Dr. Howard B Epstein , MD
Urology • St Augustine, FL
240 Southpark Cir E
St Augustine, FL 320865137
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 May 15, 2006; this date does not establish years in practice.
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Published CMS data list 2,373 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:
- 81003 — Automated urinalysis test: 623 service units.
- 99212 — Established patient outpatient office visit: 277 service units.
- 99213 — Established patient outpatient office visit: 277 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 24 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 2,068 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 — 693 prescription fills, including refills.
- Finasteride — 518 prescription fills, including refills.
- Cefdinir — 144 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 27 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 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 4,502 in 2020 to 2,373 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
240 Southpark Cir E
St Augustine, FL 320865137
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: Advanced Urology Institute 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
University Of Florida College Of Medicine
1983
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
778 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 $136,645 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 $102,055 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
4,974 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
$140,456 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: $197.83 across 8 records.
By nature of payment
- Food and Beverage: $197.83 across 8 records.
Reporting-company totals (3 largest of 6)
- Merck Sharp & Dohme LLC: $82.07 across 3 records.
- Teleflex LLC: $28.23 across 1 record.
- Blue Earth Diagnostics: $25.23 across 1 record.
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
43 years (graduated 1983)
CMS Doctors and Clinicians data list 1983 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. Epstein 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. Epstein 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 St Augustine 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 Florida (2024, 682 clinicians with data). Median for this group: 1,437. Middle half: 569 to 4,607.
Too few clinicians listed under Urology in St Augustine have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Urology in Florida (2024, 682 clinicians with data). Median for this group: $126,394. Middle half: $52,949 to $270,891.
Too few clinicians listed under Urology in St Augustine have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Urology in Florida (2024, 682 clinicians with data). Median for this group: $92,960. Middle half: $39,365 to $204,092.
Too few clinicians listed under Urology in St Augustine have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More 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.
Too few clinicians listed under Urology in St Augustine have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Urology in Florida (2024, 725 clinicians with data). Median for this group: $137,247. Middle half: $24,439 to $468,865.
Too few clinicians listed under Urology in St Augustine have Medicare Part D data for 2024 to compare.
2 active clinicians are listed under Urology with a practice address in St Augustine, FL (1,021 in Florida).
Addresses are self-reported to NPPES and may be out of date.
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 47% from 4,502 in 2020 to 2,373 in 2024.
- 2020: 4,502
- 2021: 8,590
- 2022: 7,366
- 2023: 7,799
- 2024: 2,373
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Medicare-allowed amount
Medicare-allowed amount decreased 60% from $344,702 in 2020 to $136,645 in 2024.
- 2020: $344,702
- 2021: $380,542
- 2022: $323,965
- 2023: $354,289
- 2024: $136,645
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Paid by Medicare
Paid by Medicare decreased 61% from $259,043 in 2020 to $102,055 in 2024.
- 2020: $259,043
- 2021: $286,154
- 2022: $241,122
- 2023: $264,988
- 2024: $102,055
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 14% from 2,404 in 2020 to 2,068 in 2024.
- 2020: 2,404
- 2021: 2,695
- 2022: 2,602
- 2023: 2,586
- 2024: 2,068
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30-day fills
30-day fills stayed about the same: 5,062 in 2020 and 4,974 in 2024.
- 2020: 5,062
- 2021: 5,690
- 2022: 5,752
- 2023: 5,863
- 2024: 4,974
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Part D drug cost
Part D drug cost decreased 59% from $342,609 in 2020 to $140,456 in 2024.
- 2020: $342,609
- 2021: $177,790
- 2022: $171,151
- 2023: $339,608
- 2024: $140,456
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 88% from $1,634.46 in 2021 to $197.83 in 2025.
- 2021: $1,634.46
- 2022: $421.18
- 2023: $340.67
- 2024: $152.10
- 2025: $197.83
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): fewer than 11 records totaling $197.83.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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KEYTRUDA | General | $31.28 |
| Teleflex LLC |
Food and Beverage
In-kind items and services
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UROLIFT | General | $28.23 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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KEYTRUDA | General | $26.81 |
| Blue Earth Diagnostics |
Food and Beverage
In-kind items and services
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POSLUMA | General | $25.23 |
| UROGEN PHARMA, INC. |
Food and Beverage
In-kind items and services
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JELMYTO | General | $24.92 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
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Xtandi | General | $24.75 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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KEYTRUDA | General | $23.98 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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Axonics | General | $12.63 |
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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81003
Automated urinalysis test
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623 | 437 | $5.00 | $2.19 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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277 | 246 | $140.34 | $57.87 |
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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
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277 | 231 | $215.77 | $93.30 |
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36415
Insertion of needle into vein for collection of blood sample
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187 | 143 | $9.91 | $6.78 |
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99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
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179 | 46 | $156.12 | $64.69 |
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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
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123 | 109 | $317.01 | $131.71 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
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81 | 67 | $592.79 | $240.68 |
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99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
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79 | 36 | $118.56 | $49.26 |
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51798
Ultrasound measurement of bladder capacity after voiding
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76 | 59 | $26.37 | $11.26 |
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76770
Complete ultrasound scan behind abdominal cavity
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71 | 71 | $234.58 | $108.53 |
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51702
Simple insertion of temporary bladder tube
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67 | 25 | $154.54 | $63.00 |
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51705
Simple change of bladder tube
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63 | 15 | $241.10 | $99.00 |
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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
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59 | 55 | $37.15 | $16.85 |
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52332
Insertion of stent in ureter using an endoscope
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41 | 21 | $388.71 | $160.95 |
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74420
Imaging of urinary tract following injection of a contrast agent
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38 | 24 | $174.05 | $25.00 |
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51700
Simple bladder irrigation and/or instillation
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17 | 15 | $191.41 | $75.04 |
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51784
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings
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17 | 17 | $160.24 | $34.80 |
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96402
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
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17 | 15 | $82.06 | $35.41 |
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76872
Ultrasound scan of pelvic region through rectum
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16 | 14 | $147.38 | $33.08 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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15 | 15 | $279.67 | $115.18 |
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52356
Crushing of stone of ureter with insertion of stent using an endoscope
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14 | 11 | $1064.07 | $437.48 |
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55700
Biopsy of prostate gland
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13 | 13 | $329.92 | $136.45 |
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76775
Limited ultrasound scan behind abdominal cavity
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12 | 12 | $117.00 | $58.55 |
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51741
Electronic assessment of bladder emptying
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11 | 11 | $36.00 | $7.45 |
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 | 693 | 59,191 | $10,578.48 | 262 |
| Finasteride | Finasteride | 518 | 46,045 | $7,249.00 | 183 |
| Cefdinir | Cefdinir | 144 | 1,495 | $3,092.30 | 117 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 74 | 1,691 | $1,850.12 | 54 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 56 | 4,820 | $1,291.46 | 21 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 52 | 103 | $195.12 | 48 |
| Doxycycline Hyclate | Doxycycline Hyclate | 46 | 381 | $495.03 | 41 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 46 | 415 | $347.77 | 34 |
| Myrbetriq | Mirabegron | 46 | 3,479 | $48,764.38 | 17 |
| Doxazosin Mesylate | Doxazosin Mesylate | 39 | 2,643 | $486.50 | 13 |
| Potassium Citrate Er | Potassium Citrate | 36 | 3,023 | $4,058.69 | 14 |
| Silodosin | Silodosin | 35 | 2,724 | $2,935.53 | 19 |
| Levofloxacin | Levofloxacin | 28 | 206 | $109.83 | 24 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 28 | 239 | $215.10 | 23 |
| Estradiol | Estradiol | 27 | 2,209 | $1,359.71 | 15 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 27 | 413 | $125.13 | 17 |
| Elmiron | Pentosan Polysulfate Sodium | 26 | 1,170 | $28,001.07 | — |
| Gemtesa | Vibegron | 22 | 1,558 | $25,107.51 | — |
| Trospium Chloride | Trospium Chloride | 21 | 1,830 | $2,202.34 | — |
| Solifenacin Succinate | Solifenacin Succinate | 17 | 1,100 | $478.21 | — |
| Fluconazole | Fluconazole | 16 | 74 | $70.13 | — |
| Terazosin Hcl | Terazosin Hcl | 14 | 1,260 | $146.85 | — |
| Dutasteride | Dutasteride | 13 | 1,190 | $287.00 | — |
| Allopurinol | Allopurinol | 11 | 990 | $62.95 | — |
| Trimethoprim | Trimethoprim | 11 | 430 | $725.02 | — |
(top 25 shown)
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
Self-certified to NPPES: 2021-03-26NUCC 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
I20100928000303
FL
2062425572
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
Advanced Urology Institute Llc
240 Southpark Cir E, Saint Augustine, FL 320865137
Phone: 9048241450
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Urology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner
Urology
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 240 SOUTHPARK CIR E, ST AUGUSTINE, FL 320865137 (Tel: 9048241450)
Registered at 12109 COUNTY ROAD 103, OXFORD, FL 344842951 (Tel: 3522058981)
NPI status registered as active in NPPES database
Registered at 2460 OLD MOULTRIE RD, SUITE 5, ST AUGUSTINE, FL 320864197 (Tel: 9047947870)
Registered at 545 HEALTH BLVD, DAYTONA BEACH, FL 321141493 (Tel: 3862398500)
Recorded as HOWARD EPSTEIN, MD
Urology (license number reported to NPPES: FL ME44446)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
12109 County Road 103
Oxford, FL 344842951
Phone: 3522058981