Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Mark Alvin Kellerman , MD

Urology • Clive, IA

Active NPI 1891780995 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

12129 University Ave Ste 100
Clive, IA 503258298

Call 5154003550 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12129 University Ave Ste 100

Clive, IA 503258298

Telephone 5154003550
Fax 5154003551
Organization at the Same NPPES Address or Phone
Urology Center Of Iowa Pllc Facility NPI 1689210155

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Broadlawns Medical Center; Urology Center Of Iowa Pllc. 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

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

1997

Medicare patients

629 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $369,180 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.

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 $284,708 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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

3,305 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

$5,377,079 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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: $870.80 across 32 records.

By nature of payment

  • Food and Beverage: $870.80 across 32 records.

Reporting-company totals (3 largest of 14)

  • Ferring Pharmaceuticals Inc.: $185.91 across 2 records.
  • Pfizer Inc.: $144.46 across 8 records.
  • Merck Sharp & Dohme LLC: $108.22 across 3 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.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

29 years (graduated 1997)

CMS Doctors and Clinicians data list 1997 as the year this clinician finished professional 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

2005

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.

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?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Kellerman 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Kellerman 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Clive and Iowa

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Urology in Iowa (2024, 73 clinicians with data). Median for this group: 1,562. Middle half: 809 to 6,446.

Too few clinicians listed under Urology in Clive have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Urology in Iowa (2024, 73 clinicians with data). Median for this group: $132,656. Middle half: $66,105 to $206,290.

Too few clinicians listed under Urology in Clive have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 90% of clinicians listed under Urology in Iowa (2024, 73 clinicians with data). Median for this group: $96,642. Middle half: $48,066 to $152,474.

Too few clinicians listed under Urology in Clive have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Urology in Iowa (2024, 88 clinicians with data). Median for this group: 1,170. Middle half: 314 to 2,004.

Too few clinicians listed under Urology in Clive have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Urology in Iowa (2024, 88 clinicians with data). Median for this group: $83,629. Middle half: $13,463 to $209,211.

Too few clinicians listed under Urology in Clive have Medicare Part D data for 2024 to compare.

8 active clinicians are listed under Urology with a practice address in Clive, IA (128 in Iowa).

Addresses are self-reported to NPPES and may be out of date.

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

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 32 records totaling $870.80.

Manufacturer Payment Nature Product Type Amount ($)
Ferring Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
ADSTILADRIN General $163.90
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
KEYTRUDA General $73.45
Pfizer Inc.
Food and Beverage
In-kind items and services
TALZENNA General $60.10
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
PLUVICTO General $34.54
Dendreon Pharmaceuticals LLC
Food and Beverage
In-kind items and services
PROVENGE General $34.14
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
ORGOVYX General $29.77
KARL STORZ Endoscopy-America
Food and Beverage
In-kind items and services
— General $28.57
UROGEN PHARMA, INC.
Food and Beverage
In-kind items and services
JELMYTO General $27.67
UROGEN PHARMA, INC.
Food and Beverage
In-kind items and services
— General $27.48
Calyxo, Inc.
Food and Beverage
In-kind items and services
CVAC ASPIRATION SYSTEM General $25.44
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
PLUVICTO General $24.11
Ferring Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
ADSTILADRIN General $22.01
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Nubeqa General $21.25
Astellas Pharma US Inc
Food and Beverage
In-kind items and services
Xtandi General $21.22
Astellas Pharma US Inc
Food and Beverage
In-kind items and services
Xtandi General $21.17
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
BRIDION General $20.32
Pfizer Inc.
Food and Beverage
In-kind items and services
XTANDI General $20.22
COLOPLAST CORP
Food and Beverage
In-kind items and services
Luja Coude General $18.96
Astellas Pharma US Inc
Food and Beverage
In-kind items and services
Xtandi General $18.93
Pfizer Inc.
Food and Beverage
In-kind items and services
XTANDI General $18.79
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
ORGOVYX General $18.66
Pfizer Inc.
Food and Beverage
In-kind items and services
XTANDI General $18.57
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Nubeqa General $18.57
VERTEX PHARMACEUTICALS INCORPORATED
Food and Beverage
In-kind items and services
JOURNAVX General $16.82
Pfizer Inc.
Food and Beverage
In-kind items and services
XTANDI General $16.71

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

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
J0897 Injection, denosumab, 1 mg
4,080 33 $57.90 $25.77
J1952 Leuprolide injectable, camcevi, 1 mg
546 13 $297.00 $56.32
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
472 367 $50.00 $15.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
427 301 $331.00 $118.37
81003 Automated urinalysis test
275 227 $7.50 $2.20
51798 Ultrasound measurement of bladder capacity after voiding
195 170 $40.00 $10.01
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
174 44 $127.00 $57.94
J9217 Leuprolide acetate (for depot suspension), 7.5 mg
174 26 $300.00 $172.21
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
130 111 $228.00 $83.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
128 128 $501.00 $153.82
52000 Diagnostic exam of bladder and urethra using an endoscope
112 100 $649.00 $211.92
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
88 34 $135.00 $44.28
J0696 Injection, ceftriaxone sodium, per 250 mg
74 20 $1.80 $0.45
96372 Injection of drug or substance under skin or into muscle
52 42 $43.40 $12.95
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
39 36 $96.40 $31.19
52332 Insertion of stent in ureter using an endoscope
33 32 $1427.39 $108.21
52648 Complete laser vaporization of prostate including control of bleeding using an endoscope
29 29 $1944.31 $631.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
27 26 $445.00 $166.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
26 26 $328.00 $96.98
55700 Biopsy of prostate gland
24 24 $768.00 $218.24
76872 Ultrasound scan of pelvic region through rectum
24 24 $480.00 $125.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
20 19 $100.00 $89.46
76770 Complete ultrasound scan behind abdominal cavity
18 17 $345.00 $69.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
17 17 $421.00 $119.65
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies
16 16 $1083.00 $309.74

(top 25 shown)

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.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Tamsulosin Hcl Tamsulosin Hcl 394 25,641 $4,778.36 127
Finasteride Finasteride 227 19,360 $2,502.05 75
Erleada Apalutamide 171 5,220 $2,519,194.53 30
Prednisone Prednisone 143 4,237 $499.13 20
Abiraterone Acetate Abiraterone Acetate 140 4,200 $204,427.21 17
Xtandi Enzalutamide 125 3,990 $1,819,912.00 18
Orgovyx Relugolix 125 3,750 $328,627.14 18
Alfuzosin Hcl Er Alfuzosin Hcl 90 6,633 $1,674.90 31
Ciprofloxacin Hcl Ciprofloxacin Hcl 78 438 $260.30 73
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 66 561 $172.22 59
Myrbetriq Mirabegron 62 3,040 $45,126.82 21
Oxybutynin Chloride Er Oxybutynin Chloride 56 3,759 $1,118.99 24
Tramadol Hcl Tramadol Hcl 47 210 $68.17 44
Tolterodine Tartrate Er Tolterodine Tartrate 39 2,144 $3,230.43 —
Alendronate Sodium Alendronate Sodium 38 1,540 $176.88 —
Nubeqa Darolutamide 34 1,020 $438,248.12 —
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 30 283 $250.30 19
Levofloxacin Levofloxacin 23 167 $62.68 20
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 23 227 $277.36 —
Trospium Chloride Trospium Chloride 20 662 $830.64 —
Testosterone Testosterone 15 450 $1,742.39 —
Estradiol Estradiol 13 1,276 $704.58 —
Nitrofurantoin Nitrofurantoin Macrocrystal 13 178 $172.68 —
Megestrol Acetate Megestrol Acetate 12 420 $108.62 —
Trospium Chloride Er Trospium Chloride 12 480 $1,618.70 —

(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: 2024-10-28
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

License # reported to NPPES IA MD-35053

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Iowa State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - UROLOGY

Medicare Enrollment ID

I20070731000134

Enrollment State Jurisdiction

IA

PECOS Control ID

7517068851

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Urology Center Of Iowa Pllc

1660 60th St, West Des Moines, IA 502667700

Phone: 5153431000

Urology Center Of Iowa Pllc

13375 University Ave, Clive, IA 503258262

Phone: 5154003550

Urology Center Of Iowa Pllc

1755 59th Pl, West Des Moines, IA 502667737

Phone: 5153588000

Urology Center Of Iowa Pllc

700 E Uinversity Ave, Des Moines, IA 503162302

Phone: 5152635612

Urology Center Of Iowa Pllc

12129 University Ave, Clive, IA 503258287

Phone: 5154003550

Urology Center Of Iowa Pllc

111 Nw 9th St, Ankeny, IA 500231754

Phone: 5154003550

Broadlawns Medical Center

1801 Hickman Rd, Des Moines, IA 503141548

Phone: 5152822200

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Megan Bosak Duff

Physician Assistant

NPI 1205288669

Doctor of Osteopathic Medicine (D.O.)

Marcy Covert , FNP-C

Nurse Practitioner - Family

NPI 1992464325

Family Nurse Practitioner (Certified)

NPI 1609294305
NPI 1336358324

Doctor of Medicine (M.D.)

Marc Goeders , PA

Physician Assistant - Surgical

NPI 1639130057

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
📍
Updated Practice Location October 28, 2024

Registered at 12129 UNIVERSITY AVE STE 100, CLIVE, IA 503258298 (Tel: 5154003550)

📍
Updated Business Mailing Address October 28, 2024

Registered at 12129 UNIVERSITY AVE STE 100, CLIVE, IA 503258298 (Tel: 5154003550)

📍
Updated Practice Location July 29, 2019

Registered at 1350 DES MOINES ST STE 100, DES MOINES, IA 503095507 (Tel: 5156430400)

📍
Updated Business Mailing Address July 29, 2019

Registered at PO BOX 1475, DES MOINES, IA 503051475 (Tel: 5156430400)

📍
Updated Practice Location June 22, 2018

Registered at 5950 UNIVERSITY AVE, STE 341, WEST DES MOINES, IA 50266 (Tel: 5158759800)

📍
Updated Business Mailing Address June 22, 2018

Registered at 7147 VISTA DR STE 150, WEST DES MOINES, IA 502669313 (Tel: 5158759925)

✅
NPI Profile Active September 02, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) September 02, 2015

Registered at 5950 UNIVERSITY AVE, STE 341, WEST DES MOINES, IA 502668216 (Tel: 5158759800)

📍
Business Mailing Address (Initial Record) September 02, 2015

Registered at 6800 LAKE DRIVE, STE 250, WEST DES MOINES, IA 502662504 (Tel: 5158759925)

👤
Provider Name / Credentials (Initial Record) September 02, 2015

Recorded as MARK KELLERMAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2015

Urology (license number reported to NPPES: IA MD-35053)

🟢
Initial NPI Registration & Enumeration September 14, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1891780995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2005
Last Update: October 28, 2024
Sole Proprietor: No

Other Urology Specialists in Clive

Healthcare providers in Clive

Mailing Address

12129 University Ave Ste 100

Clive, IA 503258298

Phone: 5154003550

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.