Dr. Nitin Kumar, MD - Internal Medicine - Gastroenterology in Effingham, IL

Professional Overview & Biography Verified Profile Summary

Dr. Nitin Kumar, MD is a certified Internal Medicine - Gastroenterology practicing in Effingham, IL. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Kumar delivers high-quality medical care to the local community at 900 W TEMPLE AVE STE 2500.

Dr. Kumar is affiliated with Hshs Medical Group Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

900 W Temple Ave Ste 2500

Effingham, IL 624012121

Telephone 2175402350

Fax 2173472323

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Gastroenterology in Effingham, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -9.5 yrs vs City Avg

City Avg: 28.5 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Effingham, IL (915 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (19 Years) 19 Yrs

Effingham Specialty Average (28.5 Years) 28.5 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	180	125	$251.00	$127.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$330.00	$167.59
45380 Biopsy of large bowel using an endoscope	48	47	$1108.00	$110.97
99213 Established patient office or other outpatient visit, typically 15 minutes	48	48	$178.00	$89.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$221.00	$111.43
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	32	32	$1156.00	$256.90
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$1174.00	$89.04

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	242	170	$220.42	$124.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$320.68	$163.67
99213 Established patient office or other outpatient visit, typically 15 minutes	69	62	$156.81	$88.15
45380 Biopsy of large bowel using an endoscope	37	37	$998.00	$114.56
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	35	$1174.00	$95.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$212.00	$110.02
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	26	$1043.30	$251.37

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	266	176	$201.00	$124.54
99213 Established patient office or other outpatient visit, typically 15 minutes	145	118	$135.00	$89.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$313.00	$163.60
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	40	$1174.00	$99.34
45380 Biopsy of large bowel using an endoscope	36	36	$923.00	$139.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$203.00	$110.73
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$977.00	$254.96

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	305	199	$201.00	$127.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$313.00	$164.43
99213 Established patient office or other outpatient visit, typically 15 minutes	87	73	$135.00	$90.34
45380 Biopsy of large bowel using an endoscope	46	46	$923.00	$148.21
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	44	44	$1174.00	$106.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$203.00	$111.36
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$977.00	$249.66

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	250	169	$201.00	$107.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$313.00	$164.36
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	34	34	$1174.00	$92.36
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$135.00	$73.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$203.00	$106.58
45380 Biopsy of large bowel using an endoscope	19	19	$923.00	$131.97
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$773.00	$177.52
99442 Telephone medical discussion with physician, 11-20 minutes	15	13	$52.00	$52.15
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$977.00	$264.61

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	387	195	$201.00	$105.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	148	148	$313.00	$161.97
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	66	62	$1174.00	$105.74
45380 Biopsy of large bowel using an endoscope	56	56	$923.00	$151.87
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	26	$977.00	$265.26
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$135.00	$72.53

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	354	160	$201.00	$103.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	127	127	$313.00	$160.68
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	39	37	$1174.00	$106.84
99213 Established patient office or other outpatient visit, typically 15 minutes	33	31	$135.00	$70.68
45380 Biopsy of large bowel using an endoscope	29	29	$923.00	$154.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$203.00	$102.81
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1174.00	$246.31
45380 Biopsy of large bowel using an endoscope	12	12	$923.00	$365.48
36415 Insertion of needle into vein for collection of blood sample	12	12	$20.00	$2.94

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	140	87	$201.00	$96.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$313.00	$152.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	23	$138.00	$68.94
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	37	$1174.00	$107.18
45380 Biopsy of large bowel using an endoscope	21	21	$1186.62	$147.56
99221 Initial hospital inpatient care per day, typically 30 minutes	16	15	$195.00	$97.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$264.00	$131.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$203.00	$101.31

Medical Specialties & State Licenses

CMS Verified: 2021-12-20

Internal Medicine - Gastroenterology Primary Specialty

NUCC Taxonomy Code: 207RG0100X

State License IL 036-134693

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IL 036-134693

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.

Internal Medicine - Gastroenterology

NUCC Taxonomy Code: 207RG0100X

State License MA 247910

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Hospital & Practice Group Affiliations

Hshs Medical Group Inc

900 W Temple Ave, Effingham, IL 624012187

Phone: 2173473580

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. David Bitzer , MD

Urology

NPI 1003801499

Doctor of Medicine (M.D.)

Emily Konrad , APRN

Nurse Practitioner

NPI 1043010648

Advanced Practice Registered Nurse

Dr. Dean Page , MD

Plastic Surgery

NPI 1164491296

Doctor of Medicine (M.D.)

Dr. Fred Richardson , MD

Family Medicine

NPI 1194702092

Doctor of Medicine (M.D.)

Dr. Howard Chodash , MD

Internal Medicine - Gastroenterology

NPI 1295720027

Doctor of Medicine (M.D.)

Dr. John Powell , MD

Orthopaedic Surgery

NPI 1437152451

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 January 07, 2021

Registered at 900 W TEMPLE AVE STE 2500, EFFINGHAM, IL 624012121 (Tel: 2175402350)

📍

Updated Business Mailing Address January 07, 2021

Registered at 900 W TEMPLE AVE STE 2500, EFFINGHAM, IL 624012121 (Tel: 2175402350)

✅

NPI Profile Active October 26, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 26, 2015

Registered at 1450 W LAKE ST, SUITE 101, ADDISON, IL 601015767 (Tel: 6303879362)

📍

Updated Business Mailing Address October 26, 2015

Registered at 1450 W LAKE ST, SUITE 101, ADDISON, IL 601015767 (Tel: 6303879362)

👤

Provider Name / Credentials Updated October 26, 2015

Recorded as NITIN KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2015

Internal Medicine (License #036-134693 in IL)

🟢

Initial NPI Registration & Enumeration January 18, 2008

First registered as active Individual Practitioner in NPPES Database.

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Dr. Nitin Kumar , MD

Professional Overview & Biography Verified Profile Summary

Practice Location & Contact Primary Location

Medicare Profile & Education

Specialty Benchmarks & Practice Insights

Clinical Seniority & Experience Comparison

Performed Procedures & Service Volume

Medical Specialties & State Licenses

Hospital & Practice Group Affiliations

Hshs Medical Group Inc

Practice Associates & Co-Workers

Career & Practice History Timeline

Patient & Community Reviews

NPI Administrative Meta

Mailing Address