Dr. Cailey Jean Sanborn , MD
Urology • Pittsburgh, PA
4815 Liberty Ave Ste M58
Pittsburgh, PA 152242156
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 March 28, 2018; this date does not establish years in practice.
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Published CMS data list 129 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:
- 81002 — Urinalysis, manual test: 34 service units.
- 52000 — Diagnostic exam of bladder and urethra using an endoscope: 21 service units.
- 99204 — New patient outpatient office visit: 20 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 6 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 99 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 — 50 prescription fills, including refills.
- Myrbetriq (Mirabegron) — 17 prescription fills, including refills.
- Finasteride — 16 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 4 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 90% of clinicians listed under Urology in Pittsburgh, PA (2024, 38 clinicians with data). Median for this group: 620. Middle half: 276 to 1,339.
Fewer Medicare Part B services than 90% of clinicians listed under Urology in Pennsylvania (2024, 390 clinicians with data). Median for this group: 1,096. Middle half: 513 to 2,950.
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 D prescriptions went from 21 in 2020 to 99 in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020–2024.
Practice Location & Contact Primary Location
4815 Liberty Ave Ste M58
Pittsburgh, PA 152242156
CMS Doctors and Clinicians lists 1 group name: Allegheny Clinic. 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
Emory University School Of Medicine
2018
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
73 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 $11,903 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 $9,370 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
121 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
$10,290 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: $303.38 across 3 records.
By nature of payment
- Food and Beverage: $303.38 across 3 records.
Reporting-company totals
- Procept Biorobotics Corporation: $153.38 across 2 records.
- Janssen Pharmaceuticals, Inc: $150.00 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
8 years (graduated 2018)
CMS Doctors and Clinicians data list 2018 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
2018
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?”
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. Sanborn 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. Sanborn 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 Pittsburgh and Pennsylvania
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 90% of clinicians listed under Urology in Pittsburgh, PA (2024, 38 clinicians with data). Median for this group: 620. Middle half: 276 to 1,339.
Fewer Medicare Part B services than 90% of clinicians listed under Urology in Pennsylvania (2024, 390 clinicians with data). Median for this group: 1,096. Middle half: 513 to 2,950.
Medicare-allowed amount
A lower Medicare-allowed amount than 85% of clinicians listed under Urology in Pittsburgh, PA (2024, 38 clinicians with data). Median for this group: $61,158. Middle half: $34,014 to $106,912.
A lower Medicare-allowed amount than 90% of clinicians listed under Urology in Pennsylvania (2024, 390 clinicians with data). Median for this group: $94,510. Middle half: $45,936 to $184,918.
Paid by Medicare
A lower Medicare payment amount than 85% of clinicians listed under Urology in Pittsburgh, PA (2024, 38 clinicians with data). Median for this group: $45,857. Middle half: $26,331 to $80,582.
A lower Medicare payment amount than 90% of clinicians listed under Urology in Pennsylvania (2024, 390 clinicians with data). Median for this group: $69,281. Middle half: $34,043 to $137,962.
Medicare Part D prescriptions
Fewer Part D prescriptions than 75% of clinicians listed under Urology in Pittsburgh, PA (2024, 45 clinicians with data). Median for this group: 606. Middle half: 121 to 1,286.
Fewer Part D prescriptions than 80% of clinicians listed under Urology in Pennsylvania (2024, 448 clinicians with data). Median for this group: 889. Middle half: 232 to 2,017.
Part D drug cost
A lower Part D drug cost than 65% of clinicians listed under Urology in Pittsburgh, PA (2024, 45 clinicians with data). Median for this group: $43,562. Middle half: $4,854 to $161,542.
A lower Part D drug cost than 75% of clinicians listed under Urology in Pennsylvania (2024, 448 clinicians with data). Median for this group: $72,128. Middle half: $10,730 to $241,715.
62 active clinicians are listed under Urology with a practice address in Pittsburgh, PA (664 in Pennsylvania).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Pittsburgh
41.9% of these 62 clinicians have the CMS telehealth indicator.
69.4% of these 62 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
CMS data for Medicare Part B services are available for 2024 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2024 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2024 only.
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 371% from 21 in 2020 to 99 in 2024.
- 2020: 21
- 2021: 13
- 2022: 21
- 2023: 44
- 2024: 99
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30-day fills
30-day fills increased 478% from 21 in 2020 to 121 in 2024.
- 2020: 21
- 2021: 13
- 2022: 21
- 2023: 44
- 2024: 121
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Part D drug cost
Part D drug cost went from $122 in 2020 to $10,290 in 2024.
- 2020: $122
- 2021: $77
- 2022: $134
- 2023: $260
- 2024: $10,290
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $19.99 in 2022 to $303.38 in 2025.
- 2022: $19.99
- 2023: $446.60
- 2024: $337.03
- 2025: $303.38
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 $303.38.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $150.00 |
| Procept Biorobotics Corporation |
Food and Beverage
In-kind items and services
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AQUABEAM ROBOTIC SYSTEM | General | $135.50 |
| Procept Biorobotics Corporation |
Food and Beverage
In-kind items and services
|
AQUABEAM ROBOTIC SYSTEM | General | $17.88 |
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 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, 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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81002
Urinalysis, manual test
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34 | 34 | $10.00 | $3.33 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
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21 | 21 | $666.00 | $221.96 |
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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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20 | 20 | $476.00 | $158.76 |
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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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20 | 20 | $258.00 | $85.99 |
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51798
Ultrasound measurement of bladder capacity after voiding
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17 | 17 | $31.00 | $9.90 |
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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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17 | 17 | $364.00 | $121.48 |
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 | 50 | 1,930 | $314.43 | 27 |
| Myrbetriq | Mirabegron | 17 | 683 | $9,838.14 | — |
| Finasteride | Finasteride | 16 | 524 | $112.86 | — |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 16 | 83 | $24.86 | 15 |
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: 2024-10-21NUCC 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
I20241030003116
PA
9133476377
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
Allegheny Clinic
4815 Liberty Ave, Pittsburgh, PA 152242156
Phone: 4122462452
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4815 LIBERTY AVE STE M58, PITTSBURGH, PA 152242156 (Tel: 4122462452)
Registered at 4815 LIBERTY AVE STE M58, PITTSBURGH, PA 152242156 (Tel: 4122462452)
Registered at 1307 FEDERAL ST STE 300, PITTSBURGH, PA 152124769 (Tel: 4122811757)
Recorded as CAILEY SANBORN, MD
Urology (license number reported to NPPES: PA MD486440)
NPI status registered as active in NPPES database
Registered at 200 LOTHROP ST STE 677, PITTSBURGH, PA 152132536 (Tel: 4126475815)
Registered at 3600 FORBES AVE STE 140, PITTSBURGH, PA 152133410
Recorded as CAILEY GUERCIO, MD
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Urology Specialists in Pittsburgh
- Kevin Rycyna
- Dr. Jeffrey Cohen, MD
- Dr. Quoc-Dien Trinh, MD
- Dr. Michelle Semins, MD
- Dr. Adam Sharbaugh, MD
- Dr. Brian Chun, MD
Mailing Address
4815 Liberty Ave Ste M58
Pittsburgh, PA 152242156
Phone: 4122462452