Active NPI 1386866853 Individual Practitioner Male Practitioner

Dr. Raman Kumar , MD

Surgery • Alton, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Raman Kumar, MD is a certified Surgery practicing in Alton, IL. With approximately 21 years of clinical experience since graduating from Creighton University School Of Medicine in 2005, Dr. Kumar delivers high-quality medical care to the local community at 2 SAINT ANTHONYS WAY STE 305.

Dr. Kumar is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of large bowel using an endoscope, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2 Saint Anthonys Way Ste 305

Alton, IL 620024569

Telephone 6184659024

Fax 6184626828

Medicare Profile & Education

Medical School

Creighton University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Alton, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -1.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

7 Specialists

Practicing in Alton, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (21 Years) 21 Yrs

Alton Specialty Average (22.0 Years) 22.0 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
45380 Biopsy of large bowel using an endoscope	58	58	$2400.00	$149.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$423.69	$158.50
99213 Established patient office or other outpatient visit, typically 15 minutes	43	38	$208.00	$87.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$371.00	$125.65
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	25	25	$2525.00	$251.97
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$1889.00	$182.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$129.00	$54.70
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$2068.00	$83.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$410.00	$165.56
45380 Biopsy of large bowel using an endoscope	37	37	$2360.00	$126.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$374.00	$131.32
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$200.00	$87.31
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$2474.00	$256.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$274.00	$107.91
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	15	$121.00	$16.33
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$1762.58	$186.61
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$5399.00	$342.59
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$1844.00	$186.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	43	$362.41	$136.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	18	$101.36	$39.38
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$191.20	$90.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$264.77	$113.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$396.15	$163.38
45380 Biopsy of large bowel using an endoscope	25	25	$2278.72	$159.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	17	$115.82	$56.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$257.70	$114.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	37	$358.27	$138.74
45380 Biopsy of large bowel using an endoscope	27	27	$2081.89	$166.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	16	$101.77	$35.20
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$172.75	$77.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$114.00	$51.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$387.13	$162.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	28	$101.21	$41.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	49	$352.96	$145.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$250.80	$110.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$381.80	$165.68
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$161.08	$76.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	19	$103.50	$46.17
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	16	$5026.69	$359.58
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$116.19	$19.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$372.04	$165.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	16	$99.37	$40.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$241.31	$103.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$342.83	$134.34
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$153.75	$74.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$277.00	$158.08
99213 Established patient office or other outpatient visit, typically 15 minutes	40	28	$119.00	$70.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$180.00	$102.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	14	$143.00	$71.79
45380 Biopsy of large bowel using an endoscope	14	14	$754.00	$151.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$271.00	$134.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$195.00	$104.33

Medical Specialties & State Licenses

CMS Verified: 2022-09-26

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036.148925

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License VA 0101250146

Colon & Rectal Surgery

NUCC Taxonomy Code: 208C00000X

State License VA 0101250146

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Colon & Rectal Surgery

NUCC Taxonomy Code: 208C00000X

State License PA MD461609

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

2 Saint Anthonys Way, Alton, IL 620024569

Osf Multi-Specialty Group

2200 Central Ave, Alton, IL 620024569

Phone: 6184337600

Osf Multi-Specialty Group

8600 State Route 91, Peoria, IL 616157829

Phone: 3096835050

Secondary Practice Locations

735 Norman Dr Ste 3

Lebanon, PA 170427559

Phone: 7172707908

Practice Associates & Co-Workers

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

1 Associated Practitioners

Kate Smith , MPAS

Physician Assistant

NPI 1407144231

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location September 26, 2022

Registered at 2 SAINT ANTHONYS WAY STE 305, ALTON, IL 620024569 (Tel: 6184659024)

📍

Updated Business Mailing Address September 26, 2022

Registered at 2 SAINT ANTHONYS WAY STE 305, ALTON, IL 620024569 (Tel: 6184659024)

✅

NPI Profile Active August 21, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 21, 2017

Registered at 735 NORMAN DR STE 3, LEBANON, PA 170427559 (Tel: 7172707908)

📍

Updated Business Mailing Address August 21, 2017

Registered at 3421 CONCORD RD, YORK, PA 174029001 (Tel: 7172707908)

👤

Provider Name / Credentials Updated August 21, 2017

Recorded as RAMAN KUMAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2017

Colon & Rectal Surgery (License #MD461609 in PA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2017

Surgery (License #0101250146 in VA)

✅

NPI Profile Active August 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 07, 2014

Registered at 2761 JEFFERSON DAVIS HWY, SUITE 207, STAFFORD, VA 225548329 (Tel: 5406578180)

📍

Updated Business Mailing Address August 07, 2014

Registered at 2761 JEFFERSON DAVIS HWY, SUITE 207, STAFFORD, VA 225548329 (Tel: 5406578180)

👤

Provider Name / Credentials Updated August 07, 2014

Recorded as RAMAN KUMAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2014

Surgery (License #0101250146 in VA)

🟢

Initial NPI Registration & Enumeration May 03, 2007

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: 1386866853

Entity Type:

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

Enumeration Date: May 03, 2007

Last Update: September 26, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2 Saint Anthonys Way Ste 305

Alton, IL 620024569

Phone: 6184659024

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.