Active NPI 1922003797 Individual Practitioner Female Practitioner

Dr. Priya P. Kumar , MD

Internal Medicine • Bloomington, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Priya Kumar, MD is a certified Internal Medicine practicing in Bloomington, IN. With approximately 32 years of clinical experience since completing medical education in 1994, Dr. Kumar delivers high-quality medical care to the local community at 550 S LANDMARK AVE.

Dr. Kumar maintains professional affiliations with Iu Health Medical Group Llc, Indiana University Health Southern Indiana Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use, administration of pneumococcal vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

550 S Landmark Ave

Bloomington, IN 474033239

Telephone 8123313409

Fax 8123313656

Associated Practice Facility / Clinic

🏢 Ima Inc Laboratory Facility NPI 1588669667

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bloomington, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +12.3 yrs vs City Avg

City Avg: 19.7 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

56 Specialists

Practicing in Bloomington, IN (2204 Statewide)

Telehealth Adoption Rate

10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (32 Years) 32 Yrs

Bloomington 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	809	406	$183.00	$118.88
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	209	209	$578.00	$287.68
G0009 Administration of pneumococcal vaccine	207	207	$35.00	$30.10
99213 Established patient office or other outpatient visit, typically 15 minutes	82	73	$127.00	$83.61
G0008 Administration of influenza virus vaccine	74	74	$39.00	$30.10
90662 Influenza vaccine split virus, preservative free	71	71	$147.00	$81.68
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	64	47	$58.00	$20.94
90480 Admn sarscov2 vacc 1 dose	38	36	$94.00	$40.13
91320 Sarscv2 vac 30mcg trs-suc im	36	35	$210.00	$150.75
71046 X-ray of chest, 2 views	21	20	$200.00	$20.95

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	784	418	$132.00	$118.73
99213 Established patient office or other outpatient visit, typically 15 minutes	129	110	$87.00	$82.35
G0008 Administration of influenza virus vaccine	90	90	$36.00	$28.63
90662 Influenza vaccine split virus, preservative free	83	83	$83.00	$71.93
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	60	34	$49.00	$20.45
G0009 Administration of pneumococcal vaccine	44	44	$25.00	$24.50
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	37	37	$426.00	$281.58
71046 X-ray of chest, 2 views	29	28	$43.00	$21.17
74019 X-ray of abdomen, 2 views	17	17	$45.00	$23.68
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$67.00	$26.70

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	846	442	$132.00	$120.22
99213 Established patient office or other outpatient visit, typically 15 minutes	158	134	$87.00	$83.89
G0008 Administration of influenza virus vaccine	105	105	$36.00	$27.27
90662 Influenza vaccine split virus, preservative free	94	94	$83.00	$68.54
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	44	32	$49.00	$21.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	21	$30.00	$13.42
0064A Adm sarscov2 50mcg/0.25mlbst	36	36	$84.00	$36.41
G0009 Administration of pneumococcal vaccine	34	34	$23.59	$23.26
71046 X-ray of chest, 2 views	24	22	$43.00	$21.13
69209 Removal of impacted ear wax by washing	15	14	$37.00	$17.42
90670 Pneumococcal vaccine for injection into muscle	13	13	$243.00	$239.88
0134A Fee covid-19 vac 14 res	12	12	$84.00	$36.16
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	12	12	$85.00	$49.51
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	11	11	$426.00	$278.05
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$31.00	$21.09

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	968	508	$132.00	$122.23
99213 Established patient office or other outpatient visit, typically 15 minutes	332	253	$86.21	$85.71
G0008 Administration of influenza virus vaccine	142	142	$36.00	$15.83
90662 Influenza vaccine split virus, preservative free	130	130	$83.00	$65.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	89	43	$49.00	$21.20
71046 X-ray of chest, 2 views	47	47	$43.00	$20.89
G0009 Administration of pneumococcal vaccine	43	43	$21.00	$15.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	13	$30.00	$13.32
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	27	27	$178.00	$122.61
0013A Adm sarscov2 100mcg/0.5ml3rd	27	27	$64.00	$37.21
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	23	21	$85.00	$49.63
99496 Transitional care management services for problem of high complexity	21	17	$329.38	$243.58
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	21	15	$63.38	$38.33
90670 Pneumococcal vaccine for injection into muscle	16	16	$243.00	$241.38
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$45.21	$12.70
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$31.00	$20.53
73502 X-ray of hip, 2-3 views	12	11	$66.00	$32.51
72110 X-ray of lower and sacral spine, minimum of 4 views	11	11	$77.18	$34.71

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	670	405	$132.00	$102.54
99213 Established patient office or other outpatient visit, typically 15 minutes	348	242	$86.00	$68.86
G0008 Administration of influenza virus vaccine	153	151	$36.00	$15.86
90662 Influenza vaccine split virus, preservative free	140	139	$86.00	$60.24
99442 Telephone medical discussion with physician, 11-20 minutes	89	77	$55.35	$50.59
G0009 Administration of pneumococcal vaccine	76	76	$22.00	$15.84
J1100 Injection, dexamethasone sodium phosphate, 1 mg	68	16	$1.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	61	22	$30.00	$13.47
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	60	60	$116.00	$113.66
99441 Telephone medical discussion with physician, 5-10 minutes	44	33	$43.64	$34.19
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	39	25	$49.00	$21.10
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	27	17	$55.00	$38.65
71046 X-ray of chest, 2 views	26	24	$43.00	$19.10
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	$85.00	$50.38
90670 Pneumococcal vaccine for injection into muscle	17	17	$243.00	$227.81
99496 Transitional care management services for problem of high complexity	15	14	$225.00	$223.80
J1040 Injection, methylprednisolone acetate, 80 mg	14	13	$80.00	$11.57
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$31.00	$19.58
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$60.00	$15.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$146.00	$110.02

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	817	440	$120.41	$102.11
99213 Established patient office or other outpatient visit, typically 15 minutes	470	239	$78.84	$69.58
G0008 Administration of influenza virus vaccine	160	160	$36.00	$15.55
90662 Influenza vaccine split virus, preservative free	138	138	$86.00	$54.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	83	19	$30.00	$15.63
96127 Assessment of emotional or behavioral problems	81	75	$12.00	$4.69
J1100 Injection, dexamethasone sodium phosphate, 1 mg	60	12	$0.48	$0.12
G0009 Administration of pneumococcal vaccine	47	47	$22.00	$15.55
71046 X-ray of chest, 2 views	27	26	$42.56	$18.19
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	27	27	$116.00	$110.05
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$31.00	$18.65
90670 Pneumococcal vaccine for injection into muscle	21	21	$243.00	$198.11
J1040 Injection, methylprednisolone acetate, 80 mg	15	12	$80.00	$12.16

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	807	462	$115.00	$101.15
99213 Established patient office or other outpatient visit, typically 15 minutes	380	230	$75.00	$68.52
90662 Influenza vaccine split virus, preservative free	148	148	$84.16	$52.30
J1100 Injection, dexamethasone sodium phosphate, 1 mg	94	14	$0.22	$0.12
71046 X-ray of chest, 2 views	63	63	$41.00	$17.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	60	23	$30.00	$19.22
G0008 Administration of influenza virus vaccine	46	46	$36.00	$19.10
G0009 Administration of pneumococcal vaccine	40	40	$22.00	$19.10
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	38	38	$31.00	$18.16
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	29	$116.00	$105.59
90670 Pneumococcal vaccine for injection into muscle	15	15	$243.00	$186.32
99496 Transitional care management services for problem of high complexity	14	14	$225.00	$218.81
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$60.00	$15.75

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	757	454	$128.07	$99.16
99213 Established patient office or other outpatient visit, typically 15 minutes	470	292	$86.01	$67.26
36415 Insertion of needle into vein for collection of blood sample	184	160	$19.77	$2.91
G0008 Administration of influenza virus vaccine	170	170	$36.00	$23.63
90662 Influenza vaccine split virus, preservative free	138	138	$78.93	$48.05
J1100 Injection, dexamethasone sodium phosphate, 1 mg	129	24	$0.78	$0.11
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	128	118	$26.73	$10.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	124	39	$32.19	$23.30
80061 Blood test, lipids (cholesterol and triglycerides)	119	118	$42.80	$12.10
83036 Hemoglobin A1C level	107	102	$42.83	$12.94
80053 Blood test, comprehensive group of blood chemicals	106	105	$31.92	$10.54
82550 Creatine kinase (cardiac enzyme) level, total	99	97	$17.15	$4.60
84443 Blood test, thyroid stimulating hormone (TSH)	94	91	$48.19	$22.59
J0696 Injection, ceftriaxone sodium, per 250 mg	84	12	$8.52	$0.67
J1030 Injection, methylprednisolone acetate, 40 mg	65	24	$18.58	$5.38
81001 Manual urinalysis test with examination using microscope, automated	56	56	$23.86	$4.26
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	55	49	$148.00	$65.92
81003 Automated urinalysis test	42	42	$18.81	$3.02
71020 X-ray of chest, 2 views, front and side	38	33	$45.47	$15.53
82570 Creatinine level to test for kidney function or muscle injury	36	36	$20.08	$6.96
82043 Urine microalbumin (protein) level	36	36	$22.81	$7.77
84460 Liver enzyme (sgpt), level	34	33	$15.15	$3.92
G0009 Administration of pneumococcal vaccine	33	33	$22.85	$22.00
80048 Blood test, basic group of blood chemicals (calcium, total)	31	28	$27.00	$8.27
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	27	27	$112.89	$95.58
82607 Cyanocobalamin (vitamin B-12) level	22	22	$52.91	$20.27
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$31.00	$18.65
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$70.50	$15.45
69209 Removal of impacted ear wax by washing	14	11	$31.00	$10.69
99496 Transitional care management services for problem of high complexity	14	14	$468.00	$215.13
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$31.00	$18.86
82746 Folic acid level	13	13	$48.00	$19.77

Medical Specialties & State Licenses

CMS Verified: 2020-12-17

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IN 01056352A

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

200410050 (IN)

Hospital & Practice Group Affiliations

Indiana University Health Southern Indiana Physicians Llc

707 W 2nd St, Bloomington, IN 474032209

Phone: 8884843258

Indiana University Health Southern Indiana Physicians Llc

727 W 2nd St, Bloomington, IN 474032209

Phone: 8884843258

Iu Health Medical Group Llc

1701 N Senate Blvd, Indianapolis, IN 462021239

Phone: 8884843258

Indiana University Health Southern Indiana Physicians Llc

550 S Landmark Ave, Bloomington, IN 474033239

Phone: 8884843258

Indiana University Health Southern Indiana Physicians Llc

719 W 2nd St, Bloomington, IN 474032209

Phone: 8884843258

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Deborah Patrick , MD

Family Medicine

NPI 1164409249

Doctor of Medicine (M.D.)

Dr. Bradford Bomba , MD

Internal Medicine

NPI 1265437057

Doctor of Medicine (M.D.)

Laura Fields , NP

Nurse Practitioner

NPI 1538164330

Nurse Practitioner

Rita Burkholder , NP

Nurse Practitioner - Family

NPI 1619100484

Nurse Practitioner

Dr. Rebecca Cohen , MD

Internal Medicine

NPI 1689695025

Doctor of Medicine (M.D.)

Dr. Jean Creek , MD

Internal Medicine

NPI 1760487623

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 12, 2016

Registered at 550 S LANDMARK AVE, BLOOMINGTON, IN 474033239 (Tel: 8123313409)

📍

Updated Business Mailing Address October 12, 2016

Registered at 550 S LANDMARK AVE, BLOOMINGTON, IN 474033239 (Tel: 8123313409)

👤

Provider Name / Credentials Updated October 12, 2016

Recorded as PRIYA KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2016

Internal Medicine (License #01056352A in IN)

🟢

Initial NPI Registration & Enumeration June 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Priya Kumar. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1922003797

Entity Type:

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

Enumeration Date: June 16, 2005

Last Update: December 17, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

550 S Landmark Ave

Bloomington, IN 474033239

Phone: 8123313409

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.