Active NPI 1124003587 Individual Practitioner Male Practitioner

Dr. Prem Kumar , MD

Internal Medicine • Valdosta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prem Kumar, MD is a certified Internal Medicine practicing in Valdosta, GA. With approximately 42 years of clinical experience since completing medical education in 1984, Dr. Kumar delivers high-quality medical care to the local community at 3300 GREYSTONE WAY.

Dr. Kumar is affiliated with Northside Primary Care Professional Services,Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3300 Greystone Way

Valdosta, GA 316051096

Telephone 2292477700

Fax 2292472666

Associated Practice Facility / Clinic

🏢 Valdosta Medical Associates Facility NPI 1093831083

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Valdosta, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +22.3 yrs vs City Avg

City Avg: 19.7 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

57 Specialists

Practicing in Valdosta, GA (4065 Statewide)

Telehealth Adoption Rate

10.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (42 Years) 42 Yrs

Valdosta Specialty Average (19.7 Years) 19.7 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	369	191	$386.00	$126.48
36415 Insertion of needle into vein for collection of blood sample	261	187	$23.00	$8.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$391.00	$127.29
83036 Hemoglobin A1C level	86	48	$34.00	$9.52
99213 Established patient office or other outpatient visit, typically 15 minutes	40	33	$273.00	$89.45
90662 Influenza vaccine split virus, preservative free	38	38	$350.00	$81.82
G0008 Administration of influenza virus vaccine	38	38	$40.00	$32.05
93000 Routine ekg using at least 12 leads including interpretation and report	37	34	$44.00	$14.14
81003 Automated urinalysis test	23	15	$8.00	$2.20
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$501.00	$162.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	341	193	$386.37	$128.54
36415 Insertion of needle into vein for collection of blood sample	261	186	$22.95	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	41	36	$273.07	$88.70
G0008 Administration of influenza virus vaccine	39	38	$40.00	$30.52
90662 Influenza vaccine split virus, preservative free	37	36	$350.00	$71.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$391.00	$130.30
G0444 Annual depression screening, 5 to 15 minutes	23	23	$56.00	$18.65
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$44.70	$14.59
83036 Hemoglobin A1C level	18	16	$34.00	$9.52
81003 Automated urinalysis test	13	12	$8.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	959	272	$208.34	$121.52
83036 Hemoglobin A1C level	329	119	$35.74	$9.56
36415 Insertion of needle into vein for collection of blood sample	194	154	$10.40	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	126	83	$135.36	$84.64
87804 Detection test by immunoassay with direct visual observation for influenza virus	94	45	$49.19	$16.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	93	53	$36.71	$13.54
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	89	88	$36.75	$20.85
G0008 Administration of influenza virus vaccine	87	86	$31.20	$27.18
J1040 Injection, methylprednisolone acetate, 80 mg	77	31	$15.59	$8.18
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	62	53	$266.74	$34.76
81003 Automated urinalysis test	58	41	$8.29	$2.30
J1030 Injection, methylprednisolone acetate, 40 mg	31	20	$18.19	$6.12
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	24	23	$48.67	$16.32
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	18	15	$137.67	$50.09
99496 Transitional care management services for problem of high complexity	17	14	$425.00	$265.46
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$43.59	$13.48
20610 Aspiration and/or injection of fluid from large joint	16	13	$138.63	$66.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$336.00	$160.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	976	270	$188.68	$124.28
36415 Insertion of needle into vein for collection of blood sample	257	189	$4.50	$3.00
83036 Hemoglobin A1C level	164	94	$35.00	$9.86
99213 Established patient office or other outpatient visit, typically 15 minutes	137	90	$126.87	$87.48
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	136	136	$35.00	$20.53
G0008 Administration of influenza virus vaccine	136	136	$30.00	$15.74
G0444 Annual depression screening, 5 to 15 minutes	112	112	$24.33	$17.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	86	43	$27.75	$13.40
J1040 Injection, methylprednisolone acetate, 80 mg	65	17	$7.35	$7.23
J1885 Injection, ketorolac tromethamine, per 15 mg	42	13	$4.14	$0.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	35	$243.36	$173.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$318.63	$161.47
J1030 Injection, methylprednisolone acetate, 40 mg	29	15	$7.48	$5.74
93000 Routine ekg using at least 12 leads including interpretation and report	27	25	$26.79	$13.84
81002 Urinalysis, manual test	26	25	$5.22	$3.48
87804 Detection test by immunoassay with direct visual observation for influenza virus	23	12	$48.00	$16.55
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	20	16	$20.95	$14.99
81003 Automated urinalysis test	17	13	$8.69	$2.25
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	12	12	$262.00	$35.33
99496 Transitional care management services for problem of high complexity	11	11	$422.38	$265.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,006	275	$157.94	$104.68
36415 Insertion of needle into vein for collection of blood sample	536	257	$4.50	$2.97
99213 Established patient office or other outpatient visit, typically 15 minutes	225	116	$107.52	$71.86
G0008 Administration of influenza virus vaccine	113	112	$35.67	$15.90
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	108	108	$36.06	$28.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	98	42	$35.00	$13.64
81002 Urinalysis, manual test	50	36	$6.00	$3.45
J1030 Injection, methylprednisolone acetate, 40 mg	46	20	$10.50	$6.05
93000 Routine ekg using at least 12 leads including interpretation and report	44	41	$28.00	$16.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	38	$212.19	$142.38
J1885 Injection, ketorolac tromethamine, per 15 mg	36	13	$15.00	$0.59
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	25	21	$21.60	$15.00
G0444 Annual depression screening, 5 to 15 minutes	21	21	$27.27	$17.07
20610 Aspiration and/or injection of fluid from large joint	12	11	$88.94	$61.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$241.05	$160.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,053	319	$157.75	$103.83
36415 Insertion of needle into vein for collection of blood sample	571	287	$4.50	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	318	145	$107.36	$70.74
G0008 Administration of influenza virus vaccine	153	151	$35.67	$15.59
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	151	151	$26.76	$17.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	100	48	$35.00	$15.74
85610 Blood test, clotting time	66	12	$8.03	$4.28
J1030 Injection, methylprednisolone acetate, 40 mg	56	24	$10.50	$6.26
93000 Routine ekg using at least 12 leads including interpretation and report	55	49	$28.00	$16.13
81002 Urinalysis, manual test	50	40	$6.00	$3.41
J1885 Injection, ketorolac tromethamine, per 15 mg	32	11	$15.00	$0.50
G0179 Physician re-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 to affirm the initial imp	31	17	$59.45	$39.02
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	29	19	$21.89	$14.41
94640 Inhalation treatment for airway obstruction or sputum production	24	19	$25.83	$16.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$241.05	$158.59
20610 Aspiration and/or injection of fluid from large joint	21	16	$88.94	$58.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$212.19	$135.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,048	347	$155.27	$99.41
36415 Insertion of needle into vein for collection of blood sample	442	299	$4.50	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	356	161	$104.82	$67.22
83036 Hemoglobin A1C level	225	111	$19.82	$11.65
G0008 Administration of influenza virus vaccine	129	128	$35.67	$19.06
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	126	126	$27.00	$17.88
85610 Blood test, clotting time	99	13	$8.03	$4.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	89	76	$209.95	$132.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	66	37	$35.00	$18.42
93000 Routine ekg using at least 12 leads including interpretation and report	58	51	$28.00	$15.39
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	55	35	$20.49	$13.53
81002 Urinalysis, manual test	38	28	$6.00	$3.41
20610 Aspiration and/or injection of fluid from large joint	34	24	$81.47	$56.59
G0179 Physician re-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 to affirm the initial imp	32	15	$59.43	$38.21
J1030 Injection, methylprednisolone acetate, 40 mg	27	13	$8.33	$5.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$239.69	$154.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,147	363	$154.00	$98.92
99213 Established patient office or other outpatient visit, typically 15 minutes	513	205	$104.00	$67.04
36415 Insertion of needle into vein for collection of blood sample	506	345	$4.50	$2.93
83036 Hemoglobin A1C level	316	121	$19.82	$12.97
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	250	250	$235.00	$156.65
99497 Advance care planning, first 30 minutes	245	245	$124.27	$76.40
G0008 Administration of influenza virus vaccine	154	152	$35.67	$23.25
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	151	150	$23.00	$17.19
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	105	64	$20.00	$13.34
85610 Blood test, clotting time	90	17	$8.03	$5.28
93000 Routine ekg using at least 12 leads including interpretation and report	65	58	$28.00	$15.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	58	40	$35.00	$22.81
81002 Urinalysis, manual test	38	35	$6.00	$3.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	35	$207.00	$128.34
J1030 Injection, methylprednisolone acetate, 40 mg	30	15	$4.00	$3.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$238.00	$152.28
J1885 Injection, ketorolac tromethamine, per 15 mg	29	12	$15.00	$0.63
G0179 Physician re-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 to affirm the initial imp	28	11	$59.00	$37.73
94640 Inhalation treatment for airway obstruction or sputum production	26	22	$25.00	$16.07
82043 Urine microalbumin (protein) level	25	24	$12.00	$7.77
20610 Aspiration and/or injection of fluid from large joint	20	15	$72.00	$56.18
90471 Administration of 1 vaccine	18	18	$33.00	$21.52
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	16	14	$75.00	$49.28
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$20.00	$17.41
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$297.00	$192.06
87804 Detection test by immunoassay with direct visual observation for influenza virus	11	11	$27.00	$16.11

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 466691

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00814107I (GA)

Medicaid State Provider ID

00814107J (GA)

Hospital & Practice Group Affiliations

Northside Primary Care Professional Services,llc

6460 Spalding Dr, Norcross, GA 300921805

Phone: 7704496320

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 20, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location March 20, 2010

Registered at 3300 GREYSTONE WAY, VALDOSTA, GA 316051096 (Tel: 2292477700)

📍

Updated Business Mailing Address March 20, 2010

Registered at 3300 GREYSTONE WAY, VALDOSTA, GA 316051096 (Tel: 2292477700)

👤

Provider Name / Credentials Updated March 20, 2010

Recorded as PREM KUMAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2010

Internal Medicine (License #466691 in GA)

🟢

Initial NPI Registration & Enumeration December 08, 2005

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: 1124003587

Entity Type:

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

Enumeration Date: December 08, 2005

Last Update: March 20, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3300 Greystone Way

Valdosta, GA 316051096

Phone: 2292477700

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.