CLAUS G ROEHRBORN MD NPI 1174584593
Urology in Dallas, TX
About CLAUS ROEHRBORN
Claus Roehrborn is a provider established in Dallas, Texas and his medical specialization is urology with more than 42 years of experience. The NPI number of Claus Roehrborn is 1174584593 and was assigned on March 2006. The practitioner's primary taxonomy code is 208800000X with license number H7033 (TX). The provider is registered as an individual and his NPI record was last updated 12 years ago.
Claus Roehrborn is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices
Claus Roehrborn is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Ut Southwestern University Hospital - William P. Clements Jr..
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.04 for a new patient copayment and $18.61 for an established patient copayment.
| NPI | 1174584593 |
| Provider Name | CLAUS G ROEHRBORN MD |
| Provider Location Address | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 |
| Provider Mailing Address | PO BOX 845347 DALLAS, TX 75284 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1980 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 03-28-2006 |
| Last Update Date | 05-21-2010 |
Primary Taxonomy
| Taxonomy Code | 208800000X |
| Classification | Urology |
| Type | Allopathic & Osteopathic Physicians |
| License No. | H7033 |
| License State | TX |
| Taxonomy Description | 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. |
Business Address
CLAUS G ROEHRBORN MD
5323 HARRY HINES BOULEVARD
DALLAS, TX
ZIP 75390
Phone: (214) 645-0624
Fax: (214) 645-0078
Mailing Address
CLAUS G ROEHRBORN MD
PO BOX 845347
DALLAS, TX
ZIP 75284
Phone: (214) 645-0624
Fax: (214) 645-0078
Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 5991840902 |
| PECOS Enrollment ID | I20100830001069 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 75390 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $59.43 | $179.71 | $136.17 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.85 | $44.92 | $34.04 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.75 | $147.31 | $74.44 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.68 | $36.82 | $18.61 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 259Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
- 80Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
- 72Ultrasound of rectum (HCPCS:76872)
- 58Urinalysis, manual test (HCPCS:81002)
- 54Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
- 53Biopsy of prostate gland (HCPCS:55700)
- 45Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Claus Roehrborn is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| UT SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. | 6201 HARRY HINES BLVD DALLAS, TX 75390 | (214) 633-5555 | Acute Care Hospitals | 450044 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 118266903 | MEDICAID (05) | TX |
| 864385 | MEDICARE PIN (08) | |
| F34706 | MEDICARE UPIN (02) |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023078607 | SUSAN THERESA IANNACCONE MD Individual | Psychiatry & Neurology (Neurology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 456-2768 |
| 1245338623 | MR. KEMP H KERNSTINE MD, PH.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-7700 |
| 1285825505 | SHANNON ELIZABETH BLALOCK MD Individual | Pediatrics (Pediatric Cardiology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 456-2333 |
| 1184788416 | DR. DHARAM JAYDEEP KUMBHANI M.D. Individual | Internal Medicine (Cardiovascular Disease) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-8000 |
| 1013063627 | SASAN MIRFAKHRAEE MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-2800 |
| 1548307481 | DR. ISABEL CRISTINA ROJAS SANTAMARIA M.D. Individual | Pediatrics (Pediatric Gastroenterology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 456-8000 |
| 1154539534 | TARA MICHELLE DUVAL MD Individual | Internal Medicine (Geriatric Medicine) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-8600 |
| 1689834277 | DR. ABBIE MARTHA EWELL MD Individual | Psychiatry & Neurology (Psychiatry) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 590-8761 |
| 1235387531 | MANISH R MOHANKA MD, MPH Individual | Internal Medicine (Pulmonary Disease) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-2800 |
| 1104053628 | ANITA ANJALI HEGDE M.D. Individual | Internal Medicine | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 648-9741 |
| 1689965659 | DR. MICHELLE RIMA KANDALAFT PH.D. Individual | Psychologist | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 648-5160 |
| 1013977487 | DR. ARTHUR EDWARD FRANKEL MD Individual | Internal Medicine (Hematology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-4673 |
| 1932250115 | DR. BRIDGET DANIELLE STUART MD Individual | Pediatrics (Pediatric Pulmonology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 648-3903 |
| 1225229164 | DR. ZARMINA AMAN MD Individual | Obstetrics & Gynecology | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-3838 |
| 1609053875 | DR. DEVIKA RADHIKA RAO MD Individual | Pediatrics (Pediatric Pulmonology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 456-2857 |
| 1992956825 | SHAI MANZURI MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 456-5095 |
| 1841385580 | DR. CATHERINE B. ORSAK M.D. Individual | Psychiatry & Neurology (Psychiatry) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 648-3043 |
| 1750554689 | DR. DIANA PATRICIA CASTRO MD Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 456-2768 |
| 1255356150 | DR. JASON PAUL CLARK MD Individual | Internal Medicine (Critical Care Medicine) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-2800 |
| 1629288550 | AURELIA MARIE SCHMALSTIEG M.D. Individual | Internal Medicine (Infectious Disease) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-2800 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.