Active NPI 1326261637 Individual Practitioner Male Practitioner

Dr. David D Vance , MD

Urology • Richland, WA

Professional Overview & Biography Verified Profile Summary

Dr. David Vance, MD is a certified Urology practicing in Richland, WA. With approximately 21 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 2005, Dr. Vance delivers high-quality medical care to the local community at 948 STEVENS DR STE A.

Dr. Vance does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, manual urinalysis test with examination using microscope, non-automated, 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

948 Stevens Dr Ste A

Richland, WA 993523547

Telephone 5099465150

Fax 5099466547

Associated Practice Facility / Clinic

🏢 Fred M Foss, Md Facility NPI 1154393106

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

2005

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Richland, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +1.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

7 Specialists

Practicing in Richland, WA (351 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vance (21 Years) 21 Yrs

Richland Specialty Average (20.0 Years) 20.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	733	537	$114.21	$85.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	409	269	$170.29	$121.10
81000 Manual urinalysis test with examination using microscope, non-automated	329	226	$12.00	$3.92
51798 Ultrasound measurement of bladder capacity after voiding	218	194	$40.00	$10.84
52000 Diagnostic exam of bladder and urethra using an endoscope	184	143	$320.48	$228.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	127	127	$250.00	$155.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	95	90	$71.73	$53.79
51702 Simple insertion of temporary bladder tube	56	21	$150.00	$58.52
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	49	38	$40.00	$22.34
51797 Insertion of device into abdomen with pressure and urine flow rate study	37	20	$249.78	$107.86
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	37	20	$388.12	$202.81
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	37	20	$81.46	$16.33
51701 Insertion of temporary bladder tube	35	23	$150.00	$42.30
51705 Removal of skin suture with change of bladder tube	33	12	$225.00	$92.88
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	28	27	$666.81	$303.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$141.41	$105.55
52356 Crushing of stone of ureter with insertion of stent using an endoscope	23	20	$1085.74	$380.13
51700 Simple bladder irrigation and/or instillation	21	19	$197.81	$69.56
76872 Ultrasound scan of pelvic region through rectum	21	21	$261.19	$133.20
55700 Biopsy of prostate gland	20	20	$307.89	$228.73
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	13	$791.14	$160.48
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$2030.92	$634.90

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	972	577	$167.68	$120.88
81000 Manual urinalysis test with examination using microscope, non-automated	606	456	$12.00	$3.90
51798 Ultrasound measurement of bladder capacity after voiding	433	351	$37.20	$10.38
99213 Established patient office or other outpatient visit, typically 15 minutes	413	340	$121.45	$85.83
52000 Diagnostic exam of bladder and urethra using an endoscope	199	155	$330.91	$233.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	188	188	$239.94	$157.63
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	81	15	$300.00	$166.71
51705 Removal of skin suture with change of bladder tube	74	16	$220.71	$92.83
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	63	47	$40.00	$22.44
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	34	20	$81.46	$20.17
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	34	20	$388.12	$259.68
51797 Insertion of device into abdomen with pressure and urine flow rate study	34	20	$249.78	$142.85
52356 Crushing of stone of ureter with insertion of stent using an endoscope	33	22	$1000.00	$376.93
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	33	24	$433.30	$307.74
51702 Simple insertion of temporary bladder tube	32	14	$142.79	$59.47
76872 Ultrasound scan of pelvic region through rectum	30	30	$239.48	$133.49
51701 Insertion of temporary bladder tube	30	21	$135.00	$42.66
55700 Biopsy of prostate gland	29	29	$344.01	$231.87
51700 Simple bladder irrigation and/or instillation	24	20	$167.38	$73.62
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	18	$676.66	$162.82
51741 Electronic assessment of bladder emptying	22	17	$17.78	$4.24
52287 Exam with injections of chemical for destruction of bladder using an endoscope	20	13	$500.01	$156.66
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$1550.00	$680.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$212.50	$170.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$154.93	$106.73

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	789	497	$170.50	$122.98
81000 Manual urinalysis test with examination using microscope, non-automated	735	577	$12.01	$3.94
51798 Ultrasound measurement of bladder capacity after voiding	579	467	$40.00	$10.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	339	338	$250.00	$159.42
99213 Established patient office or other outpatient visit, typically 15 minutes	311	237	$135.51	$87.06
52000 Diagnostic exam of bladder and urethra using an endoscope	172	142	$375.00	$240.04
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	98	18	$300.00	$162.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$179.16	$107.77
81001 Manual urinalysis test with examination using microscope, automated	41	39	$20.00	$3.17
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	30	13	$40.00	$22.48
51702 Simple insertion of temporary bladder tube	28	13	$155.00	$60.94
55700 Biopsy of prostate gland	23	23	$445.00	$230.47
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	23	21	$520.00	$316.74
76872 Ultrasound scan of pelvic region through rectum	23	22	$185.00	$128.01
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	20	11	$65.00	$32.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,400	12	$20.45	$6.06
99213 Established patient office or other outpatient visit, typically 15 minutes	739	516	$174.57	$91.14
51798 Ultrasound measurement of bladder capacity after voiding	478	341	$79.31	$10.35
81003 Automated urinalysis test	461	301	$10.00	$2.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	197	$218.79	$128.99
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	166	24	$2524.88	$188.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$292.15	$166.24
52000 Diagnostic exam of bladder and urethra using an endoscope	102	89	$352.94	$239.66
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	43	24	$62.71	$33.43
51701 Insertion of temporary bladder tube	41	18	$163.41	$46.73
51703 Complicated insertion of bladder tube	40	12	$222.75	$152.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	39	$152.00	$56.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$200.00	$113.43
51702 Simple insertion of temporary bladder tube	20	16	$130.30	$65.49
51700 Simple bladder irrigation and/or instillation	15	14	$142.33	$78.22
76872 Ultrasound scan of pelvic region through rectum	14	14	$326.43	$144.20
52287 Exam with injections of chemical for destruction of bladder using an endoscope	14	12	$1217.00	$399.68
55700 Biopsy of prostate gland	13	13	$829.15	$257.04
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$417.54	$300.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,601	14	$20.45	$6.07
99213 Established patient office or other outpatient visit, typically 15 minutes	814	537	$175.12	$74.98
81003 Automated urinalysis test	465	334	$9.60	$2.23
51798 Ultrasound measurement of bladder capacity after voiding	346	256	$84.00	$10.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	144	$225.00	$107.93
52000 Diagnostic exam of bladder and urethra using an endoscope	149	126	$350.00	$213.54
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	120	18	$2524.88	$220.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$305.00	$163.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	77	$152.00	$45.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$200.00	$108.67
51703 Complicated insertion of bladder tube	55	13	$220.00	$143.29
51701 Insertion of temporary bladder tube	44	19	$165.00	$45.80
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	38	18	$62.71	$32.17
81002 Urinalysis, manual test	31	12	$17.30	$3.45
76872 Ultrasound scan of pelvic region through rectum	29	27	$350.00	$147.05
55700 Biopsy of prostate gland	22	22	$899.00	$254.80
51702 Simple insertion of temporary bladder tube	21	17	$129.00	$62.73
52287 Exam with injections of chemical for destruction of bladder using an endoscope	21	14	$1217.00	$368.96
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	12	$75.00	$23.49
51700 Simple bladder irrigation and/or instillation	17	13	$140.00	$76.77
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	17	17	$1520.00	$748.65
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$116.00	$58.54
54235 Injection procedure to induce erection	15	12	$225.00	$72.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$295.00	$147.40
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	13	$409.00	$278.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,303	13	$23.09	$6.02
99213 Established patient office or other outpatient visit, typically 15 minutes	891	578	$174.56	$74.50
81002 Urinalysis, manual test	319	201	$17.30	$3.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	313	230	$224.58	$107.44
51798 Ultrasound measurement of bladder capacity after voiding	250	201	$106.85	$12.93
52000 Diagnostic exam of bladder and urethra using an endoscope	184	155	$350.00	$191.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	143	143	$305.00	$164.80
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	119	19	$2464.66	$208.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	73	$150.95	$45.82
51720 Instillation of anti-cancer drug into bladder	71	11	$190.00	$86.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$198.59	$107.23
81003 Automated urinalysis test	61	52	$5.63	$2.44
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	52	18	$71.53	$29.69
51701 Insertion of temporary bladder tube	31	11	$165.00	$44.29
76872 Ultrasound scan of pelvic region through rectum	30	30	$350.00	$126.82
51700 Simple bladder irrigation and/or instillation	30	22	$136.50	$72.31
51703 Complicated insertion of bladder tube	29	11	$220.00	$136.19
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	28	17	$736.96	$337.06
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	28	17	$164.46	$34.24
51797 Insertion of device into abdomen with pressure and urine flow rate study	27	17	$268.33	$139.22
51741 Electronic assessment of bladder emptying	27	17	$39.39	$7.27
55700 Biopsy of prostate gland	25	24	$899.00	$246.47
52356 Crushing of stone of ureter with insertion of stent using an endoscope	23	17	$995.00	$424.37
51702 Simple insertion of temporary bladder tube	22	16	$111.55	$63.60
52287 Exam with injections of chemical for destruction of bladder using an endoscope	21	14	$1100.29	$348.07
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	20	20	$406.50	$251.09
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$457.33	$54.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$295.00	$147.60
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$1520.00	$697.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	834	539	$170.00	$73.05
81002 Urinalysis, manual test	722	447	$17.30	$3.39
51798 Ultrasound measurement of bladder capacity after voiding	489	355	$168.00	$16.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	323	249	$220.00	$107.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	191	191	$305.00	$164.27
52000 Diagnostic exam of bladder and urethra using an endoscope	128	118	$350.00	$167.35
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	126	16	$2524.88	$209.69
51702 Simple insertion of temporary bladder tube	67	25	$65.00	$63.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$190.00	$108.21
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	36	16	$78.00	$29.93
51700 Simple bladder irrigation and/or instillation	33	29	$105.00	$71.30
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	18	$75.00	$21.00
76872 Ultrasound scan of pelvic region through rectum	22	22	$350.00	$98.10
55700 Biopsy of prostate gland	22	22	$328.00	$253.69
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	21	13	$371.19	$159.61
51797 Insertion of device into abdomen with pressure and urine flow rate study	21	13	$135.95	$57.28
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	21	13	$232.38	$18.71
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	20	$849.45	$60.47
51741 Electronic assessment of bladder emptying	20	13	$21.52	$4.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$130.00	$44.15
88112 Cell examination of specimen, selective cellular enhancement technique	14	13	$104.00	$40.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	814	452	$137.04	$71.99
81002 Urinalysis, manual test	620	342	$17.29	$3.40
51798 Ultrasound measurement of bladder capacity after voiding	416	288	$168.00	$19.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	161	$192.41	$106.29
52000 Diagnostic exam of bladder and urethra using an endoscope	164	139	$350.00	$163.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	152	152	$304.16	$160.60
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	132	16	$2524.88	$208.85
51702 Simple insertion of temporary bladder tube	56	20	$163.43	$63.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$187.71	$106.90
51700 Simple bladder irrigation and/or instillation	51	30	$105.00	$63.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	40	$83.75	$43.33
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	40	16	$78.00	$32.63
55700 Biopsy of prostate gland	25	25	$328.00	$248.29
76872 Ultrasound scan of pelvic region through rectum	25	25	$350.00	$96.05
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	24	$711.25	$60.45
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	20	16	$55.88	$20.21
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	20	19	$359.00	$243.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$270.00	$143.53
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	17	15	$849.06	$122.83
50430 Injection procedure for x-ray imaging of kidney and urinary duct (ureter) using imaging guidance including radiological supervision and interpretation	17	13	$745.59	$107.45
51741 Electronic assessment of bladder emptying	17	11	$22.15	$4.40
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	17	11	$429.41	$180.30
51797 Insertion of device into abdomen with pressure and urine flow rate study	17	11	$156.18	$63.85
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	17	11	$259.71	$19.28
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	16	16	$2019.75	$763.36
88112 Cell examination of specimen, selective cellular enhancement technique	15	13	$104.00	$39.60
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	14	14	$895.00	$303.38
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$993.86	$416.97

Medical Specialties & State Licenses

CMS Verified: 2026-05-06

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WA MD60192684

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

1004376 (WA)

Secondary Practice Locations

888 Swift Blvd

Richland, WA 993523514

Phone: 5099464611

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Fred Foss , MD

Urology

NPI 1437143179

Doctor of Medicine (M.D.)

Dr. Naeem Chavla , MD

Urology

NPI 1528090032

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location December 22, 2021

Registered at 948 STEVENS DR STE A, RICHLAND, WA 993523547 (Tel: 5099465150)

📍

Updated Business Mailing Address December 22, 2021

Registered at 948 STEVENS DR STE A, RICHLAND, WA 993523547 (Tel: 5099465150)

📍

Updated Business Mailing Address August 03, 2020

Registered at 520 N 4TH AVE STE 240, PASCO, WA 993015257 (Tel: 5094168849)

✅

NPI Profile Active January 30, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 30, 2014

Registered at 1200 N 14TH AVE, SUITE 240, PASCO, WA 993014182 (Tel: 5095451897)

📍

Updated Business Mailing Address January 30, 2014

Registered at 1200 N 14TH AVE, SUITE 240, PASCO, WA 993014182 (Tel: 5095451897)

👤

Provider Name / Credentials Updated January 30, 2014

Recorded as DAVID VANCE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2014

Urology (License #MD60192684 in WA)

🟢

Initial NPI Registration & Enumeration April 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1326261637

Entity Type:

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

Enumeration Date: April 11, 2007

Last Update: May 06, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

948 Stevens Dr Ste A

Richland, WA 993523547

Phone: 5099465150

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.