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Dr. Vernon M. Pais Jr., MD

(Vernon M. Pais Jr., MD)

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Specializes in: Urology (Urinary Tract Disease), Oncology (Cancer Care) and Urologic Oncology

University of Massachusetts Medical School, Worcester, MA (1996)

Professional interests include: cancer, ureteral stricture, urinary tract obstruction, and more.

1 MEDICAL CENTER DRIVE
Lebanon, NH 03756

(603) 650-5091

Dr. Vernon M. Pais Jr., MD is an urologist in Lebanon, NH specializing in urology (urinary tract disease), oncology (cancer care) and urologic oncology. He graduated from University of Massachusetts Medical School, Worcester, MA in 1996 and has 29 years of experience. Dr. Vernon M. Pais Jr., MD is affiliated with Dartmouth Hitchcock Medical Center, Dartmouth-Hitchcock Clinics and Dartmouth Health.

Office Locations

Address:

1 MEDICAL CENTER DRIVE
Lebanon, NH 03756

Some issues Dr. Vernon M. Pais Jr., MD can help you with:

Kidney Stones

Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.

Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.

The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:

Shock wave lithotripsy, which uses sound wave vibrations to break apart the stone
Percutaneous nephrolithotomy, or the use of a very tiny tool (like a wire inserted through the back) to break apart and remove the stone
Ureteroscopy, a thin tube inserted through the urethra and bladder to the stone, where tiny tools can grasp the stone and remove

People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.

doctor visit	288
foreign body removal	44
hospital care	33
inpatient care	33
laser treatment	23
lithotripsy (stone fragmentation)	22
minimally invasive procedures	186
stent placement (stenting)	70
urologic procedures	186

**Gender**
Male	178
Female	98

**Ethnicity**
Non-Hispanic White	265
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	128
From 75 to 84	70
85 and over	24
Less than 65	54

Hypertension	55
High Cholesterol	43
Stroke	0
Ischemic Heart Disease	23
Depression	22
Chronic Kidney Disease	41
Asthma	7
Osteoperosis	5
Atrial Fibrilation	9
Heart Failure	9
Chronic Obstructive Pulmonary Disease	10
Diabetes	28
Dementia	9
Cancer	16

doctor visit	338
foreign body removal	58
hospital care	46
inpatient care	46
laser treatment	28
lithotripsy (stone fragmentation)	27
minimally invasive procedures	160
stent placement (stenting)	70
urologic procedures	160

**Gender**
Male	170
Female	110

**Ethnicity**
Non-Hispanic White	262
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	140
From 75 to 84	69
85 and over	17
Less than 65	54

Hypertension	59
High Cholesterol	40
Stroke	0
Ischemic Heart Disease	25
Depression	22
Chronic Kidney Disease	40
Asthma	8
Osteoperosis	0
Atrial Fibrilation	13
Heart Failure	11
Chronic Obstructive Pulmonary Disease	13
Diabetes	32
Dementia	6
Cancer	12

doctor visit	225
foreign body removal	35
hospital care	27
inpatient care	27
laser treatment	29
lithotripsy (stone fragmentation)	28
minimally invasive procedures	102
stent placement (stenting)	58
urologic procedures	102

**Gender**
Male	298
Female	174

**Age**
From 65 to 74	228
From 75 to 84	122
85 and over	40
Less than 65	82

Hypertension	56
High Cholesterol	39
Stroke	6
Ischemic Heart Disease	24
Depression	26
Chronic Kidney Disease	44
Asthma	10
Osteoperosis	0
Atrial Fibrilation	11
Heart Failure	12
Chronic Obstructive Pulmonary Disease	12
Diabetes	34
Dementia	8
Cancer	15

doctor visit	268
foreign body removal	56
laser treatment	33
lithotripsy (stone fragmentation)	32
minimally invasive procedures	160
stent placement (stenting)	67
urologic procedures	160

**Gender**
Male	163
Female	111

**Ethnicity**
Non-Hispanic White	260
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	144
From 75 to 84	72
85 and over	0
Less than 65	0

Hypertension	58
High Cholesterol	38
Stroke	0
Ischemic Heart Disease	30
Depression	25
Chronic Kidney Disease	45
Asthma	15
Osteoperosis	6
Atrial Fibrilation	14
Heart Failure	16
Chronic Obstructive Pulmonary Disease	11
Diabetes	33
Dementia	5
Cancer	9

doctor visit	281
foreign body removal	45
hospital care	19
inpatient care	19
laser treatment	30
lithotripsy (stone fragmentation)	29
minimally invasive procedures	174
stent placement (stenting)	72
urologic procedures	174

**Gender**
Male	148
Female	136

**Ethnicity**
Non-Hispanic White	267
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	140
From 75 to 84	67
85 and over	15
Less than 65	62

Hypertension	58
High Cholesterol	36
Stroke	4
Ischemic Heart Disease	25
Depression	31
Chronic Kidney Disease	48
Asthma	9
Osteoperosis	6
Atrial Fibrilation	13
Heart Failure	10
Chronic Obstructive Pulmonary Disease	16
Diabetes	30
Dementia	8
Cancer	13

doctor visit	356
foreign body removal	50
hospital care	17
inpatient care	17
laser treatment	44
lithotripsy (stone fragmentation)	55
minimally invasive procedures	174
stent placement (stenting)	82
urologic procedures	174

**Gender**
Male	169
Female	145

**Ethnicity**
Non-Hispanic White	292
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	164
From 75 to 84	72
85 and over	18
Less than 65	60

Hypertension	61
High Cholesterol	42
Stroke	0
Ischemic Heart Disease	26
Depression	31
Chronic Kidney Disease	43
Asthma	9
Osteoperosis	7
Atrial Fibrilation	12
Heart Failure	12
Chronic Obstructive Pulmonary Disease	12
Diabetes	32
Dementia	6
Cancer	13

doctor visit	357
foreign body removal	54
hospital care	21
inpatient care	21
laser treatment	44
lithotripsy (stone fragmentation)	43
minimally invasive procedures	177
stent placement (stenting)	83
urologic procedures	177

**Gender**
Male	165
Female	139

**Ethnicity**
Non-Hispanic White	284
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	149
From 75 to 84	89
85 and over	16
Less than 65	50

Hypertension	60
High Cholesterol	44
Stroke	0
Ischemic Heart Disease	28
Depression	29
Chronic Kidney Disease	43
Asthma	7
Osteoperosis	7
Atrial Fibrilation	11
Heart Failure	15
Chronic Obstructive Pulmonary Disease	12
Diabetes	36
Dementia	7
Cancer	12

doctor visit	186
foreign body removal	49
hospital care	21
inpatient care	21
laser treatment	46
lithotripsy (stone fragmentation)	45
minimally invasive procedures	172
stent placement (stenting)	91
urologic procedures	172

**Gender**
Male	140
Female	145

**Ethnicity**
Non-Hispanic White	260
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	150
From 75 to 84	79
85 and over	13
Less than 65	43

Hypertension	52
High Cholesterol	38
Stroke	4
Ischemic Heart Disease	29
Depression	29
Chronic Kidney Disease	48
Asthma	6
Osteoperosis	9
Atrial Fibrilation	10
Heart Failure	12
Chronic Obstructive Pulmonary Disease	10
Diabetes	33
Dementia	7
Cancer	12

doctor visit	383
foreign body removal	69
hospital care	60
inpatient care	60
laser treatment	58
lithotripsy (stone fragmentation)	68
minimally invasive procedures	215
stent placement (stenting)	118
urologic procedures	215

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Vernon M. Pais Jr., MD for Medicare patients.

The highest averages for the top procedures that Dr. Vernon M. Pais Jr., MD treated as an urologist in Lebanon, NH were minimally invasive procedures, urologic procedures, stent placement (stenting) and foreign body removal.

doctor visit	299
foreign body removal	51
hospital care	30
inpatient care	30
laser treatment	38
lithotripsy (stone fragmentation)	40
minimally invasive procedures	171
stent placement (stenting)	79
urologic procedures	171

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Vernon M. Pais Jr., MD.

**Gender**
Female	105
Male	143

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	189
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	14
75 to 84	64
Less than 65	40
65 to 74	124

Average of Total of Conditions of Medicare patients treated by Dr. Vernon M. Pais Jr., MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Vernon M. Pais Jr., MD treated were hypertension, chronic kidney disease, high cholesterol and diabetes.

Hypertension	45
High Cholesterol	32
Stroke	1
Ischemic Heart Disease	21
Depression	21
Chronic Kidney Disease	35
Asthma	7
Osteoporosis	4
Heart Failure	9
Chronic Obstructive Pulmonary Disease	9
Diabetes	25
Atrial Fibrillation	9
Cancer	10
Dementia	5

Education & Training

Dr. Vernon M. Pais Jr., MD graduated from University of Massachusetts Medical School, Worcester, MA in 1996. He completed residency at University of Massachusetts Medical Center, Worcester, MA. He is certified by the Urology and has a state license in Kentucky.

Medical School: University of Massachusetts Medical School, Worcester, MA (1996)

Residency: University of Massachusetts Medical Center, Worcester, MA (2002)

Board Certification: Urology

Licensed In: Kentucky

Affiliations & Hospitals

Dr. Vernon M. Pais Jr., MD is associated with these hospitals and organizations:

Dartmouth Hitchcock Medical Center

Dartmouth-Hitchcock Clinics

Dartmouth Health

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General Payments

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

**Payments by Company**
Boston Scientific Corporation	$2,380 GENERAL - KIDNEY STONE DISEASE $1,149	KIDNEY STONE DISEASE $172	GENERAL KIDNEY STONE DISEASE $37	SWISS LITHOCLAST $22	$1,000
American Medical Systems Inc.	$107 GreenLight Laser Therapy $107
Olympus America Inc.	$41 Olympus Camera Heads $41
TERUMO MEDICAL CORPORATION	$36 INTERVENTIONAL PRODUCT $36
UROGEN PHARMA, INC.	$36 $36

**Types of Payments**
Consulting Fee	$2,000
Food and Beverage	$600

Biography

Dr. Vernon Pais is a medical specialist in urologic oncology. After attending the University of Massachusetts Medical School, he completed his residency training at UMass Memorial Medical Center. He is professionally affiliated with Dartmouth-Hitchcock Clinics and Dartmouth-Hitchcock Medical Center (DHMC).