000 Manual urinalysis test with examination using microscope, non-automated	1,448	777	$25.00	$3.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,093	719	$166.14	$104.60
36415 Insertion of needle into vein for collection of blood sample	877	585	$20.00	$2.93
84153 Psa (prostate specific antigen) measurement, total	656	457	$98.32	$19.97
87088 Bacterial urine culture	599	343	$44.25	$8.80
99213 Established patient office or other outpatient visit, typically 15 minutes	406	237	$112.09	$71.03
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	224	29	$1244.97	$224.60
51798 Ultrasound measurement of bladder capacity after voiding	221	155	$283.44	$11.94
52000 Diagnostic exam of bladder and urethra using an endoscope	160	128	$431.20	$179.98
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	148	111	$36.53	$7.51
87086 Bacterial colony count, urine	148	111	$45.93	$8.79
J0696 Injection, ceftriaxone sodium, per 250 mg	104	44	$25.00	$0.56
84403 Testosterone (hormone) level, total	103	64	$192.23	$28.11
82306 Vitamin d-3 level	97	69	$151.24	$32.23
82565 Blood creatinine level	97	91	$21.19	$5.58
74176 Ct scan of abdomen and pelvis without contrast	85	70	$878.92	$107.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$171.69	$104.21
74178 Ct scan of abdomen and pelvis before and after contrast	78	75	$1075.51	$245.45
84154 Psa (prostate specific antigen) measurement, free	77	62	$147.40	$20.03
84270 Sex hormone binding globulin (protein) level	65	40	$75.00	$23.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	59	50	$83.51	$15.98
83970 Parathormone (parathyroid hormone) level	51	40	$242.59	$44.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	42	$182.16	$101.28
82670 Measurement of total estradiol (hormone)	48	25	$147.19	$30.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	33	$100.06	$37.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	45	$235.32	$138.26
51741 Electronic assessment of bladder emptying	45	38	$180.00	$11.14
81002 Urinalysis, manual test	44	41	$20.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$260.45	$158.59
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	41	28	$284.93	$29.31
74420 Imaging of urinary tract	39	31	$165.03	$25.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	29	$125.00	$69.24
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	32	32	$400.00	$54.85
55700 Biopsy of prostate gland	30	30	$500.90	$241.17
51700 Simple bladder irrigation and/or instillation	29	13	$300.00	$71.56
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	20	$1496.54	$139.41
76872 Ultrasound scan of pelvic region through rectum	25	24	$396.52	$121.82
74170 Ct scan of abdomen before and after contrast	21	20	$1252.52	$186.56
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	19	19	$799.58	$260.11
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	18	$6783.33	$448.58
55876 Placement of device in prostate for radiation therapy	15	15	$867.20	$100.95
52281 Dilation of bladder canal (urethra) using an endoscope	15	15	$984.27	$288.40
74455 Review by radiologist of urinary bladder and urethra images with contrast and after passing urine	14	14	$325.00	$85.43
51797 Insertion of device into abdomen with pressure and urine flow rate study	14	14	$625.00	$132.84
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	14	14	$650.00	$321.45
51600 Injection procedure for X-ray imaging of the bladder or during voiding	14	14	$550.00	$93.41
A4648 Tissue marker, implantable, any type, each	14	14	$1000.00	$166.30
71250 Ct scan of chest without contrast	13	11	$825.00	$64.70
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	13	13	$475.00	$32.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	10,462	100	$2.00	$0.12
81000 Manual urinalysis test with examination using microscope, non-automated	1,618	818	$25.02	$3.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,074	712	$160.00	$103.21
36415 Insertion of needle into vein for collection of blood sample	982	641	$20.08	$2.91
87088 Bacterial urine culture	790	407	$44.94	$9.75
84153 Psa (prostate specific antigen) measurement, total	705	481	$100.00	$22.00
99213 Established patient office or other outpatient visit, typically 15 minutes	572	326	$110.00	$70.20
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	234	27	$1250.00	$214.93
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	212	134	$37.00	$8.34
87086 Bacterial colony count, urine	212	134	$46.00	$9.76
51798 Ultrasound measurement of bladder capacity after voiding	196	147	$300.00	$14.92
52000 Diagnostic exam of bladder and urethra using an endoscope	153	127	$425.00	$156.66
J0696 Injection, ceftriaxone sodium, per 250 mg	132	55	$25.00	$0.62
82565 Blood creatinine level	112	100	$21.00	$6.20
84154 Psa (prostate specific antigen) measurement, free	109	78	$150.00	$22.26
84403 Testosterone (hormone) level, total	107	67	$200.00	$30.65
82306 Vitamin d-3 level	101	77	$150.00	$35.82
74178 Ct scan of abdomen and pelvis before and after contrast	92	84	$1100.00	$233.26
74176 Ct scan of abdomen and pelvis without contrast	89	75	$900.00	$106.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$170.00	$103.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	84	46	$100.00	$38.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	62	$85.00	$19.43
84270 Sex hormone binding globulin (protein) level	70	42	$75.00	$25.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	69	66	$225.00	$138.89
J9031 Bcg (intravesical) per instillation	66	12	$280.00	$135.04
51720 Instillation of anti-cancer drug into bladder	65	12	$310.00	$81.53
83970 Parathormone (parathyroid hormone) level	64	50	$250.00	$49.94
82670 Measurement of total estradiol (hormone)	55	28	$150.00	$32.57
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	55	47	$400.00	$55.90
76872 Ultrasound scan of pelvic region through rectum	46	44	$400.00	$89.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$253.18	$159.00
74420 Imaging of urinary tract	42	34	$160.00	$17.36
51741 Electronic assessment of bladder emptying	42	40	$180.00	$11.44
55700 Biopsy of prostate gland	42	41	$475.00	$241.52
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	37	26	$300.00	$29.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	27	$125.00	$71.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	30	$180.00	$101.76
51700 Simple bladder irrigation and/or instillation	28	14	$300.00	$71.16
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	16	$1656.25	$139.87
76000 Imaging guidance for procedure, 60 minutes or less	24	21	$68.00	$8.58
74455 Review by radiologist of urinary bladder and urethra images with contrast and after passing urine	23	23	$325.00	$77.99
76000 Imaging guidance for procedure, 60 minutes or less	23	23	$275.00	$45.08
51600 Injection procedure for X-ray imaging of the bladder or during voiding	22	22	$550.00	$96.14
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	21	21	$650.00	$306.04
51797 Insertion of device into abdomen with pressure and urine flow rate study	21	21	$625.00	$109.06
P9612 Catheterization for collection of specimen, single patient, all places of service	20	18	$50.00	$2.94
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	19	19	$475.00	$33.54
52005 Insertion of tube into ureter using an endoscope through bladder area	19	17	$750.00	$58.64
74170 Ct scan of abdomen before and after contrast	16	16	$1250.00	$181.14
81002 Urinalysis, manual test	16	16	$20.00	$3.41
52204 Biopsy of the bladder using an endoscope	15	15	$1200.00	$93.33
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$2700.00	$724.31
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	14	$800.00	$238.32
A4648 Tissue marker, implantable, any type, each	12	12	$1000.00	$166.30
55876 Placement of device in prostate for radiation therapy	12	12	$900.00	$133.99
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$6500.00	$414.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	11,440	112	$2.00	$0.12
81000 Manual urinalysis test with examination using microscope, non-automated	1,678	894	$25.00	$4.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,309	795	$160.00	$102.31
36415 Insertion of needle into vein for collection of blood sample	1,053	726	$20.00	$2.92
84153 Psa (prostate specific antigen) measurement, total	772	545	$100.00	$24.55
87088 Bacterial urine culture	747	412	$45.00	$10.82
99213 Established patient office or other outpatient visit, typically 15 minutes	411	295	$110.00	$69.31
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	276	28	$1250.00	$209.54
51798 Ultrasound measurement of bladder capacity after voiding	220	163	$300.00	$17.90
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	216	146	$37.00	$9.23
87086 Bacterial colony count, urine	216	146	$46.00	$10.81
52000 Diagnostic exam of bladder and urethra using an endoscope	186	146	$425.00	$154.22
84403 Testosterone (hormone) level, total	125	80	$200.00	$34.42
82565 Blood creatinine level	124	111	$21.00	$6.89
84154 Psa (prostate specific antigen) measurement, free	113	79	$150.00	$24.73
74178 Ct scan of abdomen and pelvis before and after contrast	102	96	$1100.00	$233.36
74176 Ct scan of abdomen and pelvis without contrast	101	78	$900.00	$103.69
82306 Vitamin d-3 level	100	79	$150.00	$35.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$166.90	$103.22
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	85	16	$325.00	$119.75
84270 Sex hormone binding globulin (protein) level	83	54	$75.00	$29.21
J0696 Injection, ceftriaxone sodium, per 250 mg	80	35	$25.00	$0.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	72	38	$100.00	$38.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	71	46	$85.00	$23.69
83970 Parathormone (parathyroid hormone) level	71	51	$248.59	$54.84
51720 Instillation of anti-cancer drug into bladder	63	11	$310.00	$84.14
J9031 Bcg (intravesical) per instillation	63	11	$280.00	$126.53
82670 Measurement of total estradiol (hormone)	61	36	$150.00	$37.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	54	$225.00	$138.68
81002 Urinalysis, manual test	52	44	$20.00	$3.43
90911 Biofeedback training, perineal muscles, anorectal or urethral sphincter	48	14	$210.00	$80.38
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	46	28	$300.00	$30.57
51741 Electronic assessment of bladder emptying	44	38	$178.52	$11.69
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	32	27	$400.00	$57.61
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	31	22	$800.00	$230.54
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	19	$1603.45	$123.78
76000 Imaging guidance for procedure, 60 minutes or less	26	22	$68.00	$8.54
74420 Imaging of urinary tract	25	22	$160.00	$17.26
55700 Biopsy of prostate gland	24	24	$475.00	$236.84
76872 Ultrasound scan of pelvic region through rectum	24	24	$400.00	$90.18
52356 Crushing of stone of ureter with insertion of stent using an endoscope	23	18	$6573.91	$386.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	21	$125.00	$70.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$250.00	$157.06
P9612 Catheterization for collection of specimen, single patient, all places of service	20	17	$50.00	$2.94
74170 Ct scan of abdomen before and after contrast	16	14	$1250.00	$177.70
76000 Imaging guidance for procedure, 60 minutes or less	15	14	$275.00	$44.26
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	15	14	$466.67	$30.90
51797 Insertion of device into abdomen with pressure and urine flow rate study	15	14	$597.33	$98.97
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	15	14	$606.67	$278.55
51600 Injection procedure for X-ray imaging of the bladder or during voiding	14	14	$550.00	$92.74
74455 Review by radiologist of urinary bladder and urethra images with contrast and after passing urine	14	14	$325.00	$76.49
52281 Dilation of bladder canal (urethra) using an endoscope	14	12	$975.00	$234.51
52204 Biopsy of the bladder using an endoscope	13	13	$1200.00	$102.22
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$118.33	$71.31
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	12	11	$3500.00	$123.39

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License TX H7288

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

125213201 (TX)

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Steven Lomax , MD

Urology

NPI 1003263328

Doctor of Medicine (M.D.)

Dr. Joseph Decarlo , MD

Urology

NPI 1013954809

Doctor of Medicine (M.D.)

Dr. Clark Wilson , MD

Urology

NPI 1083963334

Doctor of Medicine (M.D.)

Dr. Robert Williams , DO

Urology

NPI 1144269697

Doctor of Osteopathic Medicine (D.O.)

Dr. Stanton Champion , MD

Urology

NPI 1174563639

Doctor of Medicine (M.D.)

Paola Mwenentanda , NP

Nurse Practitioner

NPI 1285506295

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 14, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 14, 2013

Registered at 700 OLYMPIC PLAZA CIR, STE 700, TYLER, TX 757011951 (Tel: 9032623900)

📍

Updated Business Mailing Address August 14, 2013

Registered at 700 OLYMPIC PLAZA CIR, STE 700, TYLER, TX 757011951 (Tel: 9032623900)

👤

Provider Name / Credentials Updated August 14, 2013

Recorded as CHARLES DICKSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2013

Urology (License #H7288 in TX)

🟢

Initial NPI Registration & Enumeration June 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Charles Dickson. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1043250533

Entity Type:

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

Enumeration Date: June 07, 2006

Last Update: August 14, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

700 Olympic Plaza Cir, Ste 700

Tyler, TX 757011951

Phone: 9032623900

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.