Active NPI 1013913938 Individual Practitioner Male Practitioner

Dr. Anthony Paul Caruso , MD

Urology • Federal Way, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Caruso, MD is a certified Urology practicing in Federal Way, WA. With approximately 32 years of clinical experience since graduating from University Of Washington School Of Medicine in 1994, Dr. Caruso delivers high-quality medical care to the local community at 34612 6TH AVE S.

Dr. Caruso maintains professional affiliations with Surgical Associates Northwest Pc, Providence Health And Services Washington, Franciscan Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

34612 6th Ave S
Suite 210

Federal Way, WA 980038723

Telephone 2539271882

Fax 2539271439

Associated Practice Facility / Clinic

🏢 Surgical Associates Northwest, Pc Facility NPI 1629016555

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Federal Way, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +6.7 yrs vs City Avg

City Avg: 25.3 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Federal Way, WA (351 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Caruso (32 Years) 32 Yrs

Federal Way Specialty Average (25.3 Years) 25.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	471	252	$200.00	$139.25
81003 Automated urinalysis test	465	313	$15.00	$2.17
36415 Insertion of needle into vein for collection of blood sample	408	268	$15.00	$8.57
84153 Psa (prostate specific antigen) measurement, total	400	261	$50.00	$17.87
51798 Ultrasound measurement of bladder capacity after voiding	276	205	$50.00	$13.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	227	202	$250.55	$196.13
51741 Electronic assessment of bladder emptying	199	160	$150.00	$15.37
81001 Manual urinalysis test with examination using microscope, automated	125	83	$15.00	$3.09
99213 Established patient office or other outpatient visit, typically 15 minutes	68	61	$135.00	$100.11
52000 Diagnostic exam of bladder and urethra using an endoscope	47	41	$395.00	$271.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$375.00	$229.33
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	30	22	$50.00	$26.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$365.00	$181.46
50590 Shock wave crushing of kidney stones	23	23	$1576.96	$646.81
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	13	$1013.33	$124.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	490	345	$15.00	$2.17
84153 Psa (prostate specific antigen) measurement, total	426	299	$50.00	$17.80
36415 Insertion of needle into vein for collection of blood sample	425	299	$15.00	$8.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	423	255	$200.00	$140.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	306	259	$237.16	$195.45
51798 Ultrasound measurement of bladder capacity after voiding	233	200	$50.00	$12.89
81001 Manual urinalysis test with examination using microscope, automated	144	100	$15.00	$3.05
51741 Electronic assessment of bladder emptying	131	120	$150.00	$15.43
52000 Diagnostic exam of bladder and urethra using an endoscope	63	53	$395.00	$278.36
99213 Established patient office or other outpatient visit, typically 15 minutes	61	53	$135.00	$99.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$375.00	$243.18
51725 Simple measurement of pressure of urine flow in bladder	34	23	$400.00	$258.18
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	29	26	$50.00	$26.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$365.00	$186.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	604	413	$15.00	$2.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	537	296	$200.00	$140.11
36415 Insertion of needle into vein for collection of blood sample	487	321	$15.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	468	309	$50.00	$17.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	297	258	$225.00	$196.98
51798 Ultrasound measurement of bladder capacity after voiding	283	226	$50.00	$12.50
51741 Electronic assessment of bladder emptying	212	184	$150.00	$15.15
81001 Manual urinalysis test with examination using microscope, automated	152	89	$15.00	$3.13
99213 Established patient office or other outpatient visit, typically 15 minutes	135	106	$135.00	$100.36
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	114	17	$625.00	$177.10
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	76	54	$50.20	$26.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	68	68	$375.00	$239.79
52000 Diagnostic exam of bladder and urethra using an endoscope	64	51	$395.00	$278.72
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	35	18	$50.00	$38.79
51725 Simple measurement of pressure of urine flow in bladder	30	20	$400.00	$257.34
50590 Shock wave crushing of kidney stones	25	24	$1562.40	$632.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	24	$365.00	$210.11
76872 Ultrasound scan of pelvic region through rectum	22	22	$200.00	$159.70
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	17	$470.00	$372.14
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$175.00	$61.38
55700 Biopsy of prostate gland	12	12	$420.00	$258.16
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$1645.00	$776.42
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$877.50	$372.84
52332 Insertion of stent in urinary duct (ureter) using an endoscope	11	11	$332.73	$100.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	668	424	$15.00	$2.23
36415 Insertion of needle into vein for collection of blood sample	491	325	$15.00	$2.98
84153 Psa (prostate specific antigen) measurement, total	475	320	$50.00	$18.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	448	267	$200.00	$142.55
51798 Ultrasound measurement of bladder capacity after voiding	366	275	$50.00	$12.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	300	263	$225.00	$198.58
51741 Electronic assessment of bladder emptying	286	236	$150.00	$15.28
99213 Established patient office or other outpatient visit, typically 15 minutes	222	162	$135.00	$101.04
81001 Manual urinalysis test with examination using microscope, automated	171	113	$15.00	$3.17
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	97	65	$50.00	$26.36
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	81	15	$625.00	$174.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	79	79	$375.00	$241.23
52000 Diagnostic exam of bladder and urethra using an endoscope	66	52	$395.00	$273.31
51725 Simple measurement of pressure of urine flow in bladder	34	27	$400.00	$268.75
50590 Shock wave crushing of kidney stones	26	24	$1502.31	$646.29
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	26	15	$50.00	$38.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	24	$365.00	$213.78
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	21	$332.73	$105.58
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	15	$470.00	$362.57
76872 Ultrasound scan of pelvic region through rectum	15	13	$200.00	$165.75
55700 Biopsy of prostate gland	11	11	$420.00	$288.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	596	367	$15.00	$2.20
36415 Insertion of needle into vein for collection of blood sample	489	309	$15.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	482	304	$50.00	$18.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	382	211	$200.00	$117.03
51798 Ultrasound measurement of bladder capacity after voiding	367	265	$50.00	$12.01
99213 Established patient office or other outpatient visit, typically 15 minutes	310	201	$135.00	$82.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	282	251	$225.00	$156.83
51741 Electronic assessment of bladder emptying	277	219	$150.00	$15.54
81001 Manual urinalysis test with examination using microscope, automated	210	116	$15.00	$3.15
52000 Diagnostic exam of bladder and urethra using an endoscope	64	53	$395.00	$232.43
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	53	37	$50.00	$25.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$375.00	$220.80
76872 Ultrasound scan of pelvic region through rectum	23	21	$188.70	$166.40
50590 Shock wave crushing of kidney stones	17	14	$1395.00	$628.05
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$175.00	$62.25
51725 Simple measurement of pressure of urine flow in bladder	15	11	$400.00	$243.65
55700 Biopsy of prostate gland	12	12	$420.00	$281.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$365.00	$217.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	726	434	$15.00	$2.40
36415 Insertion of needle into vein for collection of blood sample	605	363	$15.00	$2.88
84153 Psa (prostate specific antigen) measurement, total	604	361	$50.00	$19.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	469	280	$200.00	$116.41
51798 Ultrasound measurement of bladder capacity after voiding	442	313	$50.00	$14.52
51741 Electronic assessment of bladder emptying	355	263	$150.00	$15.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	309	268	$225.00	$155.05
99213 Established patient office or other outpatient visit, typically 15 minutes	275	189	$135.00	$80.80
81001 Manual urinalysis test with examination using microscope, automated	156	93	$15.00	$3.39
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	116	13	$625.00	$225.84
52000 Diagnostic exam of bladder and urethra using an endoscope	73	54	$395.00	$205.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	54	54	$375.00	$219.78
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	44	35	$41.14	$25.35
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	28	13	$50.00	$34.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$365.00	$214.47
76872 Ultrasound scan of pelvic region through rectum	21	21	$180.00	$139.44
52240 Destruction and/or removal of large growth of bladder using an endoscope	20	11	$765.00	$414.81
51725 Simple measurement of pressure of urine flow in bladder	20	17	$400.00	$225.10
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	17	$175.00	$60.13
55700 Biopsy of prostate gland	14	14	$420.00	$278.46
50590 Shock wave crushing of kidney stones	13	13	$1609.62	$670.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$350.00	$177.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	731	445	$15.00	$2.68
36415 Insertion of needle into vein for collection of blood sample	589	363	$15.00	$2.90
84153 Psa (prostate specific antigen) measurement, total	570	352	$50.00	$21.88
51798 Ultrasound measurement of bladder capacity after voiding	509	352	$50.00	$18.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	452	267	$200.00	$115.31
51741 Electronic assessment of bladder emptying	402	295	$150.00	$16.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	318	286	$225.00	$156.35
99213 Established patient office or other outpatient visit, typically 15 minutes	312	190	$135.00	$78.20
81001 Manual urinalysis test with examination using microscope, automated	191	109	$15.00	$3.82
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	100	14	$625.00	$215.44
52000 Diagnostic exam of bladder and urethra using an endoscope	87	69	$395.00	$182.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	58	58	$375.00	$218.86
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	48	30	$40.00	$23.99
51725 Simple measurement of pressure of urine flow in bladder	35	21	$400.00	$210.57
76872 Ultrasound scan of pelvic region through rectum	32	31	$180.00	$108.50
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	25	15	$50.00	$31.71
55700 Biopsy of prostate gland	22	21	$420.00	$277.30
52240 Destruction and/or removal of large growth of bladder using an endoscope	20	14	$765.00	$419.67
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	17	$175.00	$65.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$365.00	$214.74
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$470.00	$271.31
50590 Shock wave crushing of kidney stones	12	11	$1627.50	$625.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	625	420	$15.00	$2.95
36415 Insertion of needle into vein for collection of blood sample	549	365	$15.00	$2.88
84153 Psa (prostate specific antigen) measurement, total	539	363	$50.00	$24.23
51798 Ultrasound measurement of bladder capacity after voiding	529	374	$50.00	$20.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	490	296	$200.00	$108.79
51741 Electronic assessment of bladder emptying	425	321	$150.00	$15.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	282	259	$225.00	$145.13
99213 Established patient office or other outpatient visit, typically 15 minutes	261	179	$135.00	$72.55
81001 Manual urinalysis test with examination using microscope, automated	164	108	$15.00	$4.16
52000 Diagnostic exam of bladder and urethra using an endoscope	72	66	$395.00	$166.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	46	46	$375.00	$207.92
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	29	$40.00	$20.67
51725 Simple measurement of pressure of urine flow in bladder	29	22	$400.00	$186.65
50590 Shock wave crushing of kidney stones	23	18	$1576.96	$590.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	21	$365.00	$185.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$100.00	$45.26
76872 Ultrasound scan of pelvic region through rectum	13	13	$180.00	$100.78
81002 Urinalysis, manual test	12	12	$15.00	$3.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$350.00	$153.70

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WA MD00038407

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

7125081 (WA)

Commercial Insurance / Payer ID Group Npi

1427128198 (WA)

Hospital & Practice Group Affiliations

Providence Health And Services Washington

149 Lilly Rd Ne, Olympia, WA 985065028

Phone: 3604866772

Surgical Associates Northwest Pc

34612 6th Ave S, Federal Way, WA 980038723

Phone: 2539271882

Franciscan Medical Group

1950 Nw Myhre Rd, Silverdale, WA 983837662

Phone: 5602404000

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Ken Haberman , MD

Urology

NPI 1225290489

Doctor of Medicine (M.D.)

Bailey Stephenson

Nurse Practitioner - Family

NPI 1720661580

Dr. Kevin Ward , MD

Urology

NPI 1821092339

Doctor of Medicine (M.D.)

Lachelle Drollman , NP

Nurse Practitioner - Family

NPI 1891091401

Nurse Practitioner

Dr. Stephen King , MD

Urology

NPI 1891897468

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 28, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 28, 2007

Registered at 34612 6TH AVE S, SUITE 210, FEDERAL WAY, WA 980038723 (Tel: 2539271882)

📍

Updated Business Mailing Address November 28, 2007

Registered at 34612 6TH AVE S, SUITE 110, FEDERAL WAY, WA 980038723 (Tel: 2539271882)

👤

Provider Name / Credentials Updated November 28, 2007

Recorded as ANTHONY CARUSO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2007

Urology (License #MD00038407 in WA)

🟢

Initial NPI Registration & Enumeration June 24, 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: 1013913938

Entity Type:

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

Enumeration Date: June 24, 2005

Last Update: November 28, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

34612 6th Ave S, Suite 110

Federal Way, WA 980038723

Phone: 2539271882

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.