Dr. Thomas Grimaldi , MD
Urology โข Carmel, NY
664 Stoneleigh Ave
Carmel, NY 105123940
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 2, 2006; this date does not establish years in practice.
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Published CMS data list 2,653 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:
- 99213 โ Established patient outpatient office visit: 380 service units.
- 36415 โ Insertion of needle into vein for collection of blood sample: 290 service units.
- 99214 โ Established patient outpatient office visit: 226 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 31 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 2,491 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:
- Tamsulosin Hcl โ 815 prescription fills, including refills.
- Finasteride โ 507 prescription fills, including refills.
- Oxybutynin Chloride Er (Oxybutynin Chloride) โ 222 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 27 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 70% of clinicians listed under Urology in New York (2024, 677 clinicians with data). Median for this group: 1,005. Middle half: 436 to 3,529.
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 3,220 in 2020 to 2,653 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
664 Stoneleigh Ave
Carmel, NY 105123940
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: Optum Medical Care Pc. 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
State University Of New York At Buffalo School Of Medicine
1989
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
695 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 $191,130 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 $143,690 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
5,165 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
$123,078 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 2024
All general payments: $449.94 across 5 records.
By nature of payment
- Travel and Lodging: $304.50 across 1 record.
- Food and Beverage: $145.44 across 4 records.
Reporting-company totals
- Boston Scientific Corporation: $353.40 across 3 records.
- Axonics, Inc.: $96.54 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 2024 (published June 30, 2026).
Years since graduation
37 years (graduated 1989)
CMS Doctors and Clinicians data list 1989 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. Grimaldi 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. Grimaldi 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 Carmel and New York
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Urology in New York (2024, 677 clinicians with data). Median for this group: 1,005. Middle half: 436 to 3,529.
Too few clinicians listed under Urology in Carmel have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Urology in New York (2024, 677 clinicians with data). Median for this group: $101,180. Middle half: $38,168 to $249,781.
Too few clinicians listed under Urology in Carmel have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 65% of clinicians listed under Urology in New York (2024, 677 clinicians with data). Median for this group: $75,481. Middle half: $28,363 to $187,263.
Too few clinicians listed under Urology in Carmel have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Urology in New York (2024, 745 clinicians with data). Median for this group: 913. Middle half: 216 to 1,942.
Too few clinicians listed under Urology in Carmel have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Urology in New York (2024, 745 clinicians with data). Median for this group: $79,790. Middle half: $12,830 to $271,371.
Too few clinicians listed under Urology in Carmel have Medicare Part D data for 2024 to compare.
1 active clinicians are listed under Urology with a practice address in Carmel, NY (1,091 in New York).
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 18% from 3,220 in 2020 to 2,653 in 2024.
- 2020: 3,220
- 2021: 3,224
- 2022: 2,741
- 2023: 2,647
- 2024: 2,653
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Medicare-allowed amount
Medicare-allowed amount decreased 17% from $230,414 in 2020 to $191,130 in 2024.
- 2020: $230,414
- 2021: $207,191
- 2022: $191,301
- 2023: $173,996
- 2024: $191,130
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Paid by Medicare
Paid by Medicare decreased 17% from $172,848 in 2020 to $143,690 in 2024.
- 2020: $172,848
- 2021: $156,758
- 2022: $140,745
- 2023: $130,571
- 2024: $143,690
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 24% from 2,001 in 2020 to 2,491 in 2024.
- 2020: 2,001
- 2021: 2,311
- 2022: 1,983
- 2023: 2,110
- 2024: 2,491
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30-day fills
30-day fills increased 27% from 4,067 in 2020 to 5,165 in 2024.
- 2020: 4,067
- 2021: 4,360
- 2022: 4,048
- 2023: 4,332
- 2024: 5,165
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Part D drug cost
Part D drug cost stayed about the same: $120,780 in 2020 and $123,078 in 2024.
- 2020: $120,780
- 2021: $116,914
- 2022: $106,861
- 2023: $123,564
- 2024: $123,078
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $99.99 in 2021 to $449.94 in 2024.
- 2021: $99.99
- 2023: $50.23
- 2024: $449.94
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), 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 2024 (payments made January 1 โ December 31, 2024): fewer than 11 records totaling $449.94.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boston Scientific Corporation |
Travel and Lodging
In-kind items and services
|
Moses 550 DFL | General | $304.50 |
| Axonics, Inc. |
Food and Beverage
In-kind items and services
|
Bulkamid | General | $73.44 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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โ | General | $35.06 |
| Axonics, Inc. |
Food and Beverage
In-kind items and services
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Axonics | General | $23.10 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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Moses 550 DFL | General | $13.84 |
Source: CMS Open Payments, program year 2024, 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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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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380 | 334 | $112.59 | $95.59 |
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36415
Insertion of needle into vein for collection of blood sample
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290 | 217 | $10.48 | $8.65 |
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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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226 | 174 | $154.61 | $135.79 |
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84153
Psa (prostate specific antigen) measurement, total
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180 | 150 | $24.02 | $17.83 |
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J9217
Leuprolide acetate (for depot suspension), 7.5 mg
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172 | 22 | $180.86 | $177.98 |
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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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168 | 157 | $67.52 | $60.51 |
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87086
Bacterial colony count, urine
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164 | 120 | $9.77 | $7.91 |
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81003
Automated urinalysis test
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112 | 107 | $2.89 | $2.19 |
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81001
Manual urinalysis test with examination using microscope, automated
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109 | 83 | $4.33 | $3.11 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
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93 | 86 | $302.32 | $258.09 |
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96372
Injection of drug or substance under skin or into muscle
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73 | 23 | $21.78 | $15.28 |
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84403
Testosterone (hormone) level, total
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64 | 49 | $31.28 | $24.90 |
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96402
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
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61 | 25 | $41.83 | $38.03 |
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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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56 | 56 | $143.56 | $115.73 |
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87077
Bacterial culture for aerobic isolates
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52 | 41 | $9.92 | $7.92 |
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87186
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution
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52 | 41 | $10.43 | $8.48 |
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87088
Bacterial urine culture
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48 | 37 | $9.84 | $7.93 |
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76857
Limited ultrasound scan of pelvis
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41 | 38 | $124.25 | $52.41 |
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99202
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
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38 | 38 | $90.03 | $77.29 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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38 | 34 | $199.64 | $136.50 |
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J1580
Injection, garamycin, gentamicin, up to 80 mg
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37 | 19 | $2.58 | $2.53 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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34 | 29 | $11.94 | $7.61 |
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80053
Blood test, comprehensive group of blood chemicals
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31 | 27 | $15.93 | $10.35 |
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55700
Biopsy of prostate gland
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21 | 21 | $283.79 | $258.39 |
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76872
Ultrasound scan of pelvic region through rectum
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21 | 21 | $163.14 | $149.17 |
(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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 815 | 58,051 | $11,519.72 | 238 |
| Finasteride | Finasteride | 507 | 39,353 | $7,570.06 | 142 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 222 | 12,420 | $5,426.50 | 60 |
| Myrbetriq | Mirabegron | 108 | 4,380 | $64,754.50 | 26 |
| Dutasteride | Dutasteride | 99 | 7,990 | $3,065.67 | 26 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 82 | 2,088 | $464.64 | 50 |
| Testosterone Cypionate | Testosterone Cypionate | 76 | 2,893 | $1,688.27 | 12 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 63 | 4,770 | $1,940.30 | 19 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 58 | 214 | $154.21 | 51 |
| Cephalexin | Cephalexin | 54 | 870 | $400.40 | 34 |
| Bicalutamide | Bicalutamide | 46 | 1,800 | $1,221.46 | 20 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 44 | 286 | $290.53 | 38 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 36 | 162 | $131.48 | 29 |
| Silodosin | Silodosin | 34 | 2,640 | $3,581.19 | 12 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 32 | 868 | $611.44 | 20 |
| Methenamine Hippurate | Methenamine Hippurate | 32 | 1,380 | $1,510.31 | โ |
| Potassium Citrate Er | Potassium Citrate | 29 | 1,610 | $3,951.99 | โ |
| Sildenafil Citrate | Sildenafil Citrate | 20 | 1,044 | $303.69 | โ |
| Amoxicillin | Amoxicillin | 19 | 98 | $62.87 | 16 |
| Tadalafil | Tadalafil | 19 | 1,710 | $2,787.69 | โ |
| Fesoterodine Fumarate Er | Fesoterodine Fumarate | 18 | 540 | $1,962.57 | โ |
| Dutasteride-Tamsulosin | Dutasteride/Tamsulosin Hcl | 16 | 720 | $1,780.36 | โ |
| Mirabegron Er | Mirabegron | 15 | 690 | $7,382.80 | โ |
| Imipramine Hcl | Imipramine Hcl | 13 | 330 | $79.37 | โ |
| Levofloxacin | Levofloxacin | 12 | 68 | $78.23 | โ |
(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
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
I20110106000473
NY
4981893997
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
Optum Medical Care Pc
600 Westage Business Ctr D, Fishkill, NY 125242281
Phone: 8452315600
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Anesthesiology - Pain Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Hospitalist
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated October 02, 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
Mailing Address
110 S Bedford Rd, Caremount Medical Pc
Mount Kisco, NY 105493446
Phone: 9142411050