CLAUS G ROEHRBORN MD
NPI 1174584593
Urology in Dallas, TX

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390(214) 645-0624(214) 645-0078 Get Directions Write a Review

NPPES record last updated: May 21, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Claus G Roehrborn Md NPPES

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

CLAUS G ROEHRBORN MD (NPI 1174584593) is an individual urology provider in Dallas, Texas, licensed in Texas (H7033) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (1980).

NPPES Registry Identity

NPI1174584593
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameCLAUS G ROEHRBORNCredential: MD
Location Address5323 HARRY HINES BOULEVARDDallas, TX 75390-7208
Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 645-0624 · Fax (214) 645-0078
Fax(214) 645-0078
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateMarch 28, 2006
Last NPPES UpdateMay 21, 2010
NPI 1174584593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in TX · H7033
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.
5323 HARRY HINES BOULEVARD, Dallas, TX 75390

Other Identifiers 3

Medicaid118266903TX
Medicare PIN864385
Medicare UPINF34706

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Claus G Roehrborn Md 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 ID5991840902
PECOS Enrollment IDI20100830001069
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.

Areas of Expertise CMS Part B claims 24

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.

Bcg live intravesical instillation, 1 mg J9030
BCG live intravesical instillation is a procedure where a weakened form of a bacteria is introduced into your bladder. This helps your body's immune system to fight off certain bladder conditions. The procedure is generally safe and effective.
2,200 services37 patients
Injection, docetaxel, 1 mg J9171
Docetaxel is a medication given via injection to treat various types of cancer. It works by stopping cancer cells from growing and dividing. Each injection contains 1 mg of docetaxel. Side effects can occur, so regular monitoring is essential.
1,040 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
970 services795 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
475 services55 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.
338 services322 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
318 services292 patients

Hospital Affiliations CMS Care Compare 2

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Referred Medical Equipment & Supplies CMS DME claims 5

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 suppliers16 claims2,448 services$0.09 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
5 suppliers37 claims4,380 services$1.38 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
5 suppliers42 claims7,875 services$5.97 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
5 suppliers18 claims54 services$7.38 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
3 suppliers12 claims220 services$3.31 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.

Emergency Medicine
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Audiologist
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Nurse Practitioner (Family)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Radiology (Diagnostic Radiology)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Pediatrics (Pediatric Cardiology)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390

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 Claus Roehrborn's NPI number?

The NPI number for Claus Roehrborn is 1174584593. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Claus Roehrborn located?

Claus Roehrborn practices at 5323 Harry Hines Boulevard, Dallas, TX 75390. The listed phone number is (214) 645-0624.

What is Claus Roehrborn's specialty?

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

Is Claus Roehrborn enrolled in Medicare?

Yes. Claus Roehrborn 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.

What insurance does Claus Roehrborn accept?

Health plans from Blue Cross and Blue Shield of Texas list Claus Roehrborn 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 Claus Roehrborn affiliated with any hospitals?

According to CMS data, Claus Roehrborn is affiliated with Ut Southwestern University Hospital - William P. Clements Jr. and Texas Health Hospital Frisco.

When was this NPI record last updated?

The NPPES record for Claus Roehrborn was last updated on May 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.