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Home > VA Providers > Urologists

Dr. Brian Carr Stisser, MD

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Specializes in: Urology (Urinary Tract Disease)

Georgetown University School of Medicine

Professional interests include: robotic surgery

30 Greenhouse Road
Lexington, VA 24450

(540) 464-3465

Dr. Brian Carr Stisser, MD is an urologist in Lexington, VA specializing in urology (urinary tract disease). He graduated from Georgetown University School of Medicine. Dr. Brian Carr Stisser, MD is affiliated with Augusta Health.

Office Locations

Augusta Health

30 Greenhouse Road
Lexington, VA 24450

(540) 214-2930

(540) 214-2931

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Augusta Health

70 Medical Center Circle Suite 302
Fishersville, VA 22939

(540) 332-5630

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Some issues Dr. Brian Carr Stisser, MD can help you with:

Robotic Surgery

Robotic surgery is a type of minimally invasive surgery, using a tiny opening to get inside the body instead of making a large cut. It uses small tools attached to a thin robotic arm, which is controlled by the surgeon. Robotic surgery may be referred to by the specific kind of robot that is used. The most advanced robot currently in use is called the da Vinci, and surgery using it is sometimes called da Vinci surgery.

There are many benefits to robotic surgery, both for the patient and the surgeon. Robotic surgery allows for more precise movements and increased control during very delicate surgical procedures. This makes performing surgery accurately much easier for surgeons and reduces fatigue. The smaller 'hand' of the robot can enter the body via a much smaller opening, which reduces the risk of infection and scarring and leads to a faster recovery. The robotic hands also contain tiny moveable cameras among their tools, giving surgeons a much closer view of the procedure than would be possible with traditional surgery.

Noteworthy Medicare Patient Procedures Performed by Dr. Brian Carr Stisser, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

cystoscopic stone removal

cystoscopy

cystoscopy with foreign body removal

cystoscopy with ureteral stent removal

diagnostic cystoscopy

minimally invasive procedures

potassium sensitivity test

urinalysis

By Affordability:

prostate-specific antigen test

total PSA test

In 2023, among providers in related specialties within Virginia, Dr. Brian Carr Stisser, MD performed more cystoscopic stone removal, cystoscopy, cystoscopy with foreign body removal, cystoscopy with ureteral stent removal, diagnostic cystoscopy, minimally invasive procedures, potassium sensitivity test, and urinalysis procedures for Medicare patients than 95% of them and he also had a list price for prostate-specific antigen (PSA) test, and total PSA test that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Volume:

urologic procedures

By Affordability:

antigen tests

blood draw

blood draw for lab tests

phlebotomy for lab tests

post void residual study

venipuncture

In 2023, among providers in related specialties within Virginia, Dr. Brian Carr Stisser, MD performed more urologic procedures procedures for Medicare patients than 90% of them and he also had a list price for antigen tests, blood draw, blood draw for lab tests, phlebotomy for lab tests, post void residual study, and venipuncture (phlebotomy) that was lower than the list prices billed to Medicare by 90% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

cystoscopy with ureteral stent placement

inpatient hospital care

lab tests

laser surgery

ureteroscopy with laser lithotripsy

By Affordability:

antineoplastic hormone therapy

blood tests

urinalysis

In 2012, among providers in related specialties within Virginia, Dr. Brian Carr Stisser, MD performed more cystoscopy with ureteral stent placement, inpatient hospital care (for patient admitted to hospital), lab tests, laser surgery, and ureteroscopy with laser lithotripsy procedures for Medicare patients than 75% of them and he also had a list price for antineoplastic hormone therapy, blood tests, and urinalysis that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Brian Carr Stisser, MD treated as an urologist in Lexington, VA during 2012 were lab tests, urologic procedures and minimally invasive procedures.

Volume of procedures performed by Dr. Brian Carr Stisser, MD for Medicare patients.

doctor visit	306
lab tests	162
minimally invasive procedures	43
urologic procedures	68

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Brian Carr Stisser, MD treated as an urologist in Lexington, VA during 2013 were lab tests, urologic procedures, minimally invasive procedures and chemotherapy.

Volume of procedures performed by Dr. Brian Carr Stisser, MD for Medicare patients.

biological response modifier (BRM) therapy	87
blood draw	58
catheterization	29
chemotherapy	87
diagnostic procedures	34
doctor visit	1120
hormone therapy	40
hospital care	82
inpatient care	68
lab tests	1017
laser treatment	27
lithotripsy (stone fragmentation)	27
minimally invasive procedures	277
minor procedures	34
outpatient care	14
potassium test	41
stent placement (stenting)	62
urologic procedures	559

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Carr Stisser, MD.

**Gender**
Male	433
Female	242

**Ethnicity**
Non-Hispanic White	640
Black	20
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	283
From 75 to 84	188
85 and over	102
Less than 65	102

Conditions of Medicare patients treated by Dr. Brian Carr Stisser, MD in 2013

Hypertension	68
High Cholesterol	55
Stroke	5
Ischemic Heart Disease	36
Depression	24
Chronic Kidney Disease	32
Asthma	5
Osteoperosis	5
Atrial Fibrilation	12
Heart Failure	23
Chronic Obstructive Pulmonary Disease	17
Diabetes	36
Dementia	11
Cancer	20

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Brian Carr Stisser, MD treated as an urologist in Lexington, VA during 2014 were lab tests, urologic procedures, minimally invasive procedures and blood draw.

Volume of procedures performed by Dr. Brian Carr Stisser, MD for Medicare patients.

biological response modifier (BRM) therapy	87
blood draw	172
catheterization	52
chemotherapy	87
diagnostic procedures	28
doctor visit	1483
foreign body removal	19
hormone therapy	75
hospital care	38
inpatient care	38
lab tests	1441
laser treatment	23
lithotripsy (stone fragmentation)	48
minimally invasive procedures	316
minor procedures	28
potassium test	41
stent placement (stenting)	66
urologic procedures	563

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Carr Stisser, MD.

**Gender**
Male	533
Female	238

**Ethnicity**
Non-Hispanic White	725
Black	26
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	352
From 75 to 84	234
85 and over	105
Less than 65	80

Conditions of Medicare patients treated by Dr. Brian Carr Stisser, MD in 2014

Hypertension	66
High Cholesterol	53
Stroke	5
Ischemic Heart Disease	34
Depression	22
Chronic Kidney Disease	29
Asthma	5
Osteoperosis	7
Atrial Fibrilation	12
Heart Failure	18
Chronic Obstructive Pulmonary Disease	14
Diabetes	31
Dementia	12
Cancer	18

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Brian Carr Stisser, MD treated as an urologist in Lexington, VA during 2015 were lab tests, urologic procedures, minimally invasive procedures and blood draw.

Volume of procedures performed by Dr. Brian Carr Stisser, MD for Medicare patients.

ablation	12
biological response modifier (BRM) therapy	70
blood draw	211
catheterization	43
chemotherapy	70
cryotherapy	12
diagnostic procedures	35
doctor visit	1598
foreign body removal	30
hormone therapy	77
hospital care	34
inpatient care	34
lab tests	1673
laser treatment	42
lithotripsy (stone fragmentation)	47
minimally invasive procedures	396
minor procedures	35
neurostimulation	60
potassium test	66
stent placement (stenting)	75
urologic procedures	596

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Carr Stisser, MD.

**Gender**
Male	1260
Female	536

**Ethnicity**
Non-Hispanic White	1704
Black	56
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	816
From 75 to 84	584
85 and over	216
Less than 65	180

Conditions of Medicare patients treated by Dr. Brian Carr Stisser, MD in 2015

Hypertension	68
High Cholesterol	55
Stroke	3
Ischemic Heart Disease	31
Depression	23
Chronic Kidney Disease	32
Asthma	9
Osteoperosis	6
Atrial Fibrilation	10
Heart Failure	15
Chronic Obstructive Pulmonary Disease	14
Diabetes	32
Dementia	9
Cancer	16

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Brian Carr Stisser, MD treated as an urologist in Lexington, VA during 2016 were lab tests, urologic procedures, minimally invasive procedures and blood draw.

Volume of procedures performed by Dr. Brian Carr Stisser, MD for Medicare patients.

ablation	11
biological response modifier (BRM) therapy	73
blood draw	261
catheterization	42
chemotherapy	73
cryotherapy	11
diagnostic procedures	42
doctor visit	1430
foreign body removal	33
hormone therapy	87
lab tests	1693
laser treatment	40
lithotripsy (stone fragmentation)	42
minimally invasive procedures	405
minor procedures	42
neurostimulation	87
potassium test	54
stent placement (stenting)	53
urologic procedures	548

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Carr Stisser, MD.

**Gender**
Male	656
Female	280

**Ethnicity**
Non-Hispanic White	870
Black	41
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	418
From 75 to 84	306
85 and over	110
Less than 65	102

Conditions of Medicare patients treated by Dr. Brian Carr Stisser, MD in 2016

Hypertension	67
High Cholesterol	52
Stroke	4
Ischemic Heart Disease	31
Depression	23
Chronic Kidney Disease	32
Asthma	14
Osteoperosis	5
Atrial Fibrilation	9
Heart Failure	14
Chronic Obstructive Pulmonary Disease	12
Diabetes	31
Dementia	10
Cancer	21

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Brian Carr Stisser, MD treated as an urologist in Lexington, VA during 2017 were lab tests, urologic procedures, minimally invasive procedures and blood draw.

Volume of procedures performed by Dr. Brian Carr Stisser, MD for Medicare patients.

blood draw	260
diagnostic procedures	26
doctor visit	1482
foreign body removal	26
hormone therapy	56
hospital care	16
inpatient care	16
lab tests	1648
laser treatment	24
lithotripsy (stone fragmentation)	37
minimally invasive procedures	353
minor procedures	26
neurostimulation	80
potassium test	65
stent placement (stenting)	63
urologic procedures	389

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Carr Stisser, MD.

**Gender**
Male	704
Female	279

**Ethnicity**
Non-Hispanic White	916
Black	46
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	483
From 75 to 84	297
85 and over	121
Less than 65	82

Conditions of Medicare patients treated by Dr. Brian Carr Stisser, MD in 2017

Hypertension	64
High Cholesterol	47
Stroke	3
Ischemic Heart Disease	31
Depression	21
Chronic Kidney Disease	37
Asthma	7
Osteoperosis	5
Atrial Fibrilation	9
Heart Failure	15
Chronic Obstructive Pulmonary Disease	12
Diabetes	30
Dementia	9
Cancer	22

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Brian Carr Stisser, MD treated as an urologist in Lexington, VA during 2018 were lab tests, urologic procedures, minimally invasive procedures and blood draw.

Volume of procedures performed by Dr. Brian Carr Stisser, MD for Medicare patients.

ablation	30
biological response modifier (BRM) therapy	76
blood draw	313
catheterization	63
chemotherapy	76
cryotherapy	30
diagnostic procedures	25
doctor visit	1724
foreign body removal	22
hormone therapy	76
hospital care	88
inpatient care	72
lab tests	1900
laser treatment	61
lithotripsy (stone fragmentation)	49
minimally invasive procedures	462
minor procedures	25
neurostimulation	132
outpatient care	16
potassium test	105
stent placement (stenting)	67
urologic procedures	647

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Carr Stisser, MD.

**Gender**
Male	776
Female	308

**Ethnicity**
Non-Hispanic White	1007
Black	51
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	524
From 75 to 84	340
85 and over	138
Less than 65	82

Conditions of Medicare patients treated by Dr. Brian Carr Stisser, MD in 2018

Hypertension	68
High Cholesterol	57
Stroke	5
Ischemic Heart Disease	33
Depression	23
Chronic Kidney Disease	42
Asthma	5
Osteoperosis	5
Atrial Fibrilation	12
Heart Failure	16
Chronic Obstructive Pulmonary Disease	12
Diabetes	31
Dementia	11
Cancer	23

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Brian Carr Stisser, MD treated as an urologist in Lexington, VA during 2019 were lab tests, urologic procedures, minimally invasive procedures and blood draw.

Volume of procedures performed by Dr. Brian Carr Stisser, MD for Medicare patients.

ablation	13
blood draw	289
cancer surgery	11
catheterization	95
cryotherapy	13
diagnostic procedures	33
doctor visit	1835
foreign body removal	25
hormone therapy	67
hospital care	100
inpatient care	67
lab tests	1885
laser treatment	39
lithotripsy (stone fragmentation)	46
minimally invasive procedures	326
minor procedures	33
outpatient care	33
potassium test	133
preventive care	11
stent placement (stenting)	53
urologic procedures	634

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Carr Stisser, MD.

**Gender**
Male	818
Female	308

**Ethnicity**
Non-Hispanic White	1037
Black	56
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	510
From 75 to 84	396
85 and over	140
Less than 65	80

Conditions of Medicare patients treated by Dr. Brian Carr Stisser, MD in 2019

Hypertension	68
High Cholesterol	59
Stroke	5
Ischemic Heart Disease	32
Depression	21
Chronic Kidney Disease	42
Asthma	5
Osteoperosis	5
Atrial Fibrilation	12
Heart Failure	16
Chronic Obstructive Pulmonary Disease	13
Diabetes	30
Dementia	10
Cancer	23

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Brian Carr Stisser, MD treated as an urologist in Lexington, VA during 2020 were lab tests, urologic procedures, minimally invasive procedures and blood draw.

Volume of procedures performed by Dr. Brian Carr Stisser, MD for Medicare patients.

ablation	18
blood draw	231
cancer surgery	11
catheterization	97
cryotherapy	18
diagnostic procedures	35
doctor visit	1530
foreign body removal	40
hormone therapy	65
hospital care	106
incontinence surgery	11
inpatient care	71
lab tests	1555
laser treatment	36
lithotripsy (stone fragmentation)	37
minimally invasive procedures	333
minor procedures	35
outpatient care	35
potassium test	151
stent placement (stenting)	52
urologic procedures	662

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Carr Stisser, MD.

**Gender**
Male	800
Female	280

**Ethnicity**
Non-Hispanic White	992
Black	43
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	527
From 75 to 84	360
85 and over	123
Less than 65	70

Conditions of Medicare patients treated by Dr. Brian Carr Stisser, MD in 2020

Hypertension	66
High Cholesterol	56
Stroke	4
Ischemic Heart Disease	32
Depression	22
Chronic Kidney Disease	40
Asthma	5
Osteoperosis	5
Atrial Fibrilation	12
Heart Failure	15
Chronic Obstructive Pulmonary Disease	11
Diabetes	29
Dementia	9
Cancer	25

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Brian Carr Stisser, MD treated as an urologist in Lexington, VA during 2021 were lab tests, urologic procedures, minimally invasive procedures and blood draw.

Volume of procedures performed by Dr. Brian Carr Stisser, MD for Medicare patients.

ablation	14
blood draw	252
catheterization	52
cryotherapy	14
diagnostic procedures	33
doctor visit	1665
foreign body removal	33
hormone therapy	76
hospital care	109
inpatient care	95
lab tests	1663
laser treatment	32
lithotripsy (stone fragmentation)	18
minimally invasive procedures	299
minor procedures	33
outpatient care	14
potassium test	136
stent placement (stenting)	53
urologic procedures	584

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Carr Stisser, MD.

**Gender**
Male	876
Female	247

**Ethnicity**
Non-Hispanic White	1043
Black	0
Hispanic	0
Asian	0
Other	43
Native American	0

**Age**
From 65 to 74	546
From 75 to 84	391
85 and over	134
Less than 65	52

Conditions of Medicare patients treated by Dr. Brian Carr Stisser, MD in 2021

Hypertension	67
High Cholesterol	61
Stroke	4
Ischemic Heart Disease	33
Depression	21
Chronic Kidney Disease	41
Asthma	5
Osteoperosis	5
Atrial Fibrilation	12
Heart Failure	16
Chronic Obstructive Pulmonary Disease	10
Diabetes	27
Dementia	10
Cancer	26

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Brian Carr Stisser, MD treated as an urologist in Lexington, VA during 2022 were lab tests, urologic procedures, minimally invasive procedures and blood draw.

Volume of procedures performed by Dr. Brian Carr Stisser, MD for Medicare patients.

ablation	26
anorectal procedures	13
blood draw	350
catheterization	31
cryotherapy	26
diagnostic procedures	38
doctor visit	1832
foreign body removal	46
hormone therapy	104
hospital care	123
inpatient care	123
lab tests	1810
laser treatment	55
lithotripsy (stone fragmentation)	29
marker placement for prostate radiation therapy	12
minimally invasive procedures	378
minor procedures	25
open surgery	16
potassium test	93
stent placement (stenting)	62
urologic procedures	719

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Carr Stisser, MD.

**Gender**
Male	1048
Female	286

**Ethnicity**
Non-Hispanic White	1244
Black	24
Hispanic	0
Asian	0
Other	54
Native American	0

**Age**
From 65 to 74	596
From 75 to 84	523
85 and over	173
Less than 65	42

Conditions of Medicare patients treated by Dr. Brian Carr Stisser, MD in 2022

Hypertension	74
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	27
Depression	18
Chronic Kidney Disease	29
Asthma	7
Osteoperosis	7
Atrial Fibrilation	18
Heart Failure	15
Chronic Obstructive Pulmonary Disease	13
Diabetes	28
Dementia	6
Cancer	36

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Brian Carr Stisser, MD for Medicare patients.

The highest averages for the top procedures that Dr. Brian Carr Stisser, MD treated as an urologist in Lexington, VA were lab tests, urologic procedures, minimally invasive procedures and blood draw.

ablation	17
anorectal procedures	13
biological response modifier (BRM) therapy	78
blood draw	239
cancer surgery	11
catheterization	56
chemotherapy	78
cryotherapy	17
diagnostic procedures	32
doctor visit	1455
foreign body removal	30
hormone therapy	72
hospital care	77
incontinence surgery	11
inpatient care	64
lab tests	1495
laser treatment	37
lithotripsy (stone fragmentation)	38
minimally invasive procedures	326
minor procedures	31
neurostimulation	89
open surgery	16
outpatient care	22
potassium test	88
preventive care	11
stent placement (stenting)	60
urologic procedures	542

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Brian Carr Stisser, MD.

**Gender**
Male	718
Female	273

**Ethnicity**
Black / African American	33
Asian / Pacific Islander	0
Non-Hispanic White	925
Native American / Alaskan Native	0
Hispanic	0
Other	8

**Age**
75 to 84	329
85 and over	123
Less than 65	79
65 to 74	459

Average of Total of Conditions of Medicare patients treated by Dr. Brian Carr Stisser, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Brian Carr Stisser, MD treated were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	61
High Cholesterol	51
Stroke	4
Ischemic Heart Disease	29
Depression	19
Chronic Kidney Disease	32
Asthma	6
Osteoporosis	5
Heart Failure	14
Chronic Obstructive Pulmonary Disease	11
Diabetes	27
Atrial Fibrillation	10
Dementia	8
Cancer	20

Education & Training

Dr. Brian Carr Stisser, MD graduated from Georgetown University School of Medicine. He completed residency at Washington Hospital Center. He is certified by the American Board of Urology and has a state license in Virginia.

Medical School: Georgetown University School of Medicine

Residency: Washington Hospital Center

Board Certification: American Board of Urology

Licensed In: Virginia

Affiliations & Hospitals

Dr. Brian Carr Stisser, MD is associated with these hospitals and organizations:

Augusta Health

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General Payments

These charts describe general payments received by Dr. Brian Carr Stisser, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Atlantic Coast Cryotherapy LP	$19,429 Cryo Probe $19,429
Intuitive Surgical, Inc.	$2,309 Da Vinci Surgical System $2,309
Astellas Pharma US Inc	$1,961 Myrbetriq $706	XTANDI $601	Vesicare $306	$348
Dendreon Pharmaceuticals LLC	$713 PROVENGE $713
Boston Scientific Corporation	$626 Rezum $98	rezum Generator $88	Moses 550 D\F\L $86	GENERAL - THERAPIES $61	Advantage $58	Other $235
Other	$4,524 ORGOVYX $416	Urolift $299	XTANDI $296	Axumin $212	BOTOX $176	Other $3,124

**Types of Payments**
Current or prospective ownership or investment interest	$19,429
Food and Beverage	$8,094
Travel and Lodging	$1,660
Education	$378

Ownership and Interest Payments

This table describes ownership payments received by Dr. Brian Carr Stisser, MD.

Atlantic Coast Cryotherapy LP	2014	$9,687.50	Physician Covered Recipient	Limited Partner Interest
Atlantic Coast Cryotherapy LP	2015	$8,965.13	Physician Covered Recipient	Limited Partner Interest
Atlantic Coast Cryotherapy LP	2013	$8,247.75	Physician Covered Recipient	Limited Partner Interest
Atlantic Coast Cryotherapy LP	2013	$8,247.75	Physician Covered Recipient	Limited Partner Interest

Biography

Dr. Brian Stisser practices urology (urinary tract disease). In Dr. Stisser's practice, he is particularly interested in robotic surgery. He is professionally affiliated with Augusta Health. His education and training includes medical school at Georgetown University School of Medicine and residency at Washington Hospital Center and Georgetown University Hospital. He has received the following distinctions: Rezum Center of Excellence; Best Bedside Manner Award; and Urology. Our Health Magazine, Charlottesville and Shenandoah Valley edition.