Dr. David K Ornstein , MD
Urology • Naples, FL
733 4th Ave N
Naples, FL 341025731
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 16, 2006; this date does not establish years in practice.
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Published CMS data list 6,700 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J9030 — Bcg live intravesical instillation, 1 mg: 4,850 service units.
- 99213 — Established patient outpatient office visit: 516 service units.
- 52000 — Diagnostic exam of bladder and urethra using an endoscope: 255 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 20 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 622 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tamsulosin Hcl — 168 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 122 prescription fills, including refills.
- Silodosin — 47 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 17 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Urology in Naples, FL (2024, 17 clinicians with data). Median for this group: 4,896. Middle half: 3,480 to 7,202.
More Medicare Part B services than 80% of clinicians listed under Urology in Florida (2024, 682 clinicians with data). Median for this group: 1,437. Middle half: 569 to 4,607.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 8,521 in 2020 to 6,700 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
733 4th Ave N
Naples, FL 341025731
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Precision Healthcare Specialists, Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Washington University School Of Medicine
1992
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
701 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $274,149 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $210,293 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
1,157 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$248,975 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $7,903.81 across 63 records.
By nature of payment
- Education: $4,535.06 across 4 records.
- Food and Beverage: $2,490.46 across 55 records.
- Travel and Lodging: $878.29 across 4 records.
Reporting-company totals (3 largest of 18)
- INTUITIVE SURGICAL, INC.: $5,924.97 across 10 records.
- Janssen Pharmaceuticals, Inc: $415.36 across 16 records.
- Ferring Pharmaceuticals Inc.: $386.69 across 13 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
34 years (graduated 1992)
CMS Doctors and Clinicians data list 1992 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Ornstein has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Ornstein as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Naples and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Urology in Naples, FL (2024, 17 clinicians with data). Median for this group: 4,896. Middle half: 3,480 to 7,202.
More Medicare Part B services than 80% of clinicians listed under Urology in Florida (2024, 682 clinicians with data). Median for this group: 1,437. Middle half: 569 to 4,607.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under Urology in Naples, FL (2024, 17 clinicians with data). Median for this group: $459,554. Middle half: $274,149 to $593,891.
A higher Medicare-allowed amount than 75% of clinicians listed under Urology in Florida (2024, 682 clinicians with data). Median for this group: $126,394. Middle half: $52,949 to $270,891.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under Urology in Naples, FL (2024, 17 clinicians with data). Median for this group: $348,427. Middle half: $210,293 to $454,037.
A higher Medicare payment amount than 75% of clinicians listed under Urology in Florida (2024, 682 clinicians with data). Median for this group: $92,960. Middle half: $39,365 to $204,092.
Medicare Part D prescriptions
Fewer Part D prescriptions than 75% of clinicians listed under Urology in Naples, FL (2024, 18 clinicians with data). Median for this group: 1,496. Middle half: 748 to 2,175.
Fewer Part D prescriptions than 65% of clinicians listed under Urology in Florida (2024, 725 clinicians with data). Median for this group: 1,339. Middle half: 366 to 2,301.
Part D drug cost
Close to the middle for clinicians listed under Urology in Naples, FL (2024, 18 clinicians with data). Median for this group: $395,906. Middle half: $79,863 to $530,935.
A higher Part D drug cost than 60% of clinicians listed under Urology in Florida (2024, 725 clinicians with data). Median for this group: $137,247. Middle half: $24,439 to $468,865.
21 active clinicians are listed under Urology with a practice address in Naples, FL (1,021 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Naples
28.6% of these 21 clinicians have the CMS telehealth indicator.
76.2% of these 21 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 21% from 8,521 in 2020 to 6,700 in 2024.
- 2020: 8,521
- 2021: 7,438
- 2022: 6,544
- 2023: 6,493
- 2024: 6,700
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Medicare-allowed amount
Medicare-allowed amount decreased 37% from $437,181 in 2020 to $274,149 in 2024.
- 2020: $437,181
- 2021: $409,750
- 2022: $397,445
- 2023: $353,292
- 2024: $274,149
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Paid by Medicare
Paid by Medicare decreased 37% from $334,943 in 2020 to $210,293 in 2024.
- 2020: $334,943
- 2021: $313,700
- 2022: $304,171
- 2023: $273,052
- 2024: $210,293
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 570 in 2020 and 622 in 2024.
- 2020: 570
- 2021: 585
- 2022: 556
- 2023: 616
- 2024: 622
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30-day fills
30-day fills stayed about the same: 1,086 in 2020 and 1,157 in 2024.
- 2020: 1,086
- 2021: 1,071
- 2022: 986
- 2023: 1,088
- 2024: 1,157
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Part D drug cost
Part D drug cost increased 33% from $187,634 in 2020 to $248,975 in 2024.
- 2020: $187,634
- 2021: $428,515
- 2022: $450,459
- 2023: $443,493
- 2024: $248,975
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $332.33 in 2021 to $7,903.81 in 2025.
- 2021: $332.33
- 2022: $1,701.94
- 2023: $10,782.10
- 2024: $5,048.75
- 2025: $7,903.81
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 63 records totaling $7,903.81.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| INTUITIVE SURGICAL, INC. |
Education
Cash or cash equivalent
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Da Vinci Surgical System | General | $2,000.00 |
| INTUITIVE SURGICAL, INC. |
Education
In-kind items and services
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DA VINCI SP | General | $1,500.00 |
| INTUITIVE SURGICAL, INC. |
Education
In-kind items and services
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DA VINCI SP | General | $1,000.00 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
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Da Vinci Surgical System | General | $480.23 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
|
Da Vinci Surgical System | General | $390.68 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
|
Da Vinci Surgical System | General | $360.06 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
RYBREVANT | General | $150.00 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $133.51 |
| UROGEN PHARMA, INC. |
Food and Beverage
In-kind items and services
|
JELMYTO | General | $131.45 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
|
Da Vinci Surgical System | General | $128.00 |
| Dendreon Pharmaceuticals LLC |
Food and Beverage
In-kind items and services
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PROVENGE | General | $124.99 |
| UROGEN PHARMA, INC. |
Food and Beverage
In-kind items and services
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ZUSDURI | General | $124.98 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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RYBREVANT | General | $124.93 |
| Laborie Medical Technologies Corp. |
Food and Beverage
Cash or cash equivalent
|
— | General | $116.18 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
SpaceOAR System | General | $101.62 |
| UROGEN PHARMA, INC. |
Food and Beverage
In-kind items and services
|
— | General | $38.07 |
| Ferring Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
ADSTILADRIN | General | $36.06 |
| AstraZeneca Pharmaceuticals LP |
Education
In-kind items and services
|
IMFINZI | General | $35.06 |
| UROGEN PHARMA, INC. |
Food and Beverage
In-kind items and services
|
— | General | $35.06 |
| Ferring Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
ADSTILADRIN | General | $33.90 |
| Ferring Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
ADSTILADRIN | General | $32.45 |
| Ferring Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
ADSTILADRIN | General | $30.42 |
| Ferring Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
ADSTILADRIN | General | $30.14 |
| Ferring Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
ADSTILADRIN | General | $30.11 |
| Ferring Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
ADSTILADRIN | General | $30.05 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J9030
Bcg live intravesical instillation, 1 mg
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4,850 | 16 | $8.09 | $2.86 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
516 | 388 | $218.47 | $96.24 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
|
255 | 143 | $639.92 | $253.03 |
|
81003
Automated urinalysis test
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208 | 112 | $9.79 | $2.20 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
183 | 153 | $290.77 | $137.22 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
155 | 141 | $122.42 | $60.23 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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128 | 128 | $488.32 | $179.22 |
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51720
Instillation of anti-cancer drug into bladder
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108 | 22 | $344.34 | $92.98 |
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J9217
Leuprolide acetate (for depot suspension), 7.5 mg
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68 | 11 | $573.42 | $177.59 |
|
99441
Telephone medical discussion with physician, 5-10 minutes
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34 | 32 | $198.21 | $59.79 |
|
55866
Surgical removal of prostate and surrounding lymph nodes using an endoscope
|
29 | 29 | $5150.79 | $1281.02 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
28 | 28 | $313.03 | $118.88 |
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96402
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
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23 | 14 | $96.39 | $37.04 |
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55700
Biopsy of prostate gland
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19 | 19 | $482.20 | $141.41 |
|
76872
Ultrasound scan of pelvic region through rectum
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19 | 19 | $124.72 | $33.65 |
|
52240
Destruction and/or removal of large growth of bladder using an endoscope
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18 | 18 | $1489.28 | $412.94 |
|
52310
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope
|
17 | 17 | $793.13 | $341.08 |
|
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 | $33.08 | $17.56 |
|
52332
Insertion of stent in ureter using an endoscope
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14 | 13 | $1431.34 | $138.20 |
|
38571
Removal of lymph nodes of both sides of pelvis using an endoscope
|
11 | 11 | $2733.57 | $361.72 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 168 | 14,340 | $2,201.17 | 65 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 122 | 331 | $410.36 | 120 |
| Silodosin | Silodosin | 47 | 3,300 | $4,212.75 | 17 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 35 | 141 | $96.47 | 28 |
| Imipramine Hcl | Imipramine Hcl | 30 | 741 | $206.47 | 14 |
| Finasteride | Finasteride | 28 | 2,520 | $147.64 | 11 |
| Gemtesa | Vibegron | 25 | 1,350 | $21,498.84 | — |
| Levofloxacin | Levofloxacin | 22 | 179 | $128.76 | 19 |
| Dutasteride | Dutasteride | 20 | 1,800 | $555.34 | — |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 19 | 190 | $406.44 | 16 |
| Mupirocin | Mupirocin | 18 | 257 | $130.46 | 18 |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 18 | 1,460 | $1,177.51 | — |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 17 | 25 | $48.92 | 16 |
| Lidocaine Hcl | Lidocaine Hcl | 14 | 272 | $96.97 | 13 |
| Myrbetriq | Mirabegron | 14 | 720 | $10,594.01 | — |
| Xtandi | Enzalutamide | 14 | 420 | $179,331.87 | — |
| Orgovyx | Relugolix | 11 | 330 | $27,731.00 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208800000X
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.
NUCC Taxonomy Code: 208800000X
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
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20090910000375
FL
3678622800
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Precision Healthcare Specialists, Llc
311 9th St N, Naples, FL 341025887
Phone: 2392419955
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant
Career & Practice History
NPI enumerated October 16, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Urology Specialists in Naples
- Dr. Elliot Blau, MD
- Dr. Rolando Rivera, MD
- Dr. Laura Chang Kit, MD
- Dr. Benjamin Storey, MD
- Dr. Marc Guttman, DO
- Dr. Paulos Yohannes, MD
Mailing Address
2234 Colonial Blvd, Managed Care Dept.
Fort Myers, FL 339071412
Phone: 2399317342