Dr. Mark J Fallen , MD
Urology โข Edina, MN
6525 France Ave S, Suite 200
Edina, MN 554352148
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 July 27, 2006; this date does not establish years in practice.
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Published CMS data list 3,288 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- Q9967 โ Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml: 1,200 service units.
- 99214 โ Established patient outpatient office visit: 274 service units.
- 36415 โ Insertion of needle into vein for collection of blood sample: 227 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ 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 23 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,664 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Finasteride โ 665 prescription fills, including refills.
- Tamsulosin Hcl โ 312 prescription fills, including refills.
- Gemtesa (Vibegron) โ 112 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 20 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Urology in Edina, MN (2024, 18 clinicians with data). Median for this group: 1,847. Middle half: 813 to 3,284.
More Medicare Part B services than 85% of clinicians listed under Urology in Minnesota (2024, 154 clinicians with data). Median for this group: 830. Middle half: 335 to 1,650.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,058 in 2020 to 3,288 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
6525 France Ave S
Suite 200
Edina, MN 554352148
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: Allina Health System. 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
Rush Medical College Of Rush University
1986
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
423 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 โ by Provider, 2024.
Medicare-allowed amount
About $146,644 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 โ by Provider and Service, 2024.
Paid by Medicare
About $108,762 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 โ by Provider and Service, 2024.
30-day fills
3,636 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
$658,541 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 โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $203.46 across 3 records.
By nature of payment
- Food and Beverage: $168.40 across 2 records.
- Education: $35.06 across 1 record.
Reporting-company totals
- Boston Scientific Corporation: $150.31 across 1 record.
- AstraZeneca Pharmaceuticals LP: $35.06 across 1 record.
- UROGEN PHARMA, INC.: $18.09 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
40 years (graduated 1986)
CMS Doctors and Clinicians data list 1986 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, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
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.
Enrolled in Medicare (PECOS)
Dr. Fallen 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. Fallen 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 Edina and Minnesota
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 Edina, MN (2024, 18 clinicians with data). Median for this group: 1,847. Middle half: 813 to 3,284.
More Medicare Part B services than 85% of clinicians listed under Urology in Minnesota (2024, 154 clinicians with data). Median for this group: 830. Middle half: 335 to 1,650.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Urology in Edina, MN (2024, 18 clinicians with data). Median for this group: $103,133. Middle half: $58,630 to $132,896.
A higher Medicare-allowed amount than 85% of clinicians listed under Urology in Minnesota (2024, 154 clinicians with data). Median for this group: $63,482. Middle half: $27,130 to $109,924.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Urology in Edina, MN (2024, 18 clinicians with data). Median for this group: $78,048. Middle half: $44,153 to $99,231.
A higher Medicare payment amount than 85% of clinicians listed under Urology in Minnesota (2024, 154 clinicians with data). Median for this group: $48,166. Middle half: $20,000 to $83,847.
Medicare Part D prescriptions
More Part D prescriptions than 60% of clinicians listed under Urology in Edina, MN (2024, 17 clinicians with data). Median for this group: 1,231. Middle half: 456 to 1,985.
More Part D prescriptions than 85% of clinicians listed under Urology in Minnesota (2024, 182 clinicians with data). Median for this group: 505. Middle half: 196 to 1,172.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Urology in Edina, MN (2024, 17 clinicians with data). Median for this group: $116,662. Middle half: $52,374 to $466,912.
A higher Part D drug cost than 90% of clinicians listed under Urology in Minnesota (2024, 182 clinicians with data). Median for this group: $37,441. Middle half: $3,694 to $122,701.
27 active clinicians are listed under Urology with a practice address in Edina, MN (293 in Minnesota).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Edina
44.4% of these 27 clinicians have the CMS telehealth indicator.
66.7% of these 27 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 increased 211% from 1,058 in 2020 to 3,288 in 2024.
- 2020: 1,058
- 2021: 3,888
- 2022: 3,017
- 2023: 2,920
- 2024: 3,288
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Medicare-allowed amount
Medicare-allowed amount increased 67% from $87,558 in 2020 to $146,644 in 2024.
- 2020: $87,558
- 2021: $142,747
- 2022: $130,916
- 2023: $119,485
- 2024: $146,644
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Paid by Medicare
Paid by Medicare increased 65% from $65,894 in 2020 to $108,762 in 2024.
- 2020: $65,894
- 2021: $108,013
- 2022: $96,827
- 2023: $88,721
- 2024: $108,762
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 56% from 1,065 in 2020 to 1,664 in 2024.
- 2020: 1,065
- 2021: 1,078
- 2022: 1,268
- 2023: 1,583
- 2024: 1,664
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30-day fills
30-day fills increased 50% from 2,416 in 2020 to 3,636 in 2024.
- 2020: 2,416
- 2021: 2,518
- 2022: 3,027
- 2023: 3,326
- 2024: 3,636
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Part D drug cost
Part D drug cost increased 99% from $331,122 in 2020 to $658,541 in 2024.
- 2020: $331,122
- 2021: $88,566
- 2022: $94,627
- 2023: $1,251,140
- 2024: $658,541
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $700.54 in 2021 to $203.46 in 2025.
- 2021: $700.54
- 2022: $1,275.59
- 2023: $567.54
- 2024: $629.79
- 2025: $203.46
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 ยท 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 โ December 31, 2025): fewer than 11 records totaling $203.46.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Kidney Stone Disease | General | $150.31 |
| AstraZeneca Pharmaceuticals LP |
Education
In-kind items and services
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IMFINZI | General | $35.06 |
| UROGEN PHARMA, INC. |
Food and Beverage
In-kind items and services
|
โ | General | $18.09 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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 โ by Provider and Service data, 2017โ2024; 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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Q9967
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
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1,200 | 12 | $1.65 | $0.13 |
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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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274 | 200 | $420.54 | $123.81 |
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36415
Insertion of needle into vein for collection of blood sample
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227 | 166 | $15.04 | $8.54 |
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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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212 | 179 | $296.38 | $88.01 |
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84153
Psa (prostate specific antigen) measurement, total
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202 | 155 | $96.89 | $17.75 |
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J9217
Leuprolide acetate (for depot suspension), 7.5 mg
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192 | 25 | $931.13 | $178.41 |
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81002
Urinalysis, manual test
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146 | 110 | $22.00 | $3.41 |
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51798
Ultrasound measurement of bladder capacity after voiding
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145 | 117 | $105.52 | $11.16 |
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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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122 | 107 | $55.37 | $15.69 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
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108 | 94 | $988.05 | $235.85 |
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81003
Automated urinalysis test
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93 | 78 | $9.50 | $2.20 |
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J0696
Injection, ceftriaxone sodium, per 250 mg
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85 | 22 | $22.00 | $0.46 |
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76872
Ultrasound scan of pelvic region through rectum
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42 | 41 | $623.00 | $139.15 |
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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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39 | 39 | $541.47 | $154.34 |
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87086
Bacterial colony count, urine
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37 | 31 | $56.85 | $7.91 |
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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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26 | 26 | $364.54 | $107.96 |
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51702
Simple insertion of temporary bladder tube
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24 | 11 | $300.47 | $61.13 |
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96402
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
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24 | 18 | $127.00 | $35.12 |
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55700
Biopsy of prostate gland
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22 | 22 | $831.00 | $224.44 |
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99442
Telephone medical discussion with physician, 11-20 minutes
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21 | 20 | $301.00 | $87.37 |
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87186
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution
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18 | 14 | $43.29 | $8.48 |
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82565
Blood creatinine level
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16 | 16 | $28.70 | $5.02 |
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87088
Bacterial urine culture
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13 | 11 | $42.20 | $7.93 |
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 |
|---|---|---|---|---|---|
| Finasteride | Finasteride | 665 | 55,072 | $10,446.88 | 220 |
| Tamsulosin Hcl | Tamsulosin Hcl | 312 | 25,721 | $5,633.63 | 108 |
| Gemtesa | Vibegron | 112 | 5,296 | $84,026.70 | 32 |
| Myrbetriq | Mirabegron | 88 | 4,139 | $61,424.33 | 25 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 83 | 1,322 | $447.88 | 62 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 70 | 3,231 | $782.50 | 37 |
| Prednisone | Prednisone | 52 | 1,560 | $275.90 | โ |
| Abiraterone Acetate | Abiraterone Acetate | 48 | 1,440 | $61,449.51 | โ |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 39 | 90 | $113.33 | 32 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 33 | 322 | $196.63 | 26 |
| Erleada | Apalutamide | 27 | 810 | $391,954.58 | โ |
| Dutasteride | Dutasteride | 22 | 1,290 | $583.62 | โ |
| Testosterone Cypionate | Testosterone Cypionate | 20 | 866 | $1,254.09 | โ |
| Testosterone | Testosterone | 19 | 660 | $6,322.08 | โ |
| Cephalexin | Cephalexin | 16 | 366 | $59.58 | โ |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 12 | 296 | $561.11 | โ |
| Dutasteride-Tamsulosin | Dutasteride/Tamsulosin Hcl | 12 | 1,080 | $3,023.41 | โ |
| Orgovyx | Relugolix | 12 | 360 | $29,573.80 | โ |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 11 | 151 | $95.93 | โ |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 11 | 780 | $315.65 | โ |
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20100329001105
MN
0749347268
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
Allina Health System
303 Catlin St, Buffalo, MN 553131947
Phone: 6127756200
Allina Health System
800 E 28th St, Minneapolis, MN 554073723
Phone: 6128633110
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 (Certified)
Urology
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated July 27, 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 Edina
- Dr. Dean Tortorelis, MD
- Dr. Jeffry Twidwell, MD
- Dr. Emma Bacharach, MD
- Dr. Stephen Overholser, MD
- Dr. William Utz, MD
- Dr. Pratap Reddy, MD
Mailing Address
6525 France S Ave 200
Edina, MN 554352176
Phone: 9529276501