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Compare the published Medicare service mix of David Arthur Kunkle, M.D. with clinicians in the same registry specialty: Urology (CMS).

NC · Exact areaEdit location

2024 published service data · 306 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Stephen Guice

Urology (CMS) · Charlotte, NC

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Ultrasound measurement of bladder capacity after voiding (51798)
  • Automated urinalysis test (81003)
85%Service-mix similarityView profile →

Rebecca Marie Spinaris, DO

Urology (CMS) · Greenville, NC

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Ultrasound measurement of bladder capacity after voiding (51798)
  • Automated urinalysis test (81003)
84%Service-mix similarityView profile →

Thomas Hogeman Phillips, MD

Urology (CMS) · Matthews, NC

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Ultrasound measurement of bladder capacity after voiding (51798)
  • Automated urinalysis test (81003)
82%Service-mix similarityView profile →

John George Cargill, MD

Specialty details in registry · Asheville, NC

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Ultrasound measurement of bladder capacity after voiding (51798)
  • Automated urinalysis test (81003)
80%Service-mix similarityView profile →

Laura Culp Foster, M.D.

Urology (CMS) · Winston-Salem, NC

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Ultrasound measurement of bladder capacity after voiding (51798)
  • Automated urinalysis test (81003)
77%Service-mix similarityView profile →

George Burgwyn Newsome, M.D.

Specialty details in registry · Winston-Salem, NC

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Ultrasound measurement of bladder capacity after voiding (51798)
  • Automated urinalysis test (81003)
77%Service-mix similarityView profile →

Victor Mauricio Pereira, PA-C

Physician Assistant (CMS) · Pembroke, NC

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Ultrasound measurement of bladder capacity after voiding (51798)
  • Automated urinalysis test (81003)
76%Service-mix similarityView profile →

Stephen Michael Dahlstedt, MD

Urology (CMS) · Greensboro, NC

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Ultrasound measurement of bladder capacity after voiding (51798)
  • Automated urinalysis test (81003)
76%Service-mix similarityView profile →

Alejandro Remigio Rodriguez, M.D.

Urology (CMS) · Winston Salem, NC

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Ultrasound measurement of bladder capacity after voiding (51798)
  • Automated urinalysis test (81003)
76%Service-mix similarityView profile →

David John Lehr, MD

Urology (CMS) · Whiteville, NC

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Ultrasound measurement of bladder capacity after voiding (51798)
  • Automated urinalysis test (81003)
73%Service-mix similarityView profile →

Alden Henry Reine, MD

Urology (CMS) · Lincolnton, NC

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Automated urinalysis test (81003)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
73%Service-mix similarityView profile →

Javier Piraino, D.O

Urology (CMS) · Charlotte, NC

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Ultrasound measurement of bladder capacity after voiding (51798)
  • Automated urinalysis test (81003)
72%Service-mix similarityView profile →
How this comparison works

We use the same calendar year of CMS Medicare Physician & Other Practitioners data for both providers. Published non-drug service counts are combined by HCPCS code across places of service. We apply log(1 + count), normalize the vectors, and compare them using cosine similarity.

Candidates share the reference provider’s current NPPES primary taxonomy and match the location you enter. We examine up to 500 candidates in NPI order, then show up to 12 with the highest positive similarity within that set. The score is not a percentile, medical recommendation, or prediction. Suppressed services are not estimated. Medicare fee-for-service data does not describe a provider’s entire practice.

Source: CMS Medicare Physician & Other Practitioners - by Provider and Service : 2024-12-01 · Published May 21, 2026.