Active NPI 1932107844 Individual Practitioner Male Practitioner

Dr. John Joseph Horan , MD

Urology • Berlin, VT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Horan, MD is a certified Urology practicing in Berlin, VT. With approximately 41 years of clinical experience since graduating from University Of Vermont College Of Medicine in 1985, Dr. Horan delivers high-quality medical care to the local community at 130 FISHER RD.

Dr. Horan is affiliated with Central Vermont Medical Center Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

Practice Location & Contact Primary Location

Practice Address

130 Fisher Rd

Berlin, VT 056029516

Telephone 8023714820

Associated Practice Facility / Clinic

🏢 Central Vermont Medical Center Inc Facility NPI 1508845637

Medicare Profile & Education

Medical School

University Of Vermont College Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Berlin, VT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +9.5 yrs vs City Avg

City Avg: 31.5 Yrs

State Avg: 32.3 Yrs

Regional Practice Density

6 Specialists

Practicing in Berlin, VT (38 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

77.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Horan (41 Years) 41 Yrs

Berlin Specialty Average (31.5 Years) 31.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	439	353	$228.44	$92.21
99213 Established patient office or other outpatient visit, typically 15 minutes	215	180	$104.13	$62.41
52000 Diagnostic exam of bladder and urethra using an endoscope	100	80	$205.11	$74.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$228.21	$77.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$436.56	$125.96
55700 Biopsy of prostate gland	23	23	$465.21	$118.48
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$240.62	$77.30
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$99.26	$28.56
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	14	$1705.16	$132.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$325.13	$122.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	299	249	$100.73	$63.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	276	242	$222.53	$93.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$221.31	$79.27
52000 Diagnostic exam of bladder and urethra using an endoscope	88	76	$192.28	$75.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$425.15	$127.85
55700 Biopsy of prostate gland	15	15	$582.83	$118.84
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$133.71	$29.48
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	12	$1214.30	$389.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	11	$319.11	$124.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	418	354	$94.07	$65.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	162	$200.04	$96.43
52000 Diagnostic exam of bladder and urethra using an endoscope	115	89	$165.96	$77.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$206.76	$81.26
52332 Insertion of stent in urinary duct (ureter) using an endoscope	43	21	$1822.52	$159.77
52356 Crushing of stone of ureter with insertion of stent using an endoscope	22	18	$1109.67	$398.53
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	20	19	$490.67	$145.19
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$211.84	$96.76
55700 Biopsy of prostate gland	13	13	$577.60	$125.44
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$71.64	$30.34

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	396	347	$184.94	$98.42
99213 Established patient office or other outpatient visit, typically 15 minutes	337	305	$84.16	$66.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	167	167	$184.57	$82.21
52000 Diagnostic exam of bladder and urethra using an endoscope	124	110	$191.20	$78.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	26	$50.32	$35.55
52332 Insertion of stent in urinary duct (ureter) using an endoscope	43	25	$1733.78	$165.30
51720 Instillation of anti-cancer drug into bladder	34	13	$105.71	$42.82
52356 Crushing of stone of ureter with insertion of stent using an endoscope	30	27	$1111.72	$426.55
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	27	18	$661.26	$240.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	24	$140.45	$70.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	14	$79.41	$37.64
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	22	22	$264.61	$144.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$349.31	$134.06
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$65.77	$30.81
55700 Biopsy of prostate gland	14	14	$246.74	$127.72
52204 Biopsy of the bladder using an endoscope	14	12	$1816.89	$138.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	458	409	$79.95	$51.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	299	269	$157.73	$78.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	203	203	$165.33	$75.05
52000 Diagnostic exam of bladder and urethra using an endoscope	129	117	$396.12	$81.39
52332 Insertion of stent in urinary duct (ureter) using an endoscope	53	36	$1457.45	$158.52
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	26	24	$180.02	$152.04
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	25	18	$624.37	$244.09
52356 Crushing of stone of ureter with insertion of stent using an endoscope	23	22	$1074.97	$432.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	15	$53.40	$25.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	15	$73.97	$39.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	17	$135.79	$72.30
55700 Biopsy of prostate gland	15	15	$161.16	$131.46
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$143.86	$31.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	670	521	$77.01	$50.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	342	320	$112.45	$78.48
52000 Diagnostic exam of bladder and urethra using an endoscope	178	153	$191.07	$81.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	137	137	$113.43	$75.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$173.98	$125.91
51705 Removal of skin suture with change of bladder tube	41	11	$105.75	$52.58
51702 Simple insertion of temporary bladder tube	32	15	$71.73	$25.53
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	16	$1259.22	$163.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	22	$128.92	$72.27
55700 Biopsy of prostate gland	24	22	$384.92	$128.96
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	15	$298.78	$32.28
51703 Complicated insertion of bladder tube	13	13	$230.00	$77.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	421	331	$62.55	$50.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	383	340	$92.16	$77.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$96.67	$75.15
52000 Diagnostic exam of bladder and urethra using an endoscope	112	106	$167.03	$81.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$142.31	$127.40
51702 Simple insertion of temporary bladder tube	27	12	$69.44	$25.86
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	22	$1252.00	$143.76
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	26	24	$229.15	$151.84
74420 Imaging of urinary tract	20	18	$361.00	$17.63
55700 Biopsy of prostate gland	18	18	$306.67	$130.87
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	14	$919.00	$444.79
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	15	12	$599.00	$241.62
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$516.43	$32.31
50590 Shock wave crushing of kidney stones	13	13	$1968.00	$570.92

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	465	346	$85.27	$77.53
99213 Established patient office or other outpatient visit, typically 15 minutes	216	172	$55.10	$49.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	150	149	$145.70	$126.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$86.23	$75.11
52000 Diagnostic exam of bladder and urethra using an endoscope	87	83	$167.03	$102.30
55700 Biopsy of prostate gland	19	19	$346.84	$130.93
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	14	$1252.00	$111.94
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	16	$259.41	$151.40
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	13	$919.00	$415.39
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	13	12	$2931.00	$203.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$150.64	$109.37

Medical Specialties & State Licenses

CMS Verified: 2025-04-04

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License VT 042.0013284

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.

Urology

NUCC Taxonomy Code: 208800000X

State License TX J0966

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

123947705 (TX)

Hospital & Practice Group Affiliations

Central Vermont Medical Center Inc

1311 Barre Montpelier Road, Berlin, VT 05602

Phone: 8022253970

Central Vermont Medical Center Inc

82 E View Lane, Berlin, VT 05602

Phone: 8022251266

Central Vermont Medical Center Inc

246 Granger Rd, Berlin, VT 05602

Central Vermont Medical Center Inc

1311 Barre Montpelier Rd, Berlin, VT 05602

Secondary Practice Locations

1301 W 38th St # 200

Austin, TX 787051000

Phone: 5124775905

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Richard Leidinger , MD

Urology

NPI 1073605994

Doctor of Medicine (M.D.)

Dr. John Dreslin , MD

Urology

NPI 1427021286

Doctor of Medicine (M.D.)

Dr. Michael Cohn , MD

Urology

NPI 1528067063

Doctor of Medicine (M.D.)

Dr. Donald Lynch , MD

Urology

NPI 1811976855

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location April 04, 2025

Registered at 130 FISHER RD, BERLIN, VT 056029516 (Tel: 8023714820)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2025

Urology (License #042.0013284 in VT)

✅

NPI Profile Active July 31, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 31, 2013

Registered at 1301 W 38TH ST # 200, AUSTIN, TX 787051000 (Tel: 5124775905)

📍

Updated Business Mailing Address July 31, 2013

Registered at 1020 W 34TH ST, AUSTIN, TX 787052009 (Tel: 5126871950)

👤

Provider Name / Credentials Updated July 31, 2013

Recorded as JOHN HORAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2013

Urology (License #J0966 in TX)

🟢

Initial NPI Registration & Enumeration July 13, 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: 1932107844

Entity Type:

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

Enumeration Date: July 13, 2005

Last Update: April 04, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1020 W 34th St

Austin, TX 787052009

Phone: 5126871950

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.