DR. ROLAND RENE UGARTE M.D.
NPI 1982653978
Urology in Edina, MN

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
6525 FRANCE AVE S, SUITE 200, EDINA, MN 55435(952) 927-6501(952) 653-1435 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roland Rene Ugarte M.d. NPPES

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

DR. ROLAND RENE UGARTE M.D. (NPI 1982653978) is an individual urology provider in Edina, Minnesota, licensed in Minnesota (31218) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1982653978
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. ROLAND RENE UGARTECredential: M.D.
Location Address6525 FRANCE AVE S, SUITE 200Edina, MN 55435-2148
Mailing Address6525 France Ave S, Suite 200Edina, MN 55435-2148 · (952) 927-6501 · Fax (952) 653-1435
Fax(952) 653-1435
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateMay 8, 2006
Last NPPES UpdateJanuary 26, 2012
NPI 1982653978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MN · 31218
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.
6525 FRANCE AVE S, Edina, MN 55435

Other Identifiers 3

Medicare ID-Type Unspecified340000064MN
Medicaid674888100MN
Medicare UPINB58419MN

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

Dr. Roland Rene Ugarte 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 ID7214833581
PECOS Enrollment IDI20031212000422
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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,200 services11 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.
494 services321 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
293 services185 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
289 services181 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
281 services176 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.
167 services127 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Reported Quality Measures

Colorectal Cancer Screening
53%1,036 patients3/55-star benchmark: 88%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%35 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%2,978 patients4/55-star benchmark: 100%
e-Prescribing
97%430 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 93% · 843 patients
Patients screened: 98% · 843 patients
16%49 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
85%1,489 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%47 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,223 patients
Patients totalRate: 1% · 1,223 patients
1%1,223 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
2 suppliers13 claims13 services$6.88 avg. paid by Medicare
Irrigation tray with bulb or piston syringe, any purpose A4320
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims84 services$4.73 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
3 suppliers14 claims14 services$11.68 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
8 suppliers27 claims4,620 services$1.73 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
6 suppliers52 claims9,232 services$5.27 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
1 supplier20 claims38 services$8.88 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.

Obstetrics & Gynecology
6525 FRANCE AVE S, SUITE 100
EDINA, MN 55435
Urology
6525 FRANCE AVE S, SUITE 200
EDINA, MN 55435
Urology
6525 FRANCE AVE S, SUITE 200
EDINA, MN 55435
Pathology (Anatomic Pathology & Clinical Pathology)
6525 FRANCE AVE S, SUITE 200
EDINA, MN 55435
Otolaryngology
6525 FRANCE AVE S, SUITE 325
EDINA, MN 55435
Urology
6525 FRANCE AVE S, SUITE 200
EDINA, MN 55435
Obstetrics & Gynecology
6525 FRANCE AVE S
EDINA, MN 55435
Urology
6525 FRANCE AVE S, SUITE 200
EDINA, MN 55435

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 Roland Ugarte's NPI number?

The NPI number for Roland Ugarte is 1982653978. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Roland Ugarte located?

Roland Ugarte practices at 6525 France Ave S Suite 200, Edina, MN 55435. The listed phone number is (952) 927-6501.

What is Roland Ugarte's specialty?

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

Is Roland Ugarte enrolled in Medicare?

Yes. Roland Ugarte 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 Roland Ugarte accept?

Health plans from Medica list Roland Ugarte 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.

When was this NPI record last updated?

The NPPES record for Roland Ugarte was last updated on January 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.