Active NPI 1538325295 Individual Practitioner Male Practitioner

Dr. Ramesh Kumar , MD

Colon & Rectal Surgery • Florence, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ramesh Kumar, MD is a certified Colon & Rectal Surgery practicing in Florence, KY. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Kumar delivers high-quality medical care to the local community at 7370 TURFWAY RD.

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

Frequently performed procedures and clinical services include diagnostic examination of the anus using an endoscope, follow-up hospital inpatient care per day, 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

7370 Turfway Rd

Florence, KY 410424895

Telephone 8595785880

Fax 8592124845

Associated Practice Facility / Clinic

🏢 Charles J. Breen, Md, Psc Facility NPI 1750300745

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Florence, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs Matches City Avg

City Avg: 25.0 Yrs

State Avg: 21.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Florence, KY (31 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (25 Years) 25 Yrs

Florence Specialty Average (25.0 Years) 25.0 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
46600 Diagnostic examination of the anus using an endoscope	35	34	$273.00	$103.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	20	$120.00	$47.40
99213 Established patient office or other outpatient visit, typically 15 minutes	28	20	$213.00	$84.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$264.00	$105.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$301.00	$120.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$419.54	$165.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$313.00	$125.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	34	$135.00	$82.94
46600 Diagnostic examination of the anus using an endoscope	37	37	$245.00	$109.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	24	$127.00	$74.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$180.91	$102.99
99221 Initial hospital inpatient care per day, typically 30 minutes	19	17	$180.84	$77.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	12	$246.67	$169.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$180.00	$120.59
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$340.00	$208.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$270.00	$157.58
46260 Removal of multiple hemorrhoid groups	13	13	$1000.00	$454.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$353.00	$167.13
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	12	12	$404.00	$177.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	72	48	$68.00	$36.72
99213 Established patient office or other outpatient visit, typically 15 minutes	58	40	$127.00	$86.12
46600 Diagnostic examination of the anus using an endoscope	43	42	$195.35	$110.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$178.26	$104.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	26	$175.80	$119.82
99221 Initial hospital inpatient care per day, typically 30 minutes	28	27	$179.61	$94.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	18	$127.00	$63.96
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$334.82	$204.44
46260 Removal of multiple hemorrhoid groups	14	14	$1000.00	$447.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$267.43	$159.29
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	12	12	$4294.10	$1794.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	49	$119.00	$85.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	33	$68.00	$36.75
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$120.63	$68.40
46600 Diagnostic examination of the anus using an endoscope	37	37	$180.00	$110.63
99221 Initial hospital inpatient care per day, typically 30 minutes	30	29	$177.00	$96.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$173.00	$117.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$173.00	$105.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	35	$68.00	$37.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$173.00	$97.81
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$119.00	$67.68
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$177.00	$98.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$264.00	$151.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$127.00	$70.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	19	$68.00	$37.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$128.85	$68.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$205.33	$97.37
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1046.88	$245.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	11	$171.07	$69.05

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	35	17	$165.00	$68.44
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$125.00	$68.04
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$628.00	$62.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	11	$114.00	$37.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$212.00	$100.21
45380 Biopsy of large bowel using an endoscope	17	17	$1173.41	$168.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$190.00	$96.71
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1419.33	$233.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$349.00	$129.01

Medical Specialties & State Licenses

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License KY 52697

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License KY 52697

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100622280 (KY)

Commercial Insurance / Payer ID Rr Medicare

P01356568 (IA)

Hospital & Practice Group Affiliations

Summit Medical Group Inc

1500 James Simpson Jr Way, Covington, KY 410110800

Phone: 8596554111

Practice Associates & Co-Workers

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

29 Associated Practitioners

Dr. Kelly Mackessy , DO

Surgery - Surgical Oncology

NPI 1003317421

Doctor of Osteopathic Medicine (D.O.)

David Tackett , APRN

Nurse Practitioner

NPI 1043821085

Advanced Practice Registered Nurse

Deborah Barnett , PA-C

Physician Assistant

NPI 1043895733

Physician Assistant (Certified)

Dr. Leonardo Geraci , DO

Surgery

NPI 1093947293

Doctor of Osteopathic Medicine (D.O.)

Dr. Martin Moon , MD

Surgery

NPI 1174516934

Doctor of Medicine (M.D.)

Dr. Jai Bikhchandani , MBBS

Colon & Rectal Surgery

NPI 1205082229

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2019

Surgery (License #52697 in KY)

📍

Updated Practice Location August 15, 2019

Registered at 7370 TURFWAY RD, FLORENCE, KY 410424895 (Tel: 8595785880)

📍

Updated Business Mailing Address August 15, 2019

Registered at PO BOX 635283, CINCINNATI, OH 452633433 (Tel: 8593445555)

✅

NPI Profile Active October 06, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 06, 2015

Registered at 1518 MULBERRY AVE, MUSCATINE, IA 527613433 (Tel: 5632648519)

📍

Updated Business Mailing Address October 06, 2015

Registered at 1518 MULBERRY AVE, MUSCATINE, IA 527613433 (Tel: 5632648519)

👤

Provider Name / Credentials Updated October 06, 2015

Recorded as RAMESH KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2015

Surgery (License #MD-41793 in IA)

🟢

Initial NPI Registration & Enumeration August 01, 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: 1538325295

Entity Type:

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

Enumeration Date: August 01, 2008

Last Update: October 08, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 635283

Cincinnati, OH 452633433

Phone: 8593445555

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.