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Dr. Julio C. Gundian Jr., MD

(Julio C. Gundian, Jr., M.D.)

(1 Rating)

Specializes in: Urology (Urinary Tract Disease)

Tulane University School of Medicine (1984)

Professional interests include: vasectomy, kidney tumor, benign prostatic hyperplasia (enlarged prostate), and more.

4500 San Pablo Road
Jacksonville, FL 32224

(904) 953-2000

Dr. Julio C. Gundian Jr., MD is an urologist in Jacksonville, FL specializing in urology (urinary tract disease). He graduated from Tulane University School of Medicine in 1984 and has 42 years of experience. Dr. Julio C. Gundian Jr., MD is affiliated with Mayo Clinic.

Office Locations

4500 San Pablo Road
Jacksonville, FL 32224

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Jacksonville, FL

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Some issues Dr. Julio C. Gundian Jr., MD can help you with:

Benign Prostatic Hyperplasia (Enlarged Prostate)

Benign prostatic hyperplasia (BPH) is a noncancerous condition in which the prostate gland becomes enlarged. BPH affects about half of men between the ages of 50 and 60, and approximately 80% of men over 80. As the prostate grows in size, it can press down on the tube where urine flows out of the body (the urethra) and cause urinary problems.

Medication can relieve mild to moderate symptoms of BPH, such as frequent urination, incomplete bladder emptying, a weak urine stream, and straining while urinating. However, other forms of treatment may be more appropriate if an individual has pain with urination, frequent urinary tract infections, or is unable to urinate. The size of the prostate and the severity of their symptoms will determine the type of treatment they need. If the prostate is not very large, doctors will likely recommend a transurethral procedure. This minimally invasive technique involves the insertion of a scope into the urethra. The most common transurethral procedures for BPH are:

Transurethral incision of the prostate or TUIP, where the surgeon uses the scope to make small cuts in the area of the prostate that meets the bladder. These cuts will open up the pathway for urine and allow it to flow with more ease.
Transurethral needle ablation or TUNA, where needles are inserted through the scope and into the prostate. The needles use radiofrequency waves to destroy excess prostate tissue.
Laser prostate ablation, where lasers pass through the scope to melt away the part of the prostate causing urine blockage.
Transurethral resection of the prostate or TURP, where the inside of the prostate is trimmed and removed one tiny piece at a time using the scope.

If the prostate is too big for a transurethral procedure, an individual may need a simple prostatectomy, which can be done in one of three ways: laparoscopic, robotic, or open. During a laparoscopic simple prostatectomy, a surgeon makes several small incisions on the belly. Then they insert a long tube with a camera into one of the cuts and surgical instruments into the others. Using the camera to see inside the belly, they carefully removes the enlarged part of the prostate. Robotic simple prostatectomy uses the same techniques as the laparoscopic method, but the surgery is done with the help of a robot. For men with very large prostates, open simple prostatectomy may be the best treatment option. This surgery differs from the other approaches in that it requires a much larger incision.

Most transurethral treatments for BPH, like TUIP, TUNA, and laser prostate ablation, are done in the doctor's office or outpatient surgery center. TURP and simple prostatectomy, however, need to be performed in the hospital and require an average stay of one to three days. Patients should wait a week before doing any strenuous activities after a TUIP, TUNA, or laser prostate ablation, and about four to six weeks after a TURP or simple prostatectomy. Although these treatments improve BPH symptoms for most patients, it is important to be aware of the risks involved, such as urine control issues, tightening of the urethra, and erectile dysfunction.

In The News

“The Orange County Medical Society agreed and directed me to Dr. Julio Gundian, a urologist who has practiced locally for 13 years.”—"EXPOSING ALL THE 'SEX'-Y DETAILS IS A TIRING TASK", Orlando Sentinel, November 2002

Noteworthy Medicare Patient Procedures Performed by Dr. Julio C. Gundian Jr., MD in 2023

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

Top 5%

By Volume:

biopsy

core needle prostate biopsy

prostate biopsy

prostate punch biopsy

In 2023, Dr. Julio C. Gundian Jr., MD performed more biopsy, core needle prostate biopsy, prostate biopsy, and prostate punch biopsy procedures for Medicare patients than 95% of providers in related specialties within Florida.

Top 25%

By Volume:

cystoscopy

diagnostic cystoscopy

minimally invasive procedures

urologic procedures

In 2012, Dr. Julio C. Gundian Jr., MD performed more cystoscopy, diagnostic cystoscopy, minimally invasive procedures, and urologic procedures procedures for Medicare patients than 75% of providers in related specialties within Florida.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Julio C. Gundian Jr., MD treated as an urologist in Jacksonville, FL during 2012 were lab tests, urologic procedures, blood draw and minimally invasive procedures.

Volume of procedures performed by Dr. Julio C. Gundian Jr., MD for Medicare patients.

abdominal imaging	154
ablation	16
anorectal procedures	14
blood draw	452
bulbocavernosus reflex testing	13
catheterization	49
CT scan	108
diagnostic procedures	27
doctor visit	1808
hospital care	181
inpatient care	181
lab tests	1413
minimally invasive procedures	268
minor procedures	13
pelvic imaging	96
stent placement (stenting)	21
ultrasound (sonogram)	46
urologic procedures	703

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Julio C. Gundian Jr., MD treated as an urologist in Jacksonville, FL during 2013 were lab tests, urologic procedures, minimally invasive procedures and blood draw.

Volume of procedures performed by Dr. Julio C. Gundian Jr., MD for Medicare patients.

abdominal imaging	126
blood draw	226
catheterization	23
CT scan	88
doctor visit	1986
foreign body removal	14
hormone therapy	20
hospital care	172
inpatient care	172
lab tests	1524
minimally invasive procedures	259
pelvic imaging	88
stent placement (stenting)	20
ultrasound (sonogram)	38
urologic procedures	654

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Julio C. Gundian Jr., MD.

**Gender**
Male	752
Female	300

**Ethnicity**
Non-Hispanic White	751
Black	71
Hispanic	201
Asian	15
Other	14
Native American	0

**Age**
From 65 to 74	433
From 75 to 84	365
85 and over	150
Less than 65	104

Conditions of Medicare patients treated by Dr. Julio C. Gundian Jr., MD in 2013

Hypertension	75
High Cholesterol	73
Stroke	7
Ischemic Heart Disease	56
Depression	16
Chronic Kidney Disease	34
Asthma	7
Osteoperosis	5
Atrial Fibrilation	18
Heart Failure	21
Chronic Obstructive Pulmonary Disease	14
Diabetes	37
Dementia	11
Cancer	22

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Julio C. Gundian Jr., MD treated as an urologist in Jacksonville, FL during 2014 were lab tests, urologic procedures, minimally invasive procedures and inpatient care.

Volume of procedures performed by Dr. Julio C. Gundian Jr., MD for Medicare patients.

abdominal imaging	105
blood draw	110
catheterization	12
CT scan	77
doctor visit	1608
foreign body removal	16
hormone therapy	32
hospital care	194
inpatient care	194
lab tests	1437
minimally invasive procedures	221
pelvic imaging	77
stent placement (stenting)	16
ultrasound (sonogram)	28
urologic procedures	530

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Julio C. Gundian Jr., MD.

**Gender**
Male	761
Female	246

**Ethnicity**
Non-Hispanic White	728
Black	63
Hispanic	189
Asian	16
Other	11
Native American	0

**Age**
From 65 to 74	434
From 75 to 84	329
85 and over	148
Less than 65	96

Conditions of Medicare patients treated by Dr. Julio C. Gundian Jr., MD in 2014

Hypertension	75
High Cholesterol	74
Stroke	6
Ischemic Heart Disease	57
Depression	16
Chronic Kidney Disease	36
Asthma	8
Osteoperosis	5
Atrial Fibrilation	17
Heart Failure	20
Chronic Obstructive Pulmonary Disease	15
Diabetes	39
Dementia	11
Cancer	21

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Julio C. Gundian Jr., MD treated as an urologist in Jacksonville, FL during 2015 were lab tests, urologic procedures, minimally invasive procedures and inpatient care.

Volume of procedures performed by Dr. Julio C. Gundian Jr., MD for Medicare patients.

abdominal imaging	35
blood draw	45
CT scan	35
diagnostic procedures	32
doctor visit	1155
foreign body removal	12
hormone therapy	21
hospital care	45
inpatient care	45
lab tests	727
minimally invasive procedures	279
minor procedures	32
pelvic imaging	35
urologic procedures	511

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Julio C. Gundian Jr., MD.

**Gender**
Male	1358
Female	414

**Ethnicity**
Non-Hispanic White	1296
Black	116
Hispanic	314
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	794
From 75 to 84	574
85 and over	280
Less than 65	124

Conditions of Medicare patients treated by Dr. Julio C. Gundian Jr., MD in 2015

Hypertension	74
High Cholesterol	68
Stroke	6
Ischemic Heart Disease	50
Depression	17
Chronic Kidney Disease	37
Asthma	8
Osteoperosis	5
Atrial Fibrilation	16
Heart Failure	19
Chronic Obstructive Pulmonary Disease	13
Diabetes	36
Dementia	12
Cancer	22

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Julio C. Gundian Jr., MD treated as an urologist in Jacksonville, FL during 2016 were urologic procedures, minimally invasive procedures, minor procedures and diagnostic procedures.

Volume of procedures performed by Dr. Julio C. Gundian Jr., MD for Medicare patients.

diagnostic procedures	89
doctor visit	717
minimally invasive procedures	377
minor procedures	89
urologic procedures	667

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Julio C. Gundian Jr., MD.

**Gender**
Male	555
Female	119

**Ethnicity**
Non-Hispanic White	574
Black	54
Hispanic	0
Asian	0
Other	22
Native American	0

**Age**
From 65 to 74	311
From 75 to 84	220
85 and over	87
Less than 65	56

Conditions of Medicare patients treated by Dr. Julio C. Gundian Jr., MD in 2016

Hypertension	64
High Cholesterol	55
Stroke	4
Ischemic Heart Disease	46
Depression	15
Chronic Kidney Disease	32
Asthma	12
Osteoperosis	4
Atrial Fibrilation	17
Heart Failure	16
Chronic Obstructive Pulmonary Disease	12
Diabetes	25
Dementia	9
Cancer	26

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Julio C. Gundian Jr., MD treated as an urologist in Jacksonville, FL during 2017 were urologic procedures, minimally invasive procedures, minor procedures and diagnostic procedures.

Volume of procedures performed by Dr. Julio C. Gundian Jr., MD for Medicare patients.

diagnostic procedures	123
doctor visit	769
foreign body removal	29
minimally invasive procedures	463
minor procedures	123
urologic procedures	850

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Julio C. Gundian Jr., MD.

**Gender**
Male	698
Female	135

**Ethnicity**
Non-Hispanic White	713
Black	65
Hispanic	22
Asian	11
Other	22
Native American	0

**Age**
From 65 to 74	396
From 75 to 84	275
85 and over	92
Less than 65	70

Conditions of Medicare patients treated by Dr. Julio C. Gundian Jr., MD in 2017

Hypertension	69
High Cholesterol	55
Stroke	5
Ischemic Heart Disease	45
Depression	14
Chronic Kidney Disease	37
Asthma	4
Osteoperosis	4
Atrial Fibrilation	17
Heart Failure	15
Chronic Obstructive Pulmonary Disease	13
Diabetes	29
Dementia	8
Cancer	27

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Julio C. Gundian Jr., MD treated as an urologist in Jacksonville, FL during 2018 were urologic procedures, minimally invasive procedures, minor procedures and diagnostic procedures.

Volume of procedures performed by Dr. Julio C. Gundian Jr., MD for Medicare patients.

diagnostic procedures	120
doctor visit	627
foreign body removal	17
minimally invasive procedures	370
minor procedures	120
urologic procedures	735

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Julio C. Gundian Jr., MD.

**Gender**
Male	662
Female	89

**Ethnicity**
Non-Hispanic White	632
Black	61
Hispanic	21
Asian	0
Other	25
Native American	0

**Age**
From 65 to 74	380
From 75 to 84	256
85 and over	66
Less than 65	49

Conditions of Medicare patients treated by Dr. Julio C. Gundian Jr., MD in 2018

Hypertension	67
High Cholesterol	62
Stroke	5
Ischemic Heart Disease	43
Depression	13
Chronic Kidney Disease	38
Asthma	5
Osteoperosis	4
Atrial Fibrilation	13
Heart Failure	13
Chronic Obstructive Pulmonary Disease	11
Diabetes	25
Dementia	8
Cancer	29

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Julio C. Gundian Jr., MD treated as an urologist in Jacksonville, FL during 2019 were urologic procedures, minimally invasive procedures, minor procedures and diagnostic procedures.

Volume of procedures performed by Dr. Julio C. Gundian Jr., MD for Medicare patients.

catheterization	19
diagnostic procedures	108
doctor visit	758
foreign body removal	12
minimally invasive procedures	380
minor procedures	108
urologic procedures	806

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Julio C. Gundian Jr., MD.

**Gender**
Male	694
Female	93

**Ethnicity**
Non-Hispanic White	674
Black	59
Hispanic	0
Asian	0
Other	24
Native American	0

**Age**
From 65 to 74	398
From 75 to 84	265
85 and over	78
Less than 65	46

Conditions of Medicare patients treated by Dr. Julio C. Gundian Jr., MD in 2019

Hypertension	66
High Cholesterol	65
Stroke	6
Ischemic Heart Disease	45
Depression	15
Chronic Kidney Disease	37
Asthma	4
Osteoperosis	5
Atrial Fibrilation	14
Heart Failure	16
Chronic Obstructive Pulmonary Disease	9
Diabetes	26
Dementia	9
Cancer	29

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Julio C. Gundian Jr., MD treated as an urologist in Jacksonville, FL during 2020 were urologic procedures, minimally invasive procedures, minor procedures and diagnostic procedures.

Volume of procedures performed by Dr. Julio C. Gundian Jr., MD for Medicare patients.

diagnostic procedures	120
doctor visit	737
foreign body removal	17
minimally invasive procedures	391
minor procedures	120
urologic procedures	764

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Julio C. Gundian Jr., MD.

**Gender**
Male	716
Female	112

**Ethnicity**
Non-Hispanic White	701
Black	52
Hispanic	0
Asian	0
Other	44
Native American	0

**Age**
From 65 to 74	428
From 75 to 84	271
85 and over	75
Less than 65	54

Conditions of Medicare patients treated by Dr. Julio C. Gundian Jr., MD in 2020

Hypertension	69
High Cholesterol	63
Stroke	4
Ischemic Heart Disease	42
Depression	14
Chronic Kidney Disease	42
Asthma	5
Osteoperosis	5
Atrial Fibrilation	16
Heart Failure	19
Chronic Obstructive Pulmonary Disease	10
Diabetes	28
Dementia	10
Cancer	29

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Julio C. Gundian Jr., MD treated as an urologist in Jacksonville, FL during 2021 were urologic procedures, minimally invasive procedures, minor procedures and diagnostic procedures.

Volume of procedures performed by Dr. Julio C. Gundian Jr., MD for Medicare patients.

diagnostic procedures	142
doctor visit	819
foreign body removal	29
minimally invasive procedures	475
minor procedures	142
urologic procedures	1079

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Julio C. Gundian Jr., MD.

**Gender**
Male	785
Female	150

**Ethnicity**
Non-Hispanic White	779
Black	60
Hispanic	32
Asian	0
Other	45
Native American	0

**Age**
From 65 to 74	465
From 75 to 84	329
85 and over	79
Less than 65	62

Conditions of Medicare patients treated by Dr. Julio C. Gundian Jr., MD in 2021

Hypertension	70
High Cholesterol	64
Stroke	5
Ischemic Heart Disease	37
Depression	13
Chronic Kidney Disease	40
Asthma	6
Osteoperosis	5
Atrial Fibrilation	14
Heart Failure	15
Chronic Obstructive Pulmonary Disease	10
Diabetes	25
Dementia	7
Cancer	26

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Julio C. Gundian Jr., MD treated as an urologist in Jacksonville, FL during 2022 were urologic procedures, minimally invasive procedures, minor procedures and diagnostic procedures.

Volume of procedures performed by Dr. Julio C. Gundian Jr., MD for Medicare patients.

diagnostic procedures	136
doctor visit	556
foreign body removal	17
minimally invasive procedures	387
minor procedures	136
urologic procedures	1014

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Julio C. Gundian Jr., MD.

**Gender**
Male	704
Female	64

**Ethnicity**
Non-Hispanic White	652
Black	36
Hispanic	0
Asian	0
Other	41
Native American	0

**Age**
From 65 to 74	369
From 75 to 84	300
85 and over	78
Less than 65	21

Conditions of Medicare patients treated by Dr. Julio C. Gundian Jr., MD in 2022

Hypertension	74
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	31
Depression	13
Chronic Kidney Disease	28
Asthma	7
Osteoperosis	7
Atrial Fibrilation	24
Heart Failure	13
Chronic Obstructive Pulmonary Disease	11
Diabetes	26
Dementia	4
Cancer	35

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Julio C. Gundian Jr., MD for Medicare patients.

The highest averages for the top procedures that Dr. Julio C. Gundian Jr., MD treated as an urologist in Jacksonville, FL were lab tests, urologic procedures, minimally invasive procedures and blood draw.

abdominal imaging	105
ablation	16
anorectal procedures	14
blood draw	208
catheterization	25
CT scan	77
diagnostic procedures	99
doctor visit	1049
foreign body removal	18
hormone therapy	24
hospital care	148
inpatient care	148
lab tests	1275
minimally invasive procedures	351
minor procedures	98
pelvic imaging	74
stent placement (stenting)	19
ultrasound (sonogram)	37
urologic procedures	755

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Julio C. Gundian Jr., MD.

**Gender**
Male	698
Female	156

**Ethnicity**
Black / African American	57
Asian / Pacific Islander	3
Non-Hispanic White	681
Native American / Alaskan Native	0
Hispanic	70
Other	22

**Age**
75 to 84	289
85 and over	103
Less than 65	62
65 to 74	400

Average of Total of Conditions of Medicare patients treated by Dr. Julio C. Gundian Jr., MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Julio C. Gundian Jr., MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	63
High Cholesterol	59
Stroke	5
Ischemic Heart Disease	41
Depression	13
Chronic Kidney Disease	32
Asthma	6
Osteoporosis	4
Heart Failure	15
Chronic Obstructive Pulmonary Disease	10
Diabetes	26
Atrial Fibrillation	15
Dementia	8
Cancer	24

Education & Training

Dr. Julio C. Gundian Jr., MD graduated from Tulane University School of Medicine in 1984. He completed residency at Mayo Clinic. He is certified by the Urology American Board of Urology and has a state license in Florida.

Medical School: Tulane University School of Medicine (1984)

Residency: Mayo Clinic (1990)

Board Certification: Urology American Board of Urology (1992)

Licensed In: Florida

Affiliations & Hospitals

Dr. Julio C. Gundian Jr., MD is associated with these hospitals and organizations:

Mayo Clinic

Ratings & Reviews

Dr. Julio C. Gundian Jr., MD has an exceptional overall rating with an average of 5.0 out of 5 stars based on 1 ratings. We collect ratings and reviews of Dr. Julio C. Gundian Jr., MD from all over the web to help you find the right in Jacksonville, FL.

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General Payments

These charts describe general payments received by Dr. Julio C. Gundian Jr., MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Cook Medical LLC	$541 Cook Medical Stents $130	Cook Medical Dilation/Access $127	Cook Medical Urology $100	Cook Medical Lasers $72	Cook Medical Holmium Laser Fiber $65	Other $47
Boston Scientific Corporation	$532 KIDNEY STONE DISEASE $140	rezum Generator $130	GENERAL - ERECTILE DYSFUNCTION $116	LYNX $109	LITHOVUE $23	Other $15
NxThera, Inc.	$476 Rezum $476
Astellas Pharma US Inc	$472 XTANDI $241	Myrbetriq $232
Cook Incorporated	$463 Cook Medical Accessories $124	Cook Medical Endoscopy $119	Cook Medical Wire Guides $113	URO - Stents $107
Other	$2,091 FIRMAGON $361	TITAN $219	EndoSheath $218	PENILE RECONSTRUCTION $212	XTANDI $185	Other $894

**Types of Payments**
Food and Beverage	$4,233
Gift	$331
Education	$11

Biography

Dr. Julio Gundian's medical specialty is urology (urinary tract disease). After completing medical school at Tulane University School of Medicine, Dr. Gundian performed his residency at Mayo Clinic. These areas are among his clinical interests: kidney cyst, bladder cancer, and minimally invasive surgery. He has received distinctions including Featured in " Featured in &quot, Best Doctor's" and Featured in &quot, Issue - Orlando Magazine. He speaks Spanish. He is professionally affiliated with Mayo Clinic.