Active NPI 1639156995 Individual Practitioner Male Practitioner

Dr. Thomas P Bormes , MD

Urology • Mount Pleasant, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Bormes, MD is a certified Urology practicing in Mount Pleasant, WI. With approximately 42 years of clinical experience since graduating from Loyola University Of Chicago, Stritch School Of Medicine in 1984, Dr. Bormes delivers high-quality medical care to the local community at 8400 WASHINGTON AVE.

Dr. Bormes is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding, electronic assessment of bladder emptying. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8400 Washington Ave

Mount Pleasant, WI 534063735

Telephone 2628575880

Fax 2628848381

Associated Practice Facility / Clinic

🏢 Aurora Pharmacy Inc Facility NPI 1538193750

Medicare Profile & Education

Medical School

Loyola University Of Chicago, Stritch School Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Mount Pleasant, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs Matches City Avg

City Avg: 42.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Mount Pleasant, WI (278 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bormes (42 Years) 42 Yrs

Mount Pleasant Specialty Average (42.0 Years) 42.0 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	552	348	$515.00	$118.85
51798 Ultrasound measurement of bladder capacity after voiding	545	366	$140.00	$10.29
51741 Electronic assessment of bladder emptying	290	225	$180.00	$12.39
81003 Automated urinalysis test	108	77	$30.00	$2.14
52000 Diagnostic exam of bladder and urethra using an endoscope	93	79	$1790.00	$221.73
99213 Established patient office or other outpatient visit, typically 15 minutes	80	77	$350.00	$84.59
81002 Urinalysis, manual test	70	60	$30.00	$3.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	49	37	$525.00	$103.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$755.00	$155.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	30	$725.00	$166.13
76872 Ultrasound scan of pelvic region through rectum	21	21	$1401.43	$125.30
55700 Biopsy of prostate gland	20	20	$1790.00	$217.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$620.00	$109.61

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	596	372	$490.00	$117.79
51798 Ultrasound measurement of bladder capacity after voiding	556	376	$135.00	$9.75
51741 Electronic assessment of bladder emptying	340	237	$175.00	$12.19
81002 Urinalysis, manual test	136	93	$30.00	$3.27
52000 Diagnostic exam of bladder and urethra using an endoscope	109	95	$1710.00	$220.33
99213 Established patient office or other outpatient visit, typically 15 minutes	96	89	$330.00	$84.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$720.00	$150.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	27	$500.00	$108.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	17	$690.00	$168.75
76872 Ultrasound scan of pelvic region through rectum	21	20	$1382.86	$125.75
55700 Biopsy of prostate gland	20	20	$1710.00	$221.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$485.00	$104.90
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	12	$2233.00	$108.42
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	11	$2310.00	$230.58

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	759	439	$465.00	$120.01
51798 Ultrasound measurement of bladder capacity after voiding	637	427	$134.00	$9.71
51741 Electronic assessment of bladder emptying	378	260	$183.00	$12.40
52000 Diagnostic exam of bladder and urethra using an endoscope	137	109	$1640.00	$225.47
81002 Urinalysis, manual test	127	95	$30.00	$3.27
99213 Established patient office or other outpatient visit, typically 15 minutes	107	102	$313.00	$85.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$687.00	$156.09
81003 Automated urinalysis test	37	36	$30.00	$2.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	23	$480.00	$96.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	21	$658.00	$171.93
55700 Biopsy of prostate gland	19	19	$1640.00	$232.08
76872 Ultrasound scan of pelvic region through rectum	17	17	$1279.41	$122.93
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$2210.00	$289.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$460.00	$99.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$565.00	$116.62
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	11	$5033.85	$132.27

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	919	535	$435.00	$124.26
51798 Ultrasound measurement of bladder capacity after voiding	748	468	$135.00	$9.68
51741 Electronic assessment of bladder emptying	456	306	$190.00	$12.64
52000 Diagnostic exam of bladder and urethra using an endoscope	135	118	$1560.00	$222.61
81003 Automated urinalysis test	90	73	$27.00	$2.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$645.00	$160.04
81002 Urinalysis, manual test	78	62	$29.00	$3.35
99213 Established patient office or other outpatient visit, typically 15 minutes	56	52	$295.00	$84.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	30	$623.65	$174.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	24	$450.00	$96.58
76872 Ultrasound scan of pelvic region through rectum	22	22	$1330.00	$136.65
55700 Biopsy of prostate gland	21	21	$1560.00	$243.59
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	16	$5022.22	$121.25
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	17	$781.00	$56.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$535.00	$130.36
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$2100.00	$304.38

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	831	521	$416.00	$104.47
51798 Ultrasound measurement of bladder capacity after voiding	643	430	$182.00	$9.59
51741 Electronic assessment of bladder emptying	404	292	$208.00	$13.10
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	139	14	$812.00	$221.68
52000 Diagnostic exam of bladder and urethra using an endoscope	108	97	$1460.00	$199.92
81002 Urinalysis, manual test	79	65	$29.00	$3.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$608.00	$157.88
99213 Established patient office or other outpatient visit, typically 15 minutes	56	52	$281.00	$71.07
81003 Automated urinalysis test	54	48	$27.00	$2.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	33	$592.86	$135.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	26	$430.00	$102.27
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	27	14	$140.00	$30.63
76872 Ultrasound scan of pelvic region through rectum	23	23	$1270.00	$140.52
55700 Biopsy of prostate gland	22	22	$1460.00	$242.73
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	22	$835.00	$56.19
52281 Dilation of bladder canal (urethra) using an endoscope	17	13	$2060.00	$240.25
52648 Laser vaporization of prostate including control of bleeding using an endoscope	14	14	$24530.00	$678.99
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	11	$1970.00	$263.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$510.00	$133.76
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	12	$5267.69	$140.51

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	993	572	$393.00	$104.15
51798 Ultrasound measurement of bladder capacity after voiding	841	489	$177.00	$12.10
51741 Electronic assessment of bladder emptying	542	337	$247.00	$13.29
52000 Diagnostic exam of bladder and urethra using an endoscope	171	153	$1390.00	$180.31
81002 Urinalysis, manual test	148	109	$29.00	$3.35
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	147	16	$812.00	$225.06
99213 Established patient office or other outpatient visit, typically 15 minutes	100	87	$265.00	$71.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$582.00	$157.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	42	$571.16	$140.67
51705 Removal of skin suture with change of bladder tube	53	13	$724.00	$89.56
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	30	16	$132.00	$30.04
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	27	26	$926.11	$54.73
55700 Biopsy of prostate gland	25	24	$1380.00	$243.19
76872 Ultrasound scan of pelvic region through rectum	25	24	$1210.00	$125.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	15	$419.00	$100.95
52648 Laser vaporization of prostate including control of bleeding using an endoscope	19	19	$27080.00	$641.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$389.00	$104.21
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	13	$1870.00	$261.88
52000 Diagnostic exam of bladder and urethra using an endoscope	13	13	$1390.00	$70.10
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	12	$4080.00	$116.95

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	1,097	601	$374.00	$101.28
51798 Ultrasound measurement of bladder capacity after voiding	883	514	$172.00	$14.84
51741 Electronic assessment of bladder emptying	581	370	$268.00	$14.36
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	189	22	$812.00	$212.75
52000 Diagnostic exam of bladder and urethra using an endoscope	182	148	$1320.00	$153.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	149	116	$543.49	$137.10
81002 Urinalysis, manual test	142	109	$29.00	$3.32
99213 Established patient office or other outpatient visit, typically 15 minutes	88	81	$252.00	$68.86
51705 Removal of skin suture with change of bladder tube	82	16	$686.00	$82.42
76872 Ultrasound scan of pelvic region through rectum	48	46	$1154.17	$92.40
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	46	44	$1014.96	$57.24
55700 Biopsy of prostate gland	45	43	$1300.00	$240.04
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	41	24	$124.00	$29.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$554.00	$156.69
51702 Simple insertion of temporary bladder tube	31	11	$741.00	$61.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	18	$399.00	$96.17
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	19	$4179.60	$105.57
52287 Exam with injections of chemical for destruction of bladder using an endoscope	15	13	$1990.00	$141.79
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	14	$1760.00	$235.90
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	11	$7170.00	$402.88
52281 Dilation of bladder canal (urethra) using an endoscope	13	11	$1840.00	$264.16
52648 Laser vaporization of prostate including control of bleeding using an endoscope	13	13	$27080.00	$660.21

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	1,049	592	$356.15	$101.47
51798 Ultrasound measurement of bladder capacity after voiding	779	475	$163.00	$17.89
51741 Electronic assessment of bladder emptying	545	357	$306.00	$14.30
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	240	26	$788.00	$207.91
52000 Diagnostic exam of bladder and urethra using an endoscope	223	183	$1253.00	$153.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	201	167	$516.46	$135.66
81002 Urinalysis, manual test	132	110	$29.00	$3.31
51705 Removal of skin suture with change of bladder tube	63	20	$646.00	$82.70
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	50	27	$116.00	$31.01
99213 Established patient office or other outpatient visit, typically 15 minutes	47	47	$240.00	$67.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$528.00	$156.71
55700 Biopsy of prostate gland	36	36	$1222.00	$234.92
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	36	36	$1183.00	$57.07
76872 Ultrasound scan of pelvic region through rectum	36	36	$1136.00	$90.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	22	$380.00	$100.23
52000 Diagnostic exam of bladder and urethra using an endoscope	24	23	$1253.00	$92.48
52648 Laser vaporization of prostate including control of bleeding using an endoscope	16	16	$27499.06	$630.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$457.00	$131.01
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$380.00	$96.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	12	$585.00	$194.34
52281 Dilation of bladder canal (urethra) using an endoscope	13	11	$1735.00	$261.62
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	11	$3667.00	$127.77
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$1652.00	$215.63

Medical Specialties & State Licenses

CMS Verified: 2026-03-19

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WI 47285

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License IL 036072689

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100007787 (WI)

Medicaid State Provider ID

36072689 (IL)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

36500 Aurora Dr, Summit, WI 530664899

Phone: 2624345000

Aurora Medical Group, Inc.

1020 N 12th St, Milwaukee, WI 532331308

Phone: 4142193056

Aurora Medical Group, Inc.

10400 75th St, Kenosha, WI 531427884

Phone: 2629487000

Aurora Medical Group, Inc.

8400 Washington Ave, Mount Pleasant, WI 534063735

Phone: 2623213000

Aurora Medical Group, Inc.

855 N Westhaven Dr, Oshkosh, WI 549047668

Phone: 9203038700

Aurora Medical Group, Inc.

12500 Aurora Dr, Pleasant Prairie, WI 531581227

Phone: 2628575000

Aurora Medical Group, Inc.

13250 Washington Ave, Mount Pleasant, WI 531771516

Phone: 2628844000

Aurora Medical Group, Inc.

W3985 County Rd Nn, Elkhorn, WI 531214337

Phone: 2627412000

Secondary Practice Locations

3811 Spring Street, Suite 225

Racine, WI 534051667

Phone: 2626878202

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Robert Hartman , MD

Urology

NPI 1730404385

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 March 19, 2026

Registered at 8400 WASHINGTON AVE, MOUNT PLEASANT, WI 534063735 (Tel: 2628575880)

📍

Updated Business Mailing Address March 19, 2026

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2026

Urology (License #47285 in WI)

✅

NPI Profile Active October 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 21, 2013

Registered at 3811 SPRING STREET, SUITE 225, RACINE, WI 534051667 (Tel: 2626878202)

📍

Updated Business Mailing Address October 21, 2013

Registered at 3811 SPRING STREET, SUITE 302, RACINE, WI 534051667 (Tel: 2626878202)

👤

Provider Name / Credentials Updated October 21, 2013

Recorded as THOMAS BORMES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2013

Specialist (License #036072689 in IL)

🟢

Initial NPI Registration & Enumeration December 28, 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: 1639156995

Entity Type:

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

Enumeration Date: December 28, 2005

Last Update: March 19, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.