Active NPI 1952377061 Individual Practitioner Male Practitioner

Dr. Avinash G Kumar , MD

Orthopaedic Surgery • Bradenton, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Avinash Kumar, MD is a certified Orthopaedic Surgery practicing in Bradenton, FL. With approximately 31 years of clinical experience since graduating from Emory University School Of Medicine in 1995, Dr. Kumar delivers high-quality medical care to the local community at 8000 SR 64 E.

Dr. Kumar is affiliated with Coastal Orthopedics And Sports Medicine Of Southwest Florida Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of shoulder, minimum of 2 views, established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8000 Sr 64 E

Bradenton, FL 34212

Telephone 9417921404

Fax 9417610712

Associated Practice Facility / Clinic

🏢 Coastal Orthopedics & Sports Medicine Of Southwest Florida Pa Facility NPI 1285740720

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Bradenton, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +7.4 yrs vs City Avg

City Avg: 23.6 Yrs

State Avg: 27.1 Yrs

Regional Practice Density

27 Specialists

Practicing in Bradenton, FL (1597 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (31 Years) 31 Yrs

Bradenton Specialty Average (23.6 Years) 23.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	691	516	$58.77	$32.36
99213 Established patient office or other outpatient visit, typically 15 minutes	501	359	$147.00	$87.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	457	342	$217.00	$122.71
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	309	65	$5.00	$0.97
73221 Mri scan of arm joint without contrast	179	173	$334.39	$132.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	151	151	$334.00	$161.69
23472 Prosthetic repair of shoulder joint, total shoulder	108	106	$3080.00	$1432.50
20610 Aspiration and/or injection of fluid from large joint	70	57	$125.00	$64.98
73080 X-ray of elbow, minimum of 3 views	67	53	$63.00	$30.72
29823 Removal of extensive shoulder joint tissue using an endoscope	33	33	$1290.00	$148.87
29827 Repair of shoulder rotator cuff using an endoscope	30	30	$2210.00	$1060.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$219.00	$107.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$293.00	$173.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	708	506	$58.70	$33.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	504	366	$217.00	$124.97
99213 Established patient office or other outpatient visit, typically 15 minutes	477	317	$147.00	$88.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	451	87	$5.00	$1.07
73221 Mri scan of arm joint without contrast	216	209	$349.08	$201.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	184	184	$334.00	$164.45
20610 Aspiration and/or injection of fluid from large joint	99	80	$125.00	$66.86
23472 Prosthetic repair of shoulder joint, total shoulder	74	74	$3080.00	$1443.35
29827 Repair of shoulder rotator cuff using an endoscope	64	64	$2210.00	$1087.50
29823 Removal of extensive shoulder joint tissue using an endoscope	64	64	$1290.00	$137.05
73080 X-ray of elbow, minimum of 3 views	61	49	$62.26	$31.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$219.00	$110.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$293.00	$175.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	651	515	$58.97	$33.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	441	345	$217.00	$127.22
99213 Established patient office or other outpatient visit, typically 15 minutes	428	301	$147.00	$89.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	394	93	$5.00	$1.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	174	174	$334.00	$166.59
73221 Mri scan of arm joint without contrast	168	162	$343.35	$182.63
20610 Aspiration and/or injection of fluid from large joint	93	86	$125.00	$66.02
23472 Prosthetic repair of shoulder joint, total shoulder	74	73	$3080.00	$1508.10
29827 Repair of shoulder rotator cuff using an endoscope	63	63	$2210.00	$1109.53
73080 X-ray of elbow, minimum of 3 views	61	44	$63.00	$32.14
29823 Removal of extensive shoulder joint tissue using an endoscope	59	59	$1290.00	$129.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$219.00	$112.56
20605 Aspiration and/or injection of medium joint or joint capsule	12	11	$104.00	$55.35
24301 Relocation of muscle or tendon of upper arm or elbow	11	11	$1575.00	$387.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	754	523	$58.47	$33.04
99213 Established patient office or other outpatient visit, typically 15 minutes	536	370	$147.00	$91.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	454	349	$217.00	$128.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	149	149	$334.00	$168.28
73221 Mri scan of arm joint without contrast	141	136	$332.42	$151.81
J1030 Injection, methylprednisolone acetate, 40 mg	110	88	$40.00	$5.68
20610 Aspiration and/or injection of fluid from large joint	106	94	$126.18	$68.62
23472 Prosthetic repair of shoulder joint, total shoulder	69	67	$3080.00	$1518.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	14	$5.00	$1.20
73080 X-ray of elbow, minimum of 3 views	56	38	$62.36	$30.38
29827 Repair of shoulder rotator cuff using an endoscope	55	55	$2210.00	$1106.78
29823 Removal of extensive shoulder joint tissue using an endoscope	52	52	$1290.00	$137.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$219.00	$112.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	29	$88.00	$55.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	937	599	$56.97	$31.29
99213 Established patient office or other outpatient visit, typically 15 minutes	592	388	$147.00	$75.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	310	258	$217.00	$108.97
73221 Mri scan of arm joint without contrast	145	138	$405.46	$155.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$219.00	$108.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	80	$88.00	$45.54
73080 X-ray of elbow, minimum of 3 views	72	43	$61.50	$28.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$334.00	$165.45
23472 Prosthetic repair of shoulder joint, total shoulder	68	68	$3080.00	$1530.06
29827 Repair of shoulder rotator cuff using an endoscope	58	58	$2210.00	$1124.20
29823 Removal of extensive shoulder joint tissue using an endoscope	55	55	$1290.00	$183.44
J1030 Injection, methylprednisolone acetate, 40 mg	19	15	$40.00	$5.98
20610 Aspiration and/or injection of fluid from large joint	16	14	$125.00	$66.11
29825 Removal of shoulder scar tissue using an endoscope	12	12	$1203.00	$601.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	1,243	756	$59.00	$29.16
99213 Established patient office or other outpatient visit, typically 15 minutes	646	435	$147.00	$73.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	435	364	$217.00	$108.11
73221 Mri scan of arm joint without contrast	172	166	$714.62	$158.68
23472 Prosthetic repair of shoulder joint, total shoulder	123	120	$3080.00	$1526.93
20610 Aspiration and/or injection of fluid from large joint	120	117	$125.00	$66.19
J1030 Injection, methylprednisolone acetate, 40 mg	115	105	$40.00	$6.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	100	$88.00	$44.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$334.00	$162.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$219.00	$108.39
73080 X-ray of elbow, minimum of 3 views	87	58	$63.00	$28.50
29827 Repair of shoulder rotator cuff using an endoscope	63	62	$2210.00	$1095.40
29823 Removal of extensive shoulder joint tissue using an endoscope	53	53	$1290.00	$175.21
73000 X-ray of collar bone	49	22	$56.00	$28.48
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	20	$108.00	$52.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	1,173	767	$60.90	$28.21
99213 Established patient office or other outpatient visit, typically 15 minutes	740	511	$142.99	$71.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	613	482	$211.07	$106.38
J1030 Injection, methylprednisolone acetate, 40 mg	390	318	$40.00	$6.66
20610 Aspiration and/or injection of fluid from large joint	359	312	$144.45	$63.01
73221 Mri scan of arm joint without contrast	238	223	$810.96	$164.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	221	221	$328.12	$163.88
23472 Prosthetic repair of shoulder joint, total shoulder	95	92	$3114.10	$1501.17
73080 X-ray of elbow, minimum of 3 views	92	66	$65.75	$30.62
29823 Removal of extensive shoulder joint tissue using an endoscope	69	68	$1296.45	$187.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	68	$86.55	$43.26
29827 Repair of shoulder rotator cuff using an endoscope	67	65	$2230.66	$1086.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$215.87	$107.66
73000 X-ray of collar bone	40	15	$56.62	$25.80
73060 X-ray of upper arm, minimum of 2 views	39	12	$58.47	$27.72
20605 Aspiration and/or injection of medium joint or joint capsule	24	22	$111.23	$49.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	15	$143.76	$73.27
23600 Closed treatment of broken top of upper arm bone	13	13	$705.30	$341.31
A4565 Slings	13	13	$20.31	$8.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	879	610	$63.01	$28.19
99213 Established patient office or other outpatient visit, typically 15 minutes	790	523	$139.36	$71.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	350	301	$206.56	$105.40
J1030 Injection, methylprednisolone acetate, 40 mg	310	266	$40.00	$5.73
20610 Aspiration and/or injection of fluid from large joint	293	264	$157.07	$61.45
73221 Mri scan of arm joint without contrast	173	165	$810.94	$162.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	162	162	$209.54	$107.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$323.32	$160.58
23472 Prosthetic repair of shoulder joint, total shoulder	86	85	$3153.70	$1510.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	63	$83.48	$42.86
29823 Removal of extensive shoulder joint tissue using an endoscope	60	58	$1300.90	$178.14
29827 Repair of shoulder rotator cuff using an endoscope	55	54	$2247.52	$1081.58
73080 X-ray of elbow, minimum of 3 views	53	38	$68.16	$30.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	28	$141.14	$72.25
23600 Closed treatment of broken top of upper arm bone	13	13	$636.14	$325.61
A4565 Slings	11	11	$21.00	$8.44

Medical Specialties & State Licenses

CMS Verified: 2022-05-10

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License FL ME 82887

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License FL ME 82887

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Group Npi

1285740720 (FL)

Commercial Insurance / Payer ID Railraoad Medicare

P00169664 (FL)

Commercial Insurance / Payer ID Bcbs Fl

50000 (FL)

Hospital & Practice Group Affiliations

Coastal Orthopedics And Sports Medicine Of Southwest Florida Pa

8000 Sr 64, Bradenton, FL 34212

Phone: 9417921404

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Carly Provan , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003675992

Certified Registered Nurse Anesthetist

Kimberly Kraft , PT CHT

Physical Therapist

NPI 1013977412

PTCHT

Michael Rozmus , OT, CHT

Occupational Therapist

NPI 1023047578

Occupational Therapist, Certified Hand Therapist

Steven Walther , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033171939

Certified Registered Nurse Anesthetist

Jamie Miller , PA

Physician Assistant

NPI 1033545884

Physician Assistant

Scott Lamb , NP

Nurse Practitioner

NPI 1053316448

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location May 25, 2022

Registered at 8000 SR 64 E, BRADENTON, FL 34212 (Tel: 9417921404)

📍

Updated Business Mailing Address May 25, 2022

Registered at 8000 SR 64 E, BRADENTON, FL 34212 (Tel: 9417921404)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2022

Orthopaedic Surgery (License #ME 82887 in FL)

✅

NPI Profile Active January 23, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2014

Registered at 6015 POINTE WEST BLVD, BRADENTON, FL 342095532 (Tel: 9417921404)

📍

Updated Business Mailing Address January 23, 2014

Registered at 6015 POINTE WEST BLVD, BRADENTON, FL 342095532 (Tel: 9417921404)

👤

Provider Name / Credentials Updated January 23, 2014

Recorded as AVINASH KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2014

Orthopaedic Surgery (License #ME 82887 in FL)

🟢

Initial NPI Registration & Enumeration February 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952377061

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 28, 2006

Last Update: May 25, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8000 Sr 64 E

Bradenton, FL 34212

Phone: 9417921404

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.