Active NPI 1295736189 Individual Practitioner Male Practitioner

Dr. Peter K Kummant , MD

Surgery • Martin, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kummant, MD is a certified Surgery practicing in Martin, KY. With approximately 42 years of clinical experience since graduating from University Of Pittsburgh School Of Medicine in 1984, Dr. Kummant delivers high-quality medical care to the local community at 12579 MAIN STREET.

Dr. Kummant accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12579 Main Street
Ste 101

Martin, KY 416490910

Telephone 6062850681

Fax 6062859843

Associated Practice Facility / Clinic

🏢 Saint Joseph Health System Inc Facility NPI 1952530495

Medicare Profile & Education

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Martin, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs Matches City Avg

City Avg: 42.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Martin, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kummant (42 Years) 42 Yrs

Martin Specialty Average (42.0 Years) 42.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	16	$95.00	$47.66
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$162.00	$79.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$222.85	$125.01
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	12	$1561.00	$80.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	24	$95.00	$36.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	27	$233.00	$128.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	21	$124.00	$67.43
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	21	19	$1561.00	$81.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$983.00	$111.91
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$188.00	$94.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	103	25	$95.00	$36.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	51	$233.00	$128.33
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	19	17	$1561.00	$82.71
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$983.00	$88.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$95.69	$73.46
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$1242.00	$178.97

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	60	56	$233.00	$133.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	29	$95.00	$38.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	12	$124.00	$70.30
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$983.00	$99.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$110.67	$25.12
45380 Biopsy of large bowel using an endoscope	12	12	$1412.00	$197.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	79	39	$95.00	$37.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	67	$233.00	$130.15
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$983.00	$100.81
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	30	28	$1695.70	$83.47
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$1242.00	$174.86
45380 Biopsy of large bowel using an endoscope	18	18	$1412.00	$156.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	14	$124.00	$69.68
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$188.00	$97.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1731.00	$250.62
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$1242.00	$164.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	125	52	$82.68	$37.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	70	$94.87	$40.71
99202 New patient office or other outpatient visit, typically 20 minutes	66	65	$133.23	$70.01
99221 Initial hospital inpatient care per day, typically 30 minutes	57	51	$192.84	$97.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	40	$233.76	$131.28
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	17	17	$1094.76	$94.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$351.00	$194.71
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$856.27	$111.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	172	54	$75.00	$37.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	152	95	$81.89	$40.11
99221 Initial hospital inpatient care per day, typically 30 minutes	123	107	$194.00	$96.82
99202 New patient office or other outpatient visit, typically 20 minutes	88	90	$140.82	$69.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	14	$138.00	$68.98
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	17	15	$240.00	$117.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$146.00	$70.41
99220 Hospital observation care, typically 70 minutes	12	12	$356.00	$177.42

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 46983

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 PA 034039-E

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0012567360003 (PA)

Medicaid State Provider ID

7100312840 (KY)

Commercial Insurance / Payer ID Upmc For You

219141

Commercial Insurance / Payer ID Medicare Railroad

CI6850 (PA)

Commercial Insurance / Payer ID Medicare

K146780 (KY)

Commercial Insurance / Payer ID Three Rivers Health Plan

123225

Commercial Insurance / Payer ID Aetna

2588679

Commercial Insurance / Payer ID Highmark Bc/bs

678684 (PA)

Commercial Insurance / Payer ID Security Blue

0000678684 (PA)

Commercial Insurance / Payer ID Keystone Health Plan West

678684 (PA)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Jeffery Prater , MD

Internal Medicine

NPI 1063494854

Doctor of Medicine (M.D.)

Jason Conley , PA-C

Physician Assistant

NPI 1255394912

Physician Assistant (Certified)

James Music , MSN, APRN, NP-C

Nurse Practitioner - Family

NPI 1740702257

Master of Science in Nursing, Advanced Practice Registered Nurse, Nurse Practitioner (Certified)

Dr. Angela O'quinn , DO

Family Medicine

NPI 1962796466

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 22, 2016

Registered at 12579 MAIN STREET, STE 101, MARTIN, KY 416490910 (Tel: 6062850681)

📍

Updated Business Mailing Address March 22, 2016

Registered at 100 E LIBERTY ST, STE 800, LOUISVILLE, KY 402021434 (Tel: 6063307818)

👤

Provider Name / Credentials Updated March 22, 2016

Recorded as PETER KUMMANT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2016

Surgery (License #46983 in KY)

🟢

Initial NPI Registration & Enumeration August 02, 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. Peter Kummant. 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: 1295736189

Entity Type:

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

Enumeration Date: August 02, 2005

Last Update: March 22, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 E Liberty St, Ste 800

Louisville, KY 402021434

Phone: 6063307818

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.