John Upshaw, MD
NPI 1598770869 · Urology Physician · Lake Charles, LA
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Upshaw, MD is a Urology Physician provider in Lake Charles, LA (NPI 1598770869).
Provider details
- NPI number
- 1598770869
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD.023910.R (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
4,335 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Manual Urinalysis Test With Examination Using Microscope, Non-Automated81000 | 1,274 | $4 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 892 | $119 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 511 | $84 |
| Ultrasound Measurement of Bladder Capacity After Voiding51798 | 348 | $10 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 297 | $13 |
| Urinalysis, Manual Test81002 | 243 | $3 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 35 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 1,272 | 422 |
| Finasteride | 858 | 271 |
| Alfuzosin Hclbrand: Alfuzosin Hcl Er | 213 | 74 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 159 | 122 |
| Solifenacin Succinate | 137 | 42 |
| Mirabegronbrand: Myrbetriq | 124 | 38 |
| Vibegronbrand: Gemtesa |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$265 across 11 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-29
- Last updated
- 2022-04-28
- Certified
- 2022-04-28
Frequently asked questions
- What is John Upshaw's NPI number?
- John Upshaw's National Provider Identifier (NPI) is 1598770869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Upshaw's specialty?
- John Upshaw is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is John Upshaw located?
- John Upshaw's practice location on file with NPPES is 2770 3rd Ave Ste 240, Lake Charles, LA 70601-8994.
- What is John Upshaw's phone number?
- The practice phone number listed in the NPPES registry for John Upshaw is (337) 494-4656.
- Does John Upshaw accept Medicare?
- John Upshaw is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Upshaw's NPI active?
- Yes — John Upshaw's NPI (1598770869) is active in the NPPES registry as of the last update on 2022-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.