Howard B. Epstein, MD
NPI 1295786242ActiveIndividual· Urology· St Augustine, FL
Urology (MD) in St Augustine, Florida, trained at University of Florida College of Medicine (class of 1983). 778 Medicare patients in 2024, $209,429 paid; nearly all of their 2,168 Part D prescriptions were generic (94%). Merck Sharp & Dohme LLC was the largest of 6 companies reporting payments in 2025, $197.83 in all, mostly food and beverage.
Overview
| NPI | 1295786242 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 15, 2006 |
| Last updated in NPPES | Mar 26, 2021 |
| Certified by provider | Mar 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | ME44446 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Urology (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 778 |
|---|---|
| Services billed | 4,896 across 87 procedure codes |
| Paid by Medicare | $209,429 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,168 · 5,159 30-day fills |
|---|---|
| Patients | 679 |
| Total drug cost | $161,655 |
| Generic share | 94% of claims |
Education and affiliations
| Medical school | University of Florida College of Medicine |
|---|---|
| Graduation year | 1983 |
| Medicare specialty | Urology |
Medical group
- Advanced Urology Institute LLCSafety Harbor, FL · 144 clinicians
Hospital affiliation
- Flagler HospitalSaint Augustine, FL
Industry payments (Open Payments)
- 2025$197.83 · 8 payments from 6 companies
- 2024$152.10 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $82.07 | 3 |
| Teleflex LLC | $28.23 | 1 |
| Blue Earth Diagnostics | $25.23 | 1 |
| Urogen Pharma, Inc. | $24.92 | 1 |
| Astellas Pharma US Inc | $24.75 | 1 |
What the 2025 payments were for
- Food and Beverage$197.83 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Urology providers in St Augustine
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- 1053532572
- 1023476454
- 1124183736