Active NPI 1740273390 Individual Practitioner Male Practitioner

Dr. James A Wright , MD

Urology • Fond Du Lac, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Wright, MD is a certified Urology practicing in Fond Du Lac, WI. With approximately 40 years of clinical experience since graduating from Medical College Of Wisconsin in 1986, Dr. Wright delivers high-quality medical care to the local community at 420 E DIVISION ST.

Dr. Wright is affiliated with Agnesian Healthcare Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, simple insertion of temporary bladder tube, 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

420 E Division St

Fond Du Lac, WI 549354560

Telephone 9209268495

Associated Practice Facility / Clinic

🏢 Agnesian Healthcare Inc Facility NPI 1730162991

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Fond Du Lac, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +11.0 yrs vs City Avg

City Avg: 29.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

6 Specialists

Practicing in Fond Du Lac, WI (278 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wright (40 Years) 40 Yrs

Fond Du Lac Specialty Average (29.0 Years) 29.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	151	$243.02	$89.76
99213 Established patient office or other outpatient visit, typically 15 minutes	178	141	$126.81	$61.09
51702 Simple insertion of temporary bladder tube	53	11	$240.25	$22.72
51798 Ultrasound measurement of bladder capacity after voiding	52	40	$158.73	$10.43
99213 Established patient office or other outpatient visit, typically 15 minutes	40	31	$249.00	$85.14
52000 Diagnostic exam of bladder and urethra using an endoscope	36	29	$472.83	$72.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	27	$361.00	$120.47
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	17	17	$90.00	$15.42
76872 Ultrasound scan of pelvic region through rectum	12	12	$515.20	$30.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	315	222	$157.00	$10.09
99213 Established patient office or other outpatient visit, typically 15 minutes	266	202	$236.92	$85.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	253	211	$341.33	$121.79
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	210	22	$2316.00	$169.57
51702 Simple insertion of temporary bladder tube	99	27	$470.00	$58.42
52000 Diagnostic exam of bladder and urethra using an endoscope	66	57	$1058.00	$226.47
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	33	23	$231.00	$32.40
51741 Electronic assessment of bladder emptying	27	26	$641.00	$10.72
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	14	$3183.41	$155.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$520.00	$171.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$519.53	$158.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$359.00	$106.24
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$2360.00	$304.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	283	218	$227.00	$86.39
51798 Ultrasound measurement of bladder capacity after voiding	216	164	$153.00	$9.88
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	213	23	$2316.00	$175.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	181	$323.00	$122.64
51702 Simple insertion of temporary bladder tube	101	26	$459.00	$59.40
52000 Diagnostic exam of bladder and urethra using an endoscope	62	50	$1032.00	$235.60
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	37	22	$225.00	$31.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$497.00	$159.89
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	17	$2959.20	$136.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$506.00	$173.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$349.00	$103.09
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	11	$8301.00	$388.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$160.00	$54.03
51741 Electronic assessment of bladder emptying	12	12	$626.00	$12.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	329	237	$218.92	$87.13
51798 Ultrasound measurement of bladder capacity after voiding	225	156	$150.00	$9.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	170	$314.00	$124.19
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	174	20	$2288.62	$180.00
52000 Diagnostic exam of bladder and urethra using an endoscope	70	60	$1009.00	$226.13
51702 Simple insertion of temporary bladder tube	67	24	$448.88	$61.75
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	34	21	$219.00	$31.33
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	16	$2526.86	$115.52
51741 Electronic assessment of bladder emptying	20	20	$608.00	$10.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$155.00	$54.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$477.00	$161.15
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$2251.00	$302.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$491.00	$171.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	314	222	$212.00	$72.23
51798 Ultrasound measurement of bladder capacity after voiding	232	170	$148.00	$9.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	195	$308.00	$105.23
J3315 Injection, triptorelin pamoate, 3.75 mg	126	15	$1445.46	$329.98
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	124	15	$3508.86	$213.17
52000 Diagnostic exam of bladder and urethra using an endoscope	70	55	$994.00	$198.49
51702 Simple insertion of temporary bladder tube	58	24	$440.00	$59.66
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	47	25	$215.00	$30.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$332.00	$101.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$468.00	$150.67
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$212.00	$72.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	465	304	$205.89	$71.58
51798 Ultrasound measurement of bladder capacity after voiding	297	200	$146.02	$12.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	241	202	$298.93	$104.42
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	120	13	$2087.29	$216.73
52000 Diagnostic exam of bladder and urethra using an endoscope	105	81	$965.19	$178.44
51702 Simple insertion of temporary bladder tube	57	26	$427.07	$60.28
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	44	26	$208.73	$29.67
51741 Electronic assessment of bladder emptying	42	38	$581.50	$11.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$321.00	$103.05
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	20	$2460.38	$128.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	24	$148.07	$43.60
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$2157.00	$261.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$451.25	$158.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$466.00	$135.34
74021 X-ray of abdomen, minimum of 3 views	14	14	$115.50	$13.41
76872 Ultrasound scan of pelvic region through rectum	13	13	$1150.46	$111.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	482	309	$197.85	$69.49
51798 Ultrasound measurement of bladder capacity after voiding	299	197	$144.00	$15.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	259	212	$289.37	$102.61
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	156	17	$1511.64	$212.04
52000 Diagnostic exam of bladder and urethra using an endoscope	122	80	$941.43	$157.97
51702 Simple insertion of temporary bladder tube	84	27	$411.81	$61.60
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	52	32	$200.92	$29.57
51720 Instillation of anti-cancer drug into bladder	40	15	$1472.63	$81.08
J9031 Bcg (intravesical) per instillation	39	13	$303.08	$134.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$309.50	$102.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	29	$142.31	$41.93
51741 Electronic assessment of bladder emptying	34	31	$562.65	$12.69
52332 Insertion of stent in urinary duct (ureter) using an endoscope	34	21	$2358.18	$132.97
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	21	$2089.76	$232.58
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	16	$7541.68	$402.82
52281 Dilation of bladder canal (urethra) using an endoscope	17	11	$2124.71	$257.57
52204 Biopsy of the bladder using an endoscope	16	11	$1853.50	$113.57
74021 X-ray of abdomen, minimum of 3 views	14	12	$112.86	$13.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$435.25	$154.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	463	308	$188.47	$69.55
51798 Ultrasound measurement of bladder capacity after voiding	279	184	$141.92	$18.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	270	211	$277.70	$101.90
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	186	21	$1260.44	$209.40
J3315 Injection, triptorelin pamoate, 3.75 mg	138	13	$976.40	$357.78
52000 Diagnostic exam of bladder and urethra using an endoscope	126	94	$920.60	$155.87
51702 Simple insertion of temporary bladder tube	101	30	$426.28	$60.22
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	56	35	$195.32	$31.01
51720 Instillation of anti-cancer drug into bladder	53	16	$1543.89	$84.56
J9031 Bcg (intravesical) per instillation	50	14	$302.00	$126.85
51741 Electronic assessment of bladder emptying	34	33	$544.88	$12.25
52332 Insertion of stent in urinary duct (ureter) using an endoscope	30	19	$2123.30	$116.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$296.08	$102.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$136.00	$41.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$419.00	$156.66
52281 Dilation of bladder canal (urethra) using an endoscope	19	15	$2046.84	$261.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$429.14	$139.05
52204 Biopsy of the bladder using an endoscope	12	12	$1889.00	$89.05

Medical Specialties & State Licenses

CMS Verified: 2020-12-21

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WI 28621

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

32272800 (WI)

Commercial Insurance / Payer ID Railroad Medicare

340013156 (WI)

Hospital & Practice Group Affiliations

Agnesian Healthcare Inc

420 E Division St, Fond Du Lac, WI 549354560

Phone: 9209237400

Agnesian Healthcare Inc

430 E Division St, Fond Du Lac, WI 549354560

Phone: 9209292300

Agnesian Healthcare Inc

835 Parkside St, Ripon, WI 549718505

Phone: 9207483101

Agnesian Healthcare Inc

845 Parkside St, Ripon, WI 549718505

Phone: 9207483101

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Christopher Tuveson , MD

Urology

NPI 1023091386

Doctor of Medicine (M.D.)

Tammy Karls , NP

Nurse Practitioner

NPI 1043933955

Nurse Practitioner

Dr. James Cauley , MD

Urology

NPI 1316931173

Doctor of Medicine (M.D.)

Dr. Aaron Johnson , MD

Urology

NPI 1538124854

Doctor of Medicine (M.D.)

Theresa Hollnagel , PA-C

Physician Assistant - Surgical

NPI 1770547333

Physician Assistant (Certified)

Erin Salter

Urology

NPI 1851754287

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 03, 2016

Registered at 420 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209268495)

📍

Updated Business Mailing Address March 03, 2016

Registered at 420 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209268340)

👤

Provider Name / Credentials Updated March 03, 2016

Recorded as JAMES WRIGHT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2016

Urology (License #28621 in WI)

🟢

Initial NPI Registration & Enumeration August 30, 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: 1740273390

Entity Type:

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

Enumeration Date: August 30, 2005

Last Update: December 21, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

420 E Division St

Fond Du Lac, WI 549354560

Phone: 9209268343

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.