KEVIN JOSEPH GANCARCZYK M.D.
NPI 1013983741
Urology in Tulsa, OK

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
10901 E 48TH ST, TULSA, OK 74146(918) 749-8765(918) 392-2155 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 5, 2022, Sep 30, 2021, Aug 18, 2021 (3 updates tracked since 2021).

About Kevin Joseph Gancarczyk M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN JOSEPH GANCARCZYK M.D. (NPI 1013983741) is an individual urology provider in Tulsa, Oklahoma, licensed in Oklahoma (26830) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Jane Phillips, and is a graduate of University Of Arkansas College Of Medicine (1995).

NPPES Registry Identity

NPI1013983741
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameKEVIN JOSEPH GANCARCZYKCredential: M.D.
Location Address10901 E 48TH STTulsa, OK 74146-5830
Mailing Address10901 E 48th StTulsa, OK 74146-5830 · (918) 749-8765 · Fax (918) 392-2155
Fax(918) 392-2155
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1995
Enumeration DateFebruary 23, 2006
Last NPPES UpdateJuly 5, 20223 updates tracked since enumeration
NPPES CertifiedJuly 5, 2022
✔ NPI 1013983741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in OK · 26830
Definition
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.
10901 E 48TH ST, Tulsa, OK 74146

Other Identifiers 1

Medicaid200237950AOK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Joseph Gancarczyk M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052464617
PECOS Enrollment IDI20090729000337, I20140515000795, I20140729000713
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Kevin Gancarczyk reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
10901 E 48TH ST
Tulsa, OK 74146
  • Reassigned Medicare billing, Arkansas, Missouri and Oklahoma enrollments
  • 29 clinicians in this Medicare group
Internal Medicine
1 E CLARK BASS BLVD
Mcalester, OK 74501
  • Reassigned Medicare billing, Oklahoma enrollment
  • 47 clinicians in this Medicare group
Family Medicine
101 W SYCAMORE ST
Columbus, KS 66725
  • Reassigned Medicare billing, Missouri enrollment
  • 562 clinicians in this Medicare group
Rural Health
92 MAIN ST
Cassville, MO 65625
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1245277631 (Missouri)
  • 1,487 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 40

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, testosterone cypionate, 1 mg J1071
Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.
11,870 services42 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,086 services134 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
791 services616 patients
Injection, heparin sodium, per 1000 units J1644
Heparin sodium injection is a blood-thinning medication given to prevent blood clots. It's administered in units, with each dose tailored to your needs. This service refers to the administration of 1000 units of this medication.
720 services26 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
592 services517 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
366 services344 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Jane Phillips

Acute Care Hospitals · Bartlesville, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370018
Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County
Emergency services Birthing friendly

Mcalester Regional Health Center

Acute Care Hospitals · Mcalester, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370034
Location1 Clark Bass BoulevardMcalester, OK 74501 · Pittsburg County
Emergency services Birthing friendly

Oklahoma Surgical Hospital, LLC

Acute Care Hospitals · Tulsa, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370210
Location2408 East 81st Street, Suite 300Tulsa, OK 74137 · Tulsa County
Emergency services

Ascension St John Broken Arrow

Acute Care Hospitals · Broken Arrow, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370235
Location1000 West Boise CircleBroken Arrow, OK 74012 · Tulsa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers28 claims3,240 services$0.11 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier53 claims53 services$10.55 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers49 claims7,790 services$1.63 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier17 claims990 services$5.25 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers64 claims79 services$7.47 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers39 claims42 services$6.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
10901 E 48TH ST
TULSA, OK 74146
Physician Assistant
10901 E 48TH ST
TULSA, OK 74146
Urology
10901 E 48TH ST
TULSA, OK 74146
Urology
10901 E 48TH ST
TULSA, OK 74146
Radiology (Vascular & Interventional Radiology)
10901 E 48TH ST
TULSA, OK 74146
Clinical Nurse Specialist (Adult Health)
10901 E 48TH ST
TULSA, OK 74146
Urology
10901 E 48TH ST
TULSA, OK 74146
Urology
10901 E 48TH ST
TULSA, OK 74146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Gancarczyk's NPI number?

The NPI number for Kevin Gancarczyk is 1013983741. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Kevin Gancarczyk located?

Kevin Gancarczyk practices at 10901 E 48th St, Tulsa, OK 74146. The listed phone number is (918) 749-8765.

What is Kevin Gancarczyk's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Kevin Gancarczyk enrolled in Medicare?

Yes. Kevin Gancarczyk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kevin Gancarczyk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Gancarczyk reassigns Medicare benefits to 4 organizations: Urologic Specialists Of Oklahoma Inc (Tulsa, OK), Mcalester Medical Services, LLC (Mcalester, OK), Mercy Clinic Joplin LLC (Columbus, KS) and Mercy Clinic Springfield Communities (Cassville, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Gancarczyk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Gancarczyk accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Sunflower Health Plan and Ambetter from Superior HealthPlan and 9 other insurers list Kevin Gancarczyk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kevin Gancarczyk affiliated with any hospitals?

According to CMS data, Kevin Gancarczyk is affiliated with Ascension St John Jane Phillips, Mcalester Regional Health Center, Oklahoma Surgical Hospital, LLC and Ascension St John Broken Arrow.

When was this NPI record last updated?

The NPPES record for Kevin Gancarczyk was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.