Active NPI 1205084399 Individual Practitioner Male Practitioner

Dr. Kishore Kumar , MD

Internal Medicine • Augusta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kishore Kumar, MD is a certified Internal Medicine practicing in Augusta, GA. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Kumar delivers high-quality medical care to the local community at 1350 WALTON WAY.

Dr. Kumar is affiliated with Piedmont Hospitalist Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1350 Walton Way

Augusta, GA 309012612

Telephone 7067745795

Associated Practice Facility / Clinic

🏢 University Health Services,inc Facility NPI 1588665566

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Augusta, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -0.3 yrs vs City Avg

City Avg: 15.3 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

345 Specialists

Practicing in Augusta, GA (4065 Statewide)

Telehealth Adoption Rate

5.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (15 Years) 15 Yrs

Augusta Specialty Average (15.3 Years) 15.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	662	241	$252.56	$74.43
99239 Hospital discharge day management, more than 30 minutes	257	250	$370.40	$107.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	211	157	$359.98	$112.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	127	126	$699.31	$163.73
99497 Advance care planning, first 30 minutes	113	111	$271.00	$71.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	815	252	$244.35	$75.48
99239 Hospital discharge day management, more than 30 minutes	220	216	$358.90	$108.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	198	107	$351.73	$113.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	100	98	$681.34	$165.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	498	184	$335.26	$97.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	486	201	$216.98	$67.25
99239 Hospital discharge day management, more than 30 minutes	192	188	$322.83	$98.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	140	45	$93.00	$36.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	132	127	$636.21	$188.34
99220 Hospital observation care, typically 70 minutes	34	34	$543.53	$170.72
99217 Hospital observation care on day of discharge	30	30	$229.40	$67.42
99238 Hospital discharge day management, 30 minutes or less	11	11	$216.09	$68.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	539	216	$170.00	$68.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	148	73	$93.00	$36.98
99239 Hospital discharge day management, more than 30 minutes	136	133	$253.00	$101.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	72	72	$479.00	$191.37
99220 Hospital observation care, typically 70 minutes	30	30	$438.00	$170.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$256.00	$81.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$392.00	$125.05
99225 Subsequent observation care, typically 25 minutes per day	13	12	$170.00	$69.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	483	241	$170.00	$69.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	308	140	$93.00	$37.37
99239 Hospital discharge day management, more than 30 minutes	147	141	$253.00	$102.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	132	128	$479.00	$197.70
99220 Hospital observation care, typically 70 minutes	53	53	$438.00	$181.42
99217 Hospital observation care on day of discharge	12	12	$171.00	$58.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$256.00	$74.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	623	262	$170.00	$70.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	170	163	$479.00	$196.54
99239 Hospital discharge day management, more than 30 minutes	123	122	$253.00	$103.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	98	57	$93.00	$38.51
99220 Hospital observation care, typically 70 minutes	60	60	$438.00	$176.34
99225 Subsequent observation care, typically 25 minutes per day	26	22	$170.00	$71.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	21	19	$163.00	$66.56
99217 Hospital observation care on day of discharge	18	18	$171.00	$70.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$326.00	$133.82
99219 Hospital observation care, typically 50 minutes	11	11	$319.00	$132.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	790	318	$170.00	$70.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	199	196	$479.00	$197.41
99239 Hospital discharge day management, more than 30 minutes	130	129	$253.00	$104.53
99220 Hospital observation care, typically 70 minutes	103	102	$438.00	$181.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	16	$93.00	$38.43
99225 Subsequent observation care, typically 25 minutes per day	22	20	$170.00	$71.41
99217 Hospital observation care on day of discharge	21	21	$171.00	$70.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,061	406	$171.86	$69.95
99239 Hospital discharge day management, more than 30 minutes	219	213	$254.06	$103.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	140	140	$479.60	$196.37
99220 Hospital observation care, typically 70 minutes	89	87	$437.33	$177.39
99217 Hospital observation care on day of discharge	62	62	$174.37	$69.61
99225 Subsequent observation care, typically 25 minutes per day	47	41	$170.37	$70.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	38	$248.46	$102.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	16	$94.61	$38.22
99219 Hospital observation care, typically 50 minutes	22	22	$321.35	$132.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$326.00	$132.94

Medical Specialties & State Licenses

CMS Verified: 2024-06-06

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 73638

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License GA 73638

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Hospital & Practice Group Affiliations

Piedmont Hospitalist Physicians Llc

2460 Washington Rd, Thomson, GA 308246600

Phone: 7067745795

Piedmont Hospitalist Physicians Llc

1350 Walton Way, Augusta, GA 309012612

Phone: 7067742183

Piedmont Hospitalist Physicians Llc

35 Collier Rd Nw, Atlanta, GA 303091611

Phone: 4043673000

Secondary Practice Locations

901 45th St

West Palm Beach, FL 334072413

Phone: 3478938042

Practice Associates & Co-Workers

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

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Doctor of Medicine (M.D.)

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Emergency Medicine

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 06, 2024

Registered at 1350 WALTON WAY, AUGUSTA, GA 309012612 (Tel: 7067745795)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2024

Hospitalist (License #73638 in GA)

✅

NPI Profile Active November 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2015

Registered at 901 45TH ST, WEST PALM BEACH, FL 334072413 (Tel: 3478938042)

📍

Updated Business Mailing Address November 09, 2015

Registered at UNIVERSITY MEDICAL GROUP, LLC, P O BOX 1705, AUGUSTA, GA 309031705 (Tel: 7068546917)

👤

Provider Name / Credentials Updated November 09, 2015

Recorded as KISHORE KUMAR, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2015

Internal Medicine (License #73638 in GA)

🟢

Initial NPI Registration & Enumeration September 03, 2008

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: 1205084399

Entity Type:

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

Enumeration Date: September 03, 2008

Last Update: June 06, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

University Medical Group, Llc, P O Box 1705

Augusta, GA 309031705

Phone: 7068546917

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.