Surgeon profile
John Julian, M.D.
Urology · Fresno, CA 93720NPI 1467457093
Database refreshed July 2026Live NPPES registry· Industry payments CY2025ⓘ sources
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Tracked procedure volumes
Latest federal claims release with year-over-year momentum. Eight device-heavy specialties tracked — more coming.
53 Medicare cases/yr
48 patients
4 procedures
| Procedure | Cases | Trend | Patients |
|---|---|---|---|
| ESWL — Shockwave Lithotripsy CPT 50590 | 14 | ▼ -18% | 12 |
| Rezūm — Water Vapor BPH Therapy CPT 53854 | 14 | new | 14 |
| Ureteral Stent Placement CPT 52332 | 13 | ≈ flat | 11 |
| Ureteroscopy with Laser Lithotripsy CPT 52356 | 12 | ≈ flat | 11 |
Industry relationships
CMS Open Payments, CY2025 general payments (published June 2026) — who already pays this surgeon.
Pulling CY2025 industry payments + 7-year history…