Dr. Sunil M Apte , MD
Urology โข O Fallon, MO
20 Progress Point Pkwy, Div Surg Urology, Ste 106
O Fallon, MO 633682206
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on June 27, 2006; this date does not establish years in practice.
-
Published CMS data list 57 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.
-
Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 32 service units.
- 81002 โ Urinalysis, manual test: 25 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 the full table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 97 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.
-
Published Part D records, 2024:
- Finasteride โ 40 prescription fills, including refills.
- Tamsulosin Hcl โ 35 prescription fills, including refills.
- Potassium Citrate Er (Potassium Citrate) โ 22 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 the full table ยท Guide: How to read Medicare Part D prescriber data
-
Fewer Medicare Part B services than 95% of clinicians listed under Urology in Missouri (2024, 172 clinicians with data). Median for this group: 1,901. Middle half: 597 to 3,817.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 387 in 2020 to 57 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
20 Progress Point Pkwy
Div Surg Urology, Ste 106
O Fallon, MO 633682206
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
38 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 $2,882 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 $1,617 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
223 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
$3,044 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: $47.69 across 2 records.
By nature of payment
- Food and Beverage: $47.69 across 2 records.
Reporting-company totals
- COLOPLAST CORP: $47.69 across 2 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).
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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
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.
Compared with the same specialty in O Fallon and Missouri
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 95% of clinicians listed under Urology in Missouri (2024, 172 clinicians with data). Median for this group: 1,901. Middle half: 597 to 3,817.
Too few clinicians listed under Urology in O Fallon have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 95% of clinicians listed under Urology in Missouri (2024, 172 clinicians with data). Median for this group: $121,499. Middle half: $55,868 to $194,514.
Too few clinicians listed under Urology in O Fallon have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 95% of clinicians listed under Urology in Missouri (2024, 172 clinicians with data). Median for this group: $89,717. Middle half: $39,830 to $145,316.
Too few clinicians listed under Urology in O Fallon have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 85% of clinicians listed under Urology in Missouri (2024, 204 clinicians with data). Median for this group: 1,173. Middle half: 272 to 2,309.
Too few clinicians listed under Urology in O Fallon have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 80% of clinicians listed under Urology in Missouri (2024, 204 clinicians with data). Median for this group: $84,186. Middle half: $17,892 to $285,339.
Too few clinicians listed under Urology in O Fallon have Medicare Part D data for 2024 to compare.
3 active clinicians are listed under Urology with a practice address in O Fallon, MO (266 in Missouri).
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.
-
Medicare Part B services
Medicare Part B services decreased 85% from 387 in 2020 to 57 in 2024.
- 2020: 387
- 2021: 265
- 2022: 239
- 2023: 140
- 2024: 57
-
Medicare-allowed amount
Medicare-allowed amount decreased 89% from $26,223 in 2020 to $2,882 in 2024.
- 2020: $26,223
- 2021: $20,329
- 2022: $11,709
- 2023: $7,966
- 2024: $2,882
-
Paid by Medicare
Paid by Medicare decreased 92% from $19,317 in 2020 to $1,617 in 2024.
- 2020: $19,317
- 2021: $15,510
- 2022: $8,359
- 2023: $5,827
- 2024: $1,617
-
Medicare Part D prescriptions
Medicare Part D prescriptions decreased 93% from 1,295 in 2020 to 97 in 2024.
- 2020: 1,295
- 2021: 373
- 2022: 186
- 2023: 108
- 2024: 97
-
30-day fills
30-day fills decreased 91% from 2,570 in 2020 to 223 in 2024.
- 2020: 2,570
- 2021: 739
- 2022: 335
- 2023: 241
- 2024: 223
-
Part D drug cost
Part D drug cost decreased 95% from $60,411 in 2020 to $3,044 in 2024.
- 2020: $60,411
- 2021: $20,831
- 2022: $7,832
- 2023: $3,875
- 2024: $3,044
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $313.82 in 2021 to $47.69 in 2025.
- 2021: $313.82
- 2022: $254.76
- 2023: $522.29
- 2024: $249.45
- 2025: $47.69
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 $47.69.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| COLOPLAST CORP |
Food and Beverage
In-kind items and services
|
SpeediCath | General | $26.55 |
| COLOPLAST CORP |
Food and Beverage
In-kind items and services
|
Luja Coude | General | $21.14 |
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 |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
32 | 30 | $165.31 | $87.41 |
|
81002
Urinalysis, manual test
|
25 | 24 | $20.00 | $3.41 |
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 | 40 | 2,880 | $822.97 | 11 |
| Tamsulosin Hcl | Tamsulosin Hcl | 35 | 2,970 | $967.14 | 14 |
| Potassium Citrate Er | Potassium Citrate | 22 | 840 | $1,253.77 | 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.
Additional State Medicaid & Healthcare Payer Identifiers
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.)
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at PO BOX 60352, SAINT LOUIS, MO 631600352 (Tel: 3143628200)
Registered at 20 PROGRESS POINT PKWY, DIV SURG UROLOGY, STE 106, O FALLON, MO 633682206 (Tel: 3143628200)
Registered at 660 S EUCLID AVE, MSC 8242-22-02, SAINT LOUIS, MO 631101010 (Tel: 3143628200)
Recorded as SUNIL APTE, MD
NPI status registered as active in NPPES database
Registered at 901 PATIENTS FIRST DR, WASHINGTON, MO 630904700 (Tel: 6362395155)
Registered at 901 PATIENTS FIRST DR, WASHINGTON, MO 630904700 (Tel: 6362395155)
Recorded as SUNIL APTE, M.D.
Urology (license number reported to NPPES: MO R8C82)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Urology Specialists in O Fallon
Healthcare providers in O FallonMailing Address
Po Box 60352
Saint Louis, MO 631600352
Phone: 3143628200