Active NPI 1124001540 Individual Practitioner Female Practitioner

Dr. Usha Sivakumar , MD

Internal Medicine • Frederick, MD

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Usha Sivakumar, MD is a certified Internal Medicine practicing in Frederick, MD. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Sivakumar delivers high-quality medical care to the local community at 141 THOMAS JOHNSON DR STE 100.

Dr. Sivakumar maintains professional affiliations with Frederick Health Hospital Inc, Privia Care Center Llc, Suburban/Nrh Medical Rehabilitation Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

141 Thomas Johnson Dr Ste 100

Frederick, MD 217024509

Telephone 3012289123

Fax 8557605009

Associated Practice Facility / Clinic

🏢 Usha Sivakumar Md Llc Facility NPI 1033676143

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Frederick, MD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +11.8 yrs vs City Avg

City Avg: 27.2 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

64 Specialists

Practicing in Frederick, MD (4114 Statewide)

Telehealth Adoption Rate

31.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

54.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sivakumar (39 Years) 39 Yrs

Frederick Specialty Average (27.2 Years) 27.2 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	1,231	454	$255.34	$97.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	413	413	$310.52	$136.87
G0444 Annual depression screening, 5 to 15 minutes	288	288	$50.29	$19.85
G0442 Annual alcohol misuse screening, 5 to 15 minutes	251	251	$50.88	$20.19
99213 Established patient office or other outpatient visit, typically 15 minutes	135	121	$184.50	$79.69
96127 Assessment of emotional or behavioral problems	87	82	$15.74	$4.79
99496 Transitional care management services for problem of high complexity	45	38	$546.66	$287.73
93000 Routine ekg using at least 12 leads including interpretation and report	43	39	$48.70	$15.02
96116 Exam of neurobehavioral status, first hour	26	26	$219.55	$95.63
99497 Advance care planning, first 30 minutes	26	26	$232.54	$83.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	19	$339.56	$129.91
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$396.48	$176.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$359.10	$172.25
99495 Transitional care management services for problem of at least moderate complexity	13	12	$378.71	$217.81

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	1,285	477	$225.60	$96.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	325	325	$241.98	$129.53
99213 Established patient office or other outpatient visit, typically 15 minutes	167	132	$154.18	$77.10
96127 Assessment of emotional or behavioral problems	76	76	$15.00	$4.60
G0008 Administration of influenza virus vaccine	49	49	$26.58	$26.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$341.28	$167.89
93000 Routine ekg using at least 12 leads including interpretation and report	42	38	$35.52	$14.38
J1885 Injection, ketorolac tromethamine, per 15 mg	38	16	$25.00	$0.57
99496 Transitional care management services for problem of high complexity	35	29	$480.88	$279.09
96116 Exam of neurobehavioral status, first hour	24	24	$198.14	$93.23
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	23	23	$63.70	$33.41
90682 Influenza vaccine, quadrivalent derived from recombinant dna	23	23	$132.98	$71.93
J1040 Injection, methylprednisolone acetate, 80 mg	19	17	$30.00	$11.71
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$345.52	$157.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$302.16	$109.16
20553 Injection of trigger points, 3 or more muscles	14	13	$140.00	$60.13
99497 Advance care planning, first 30 minutes	13	13	$183.00	$82.80

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	1,220	422	$225.60	$115.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	202	202	$241.98	$134.92
99213 Established patient office or other outpatient visit, typically 15 minutes	136	112	$154.18	$82.62
96127 Assessment of emotional or behavioral problems	127	126	$15.00	$4.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$341.28	$172.61
J1885 Injection, ketorolac tromethamine, per 15 mg	58	22	$25.00	$0.57
G0008 Administration of influenza virus vaccine	47	47	$26.58	$26.07
93000 Routine ekg using at least 12 leads including interpretation and report	43	41	$35.52	$14.43
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	37	37	$49.64	$30.78
99496 Transitional care management services for problem of high complexity	28	26	$480.88	$290.26
96116 Exam of neurobehavioral status, first hour	26	26	$198.14	$95.72
J1040 Injection, methylprednisolone acetate, 80 mg	22	14	$30.00	$11.23
99497 Advance care planning, first 30 minutes	17	17	$183.00	$87.81
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$345.52	$173.74
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	15	12	$2.50	$1.16
20553 Injection of trigger points, 3 or more muscles	14	13	$140.00	$65.55

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	1,149	339	$225.60	$125.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	213	213	$241.98	$134.42
96127 Assessment of emotional or behavioral problems	124	119	$15.00	$4.83
J1885 Injection, ketorolac tromethamine, per 15 mg	84	31	$25.00	$0.46
G0444 Annual depression screening, 5 to 15 minutes	79	79	$26.84	$13.01
99497 Advance care planning, first 30 minutes	72	71	$183.00	$87.77
99213 Established patient office or other outpatient visit, typically 15 minutes	67	59	$154.18	$86.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$341.28	$174.12
G0008 Administration of influenza virus vaccine	51	50	$26.58	$17.24
J1040 Injection, methylprednisolone acetate, 80 mg	48	32	$25.73	$10.46
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	45	45	$32.00	$19.47
99496 Transitional care management services for problem of high complexity	34	33	$480.88	$280.33
96116 Exam of neurobehavioral status, first hour	31	30	$198.14	$96.62
93000 Routine ekg using at least 12 leads including interpretation and report	30	29	$35.52	$14.92
20610 Aspiration and/or injection of fluid from large joint	26	17	$134.00	$62.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	18	$302.16	$176.03
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	$428.80	$229.85
99495 Transitional care management services for problem of at least moderate complexity	17	16	$340.80	$213.33
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	17	16	$186.02	$84.18
20553 Injection of trigger points, 3 or more muscles	15	13	$140.00	$63.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	11	$40.00	$14.69

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	932	271	$225.60	$109.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	141	141	$241.98	$120.85
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	111	109	$56.00	$27.88
G0008 Administration of influenza virus vaccine	106	104	$26.58	$17.36
99497 Advance care planning, first 30 minutes	105	104	$183.00	$89.21
99213 Established patient office or other outpatient visit, typically 15 minutes	83	60	$154.18	$73.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$341.28	$163.58
J1885 Injection, ketorolac tromethamine, per 15 mg	46	19	$25.00	$0.50
96116 Exam of neurobehavioral status, first hour	41	40	$198.14	$99.66
J1040 Injection, methylprednisolone acetate, 80 mg	35	23	$25.00	$10.56
99496 Transitional care management services for problem of high complexity	32	25	$480.88	$248.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	26	$302.16	$153.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	20	$40.00	$13.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$428.80	$217.15
93000 Routine ekg using at least 12 leads including interpretation and report	18	16	$35.52	$16.92
20553 Injection of trigger points, 3 or more muscles	18	14	$140.00	$64.00
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$345.52	$174.72
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	14	11	$186.02	$86.22
96127 Assessment of emotional or behavioral problems	13	13	$15.00	$4.88
99495 Transitional care management services for problem of at least moderate complexity	11	11	$340.80	$177.31

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	886	342	$230.18	$109.05
96127 Assessment of emotional or behavioral problems	143	124	$15.00	$5.35
99213 Established patient office or other outpatient visit, typically 15 minutes	127	93	$156.65	$75.21
G0444 Annual depression screening, 5 to 15 minutes	101	101	$40.00	$17.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	99	76	$309.29	$148.41
J1040 Injection, methylprednisolone acetate, 80 mg	56	30	$21.46	$11.79
99496 Transitional care management services for problem of high complexity	43	30	$494.90	$233.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$343.19	$160.67
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	29	29	$56.00	$26.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$252.21	$118.94
G0008 Administration of influenza virus vaccine	27	27	$28.86	$17.02
20610 Aspiration and/or injection of fluid from large joint	25	19	$134.00	$55.05
20551 Injection into tendon at attachment to bone or muscle	24	14	$134.00	$40.56
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$37.46	$17.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	13	$44.47	$16.44
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	$442.43	$199.23
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	14	12	$186.02	$84.99
99495 Transitional care management services for problem of at least moderate complexity	14	14	$351.21	$168.27

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	383	$199.00	$105.50
99213 Established patient office or other outpatient visit, typically 15 minutes	130	103	$138.21	$71.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	111	90	$253.63	$140.93
J1040 Injection, methylprednisolone acetate, 80 mg	88	54	$19.00	$13.00
G0008 Administration of influenza virus vaccine	81	77	$42.00	$21.01
90682 Influenza vaccine, quadrivalent derived from recombinant dna	66	66	$86.00	$52.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$218.19	$115.94
G0009 Administration of pneumococcal vaccine	45	44	$42.07	$21.01
96127 Assessment of emotional or behavioral problems	43	35	$15.00	$6.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$275.84	$163.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	12	$41.85	$20.49
99496 Transitional care management services for problem of high complexity	31	23	$438.61	$231.02
20610 Aspiration and/or injection of fluid from large joint	30	27	$127.80	$54.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$358.15	$206.14
90670 Pneumococcal vaccine for injection into muscle	26	26	$272.00	$197.72
99495 Transitional care management services for problem of at least moderate complexity	23	21	$298.78	$163.30
20551 Injection into tendon at attachment to bone or muscle	19	14	$121.68	$52.91
81002 Urinalysis, manual test	18	15	$7.00	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$40.06	$16.93
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$135.00	$105.59
20552 Injections of trigger points in 1 or 2 muscles	14	13	$113.00	$51.35
90662 Influenza vaccine split virus, preservative free	14	14	$64.00	$48.05
G0444 Annual depression screening, 5 to 15 minutes	11	11	$40.00	$17.90
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$248.27	$165.11

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	342	221	$160.00	$105.84
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	172	80	$94.53	$87.35
G0008 Administration of influenza virus vaccine	65	65	$36.00	$26.07
99213 Established patient office or other outpatient visit, typically 15 minutes	58	51	$108.00	$72.30
90662 Influenza vaccine split virus, preservative free	57	57	$62.11	$48.05
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	34	31	$140.65	$129.96
G0009 Administration of pneumococcal vaccine	26	26	$38.77	$26.07
90670 Pneumococcal vaccine for injection into muscle	24	24	$254.00	$188.79
20550 Injection into tendon or ligament	23	11	$80.43	$40.11
J1040 Injection, methylprednisolone acetate, 80 mg	21	17	$19.00	$11.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$198.00	$162.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$162.00	$114.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	11	$37.00	$25.39

Medical Specialties & State Licenses

CMS Verified: 2022-12-27

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MD D82249

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.

Hospital & Practice Group Affiliations

Privia Care Center Llc

141 Thomas Johnson Dr, Frederick, MD 217024509

Phone: 3012289123

Amber Hill Physical Therapy Inc

187 Thomas Johnson Dr, Frederick, MD 217024503

Privia Care Center Llc

110 Baughmans Ln, Frederick, MD 217024649

Phone: 2402151138

Frederick Health Hospital Inc

7211 Bank Ct, Frederick, MD 217038483

Phone: 2402156310

Suburban/nrh Medical Rehabilitation Inc

6410 Rockledge Dr, Bethesda, MD 208171844

Amber Hill Physical Therapy Inc

187 Thomas Johnson Dr, Frederick, MD 217024503

Suburban/nrh Medical Rehabilitation Inc

6410 Rockledge Dr, Bethesda, MD 208171844

Secondary Practice Locations

915 Toll House Ave Ste 309

Frederick, MD 217015912

Phone: 3012289123

Practice Associates & Co-Workers

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

1 Associated Practitioners

John Do

Family Medicine

NPI 1346990652

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location December 27, 2022

Registered at 141 THOMAS JOHNSON DR STE 100, FREDERICK, MD 217024509 (Tel: 3012289123)

📍

Updated Practice Location July 10, 2019

Registered at 915 TOLL HOUSE AVE STE 309, FREDERICK, MD 217015912 (Tel: 3012289123)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2019

Internal Medicine (License #D82249 in MD)

✅

NPI Profile Active October 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 10, 2017

Registered at 194 THOMAS JOHNSON DR STE A, FREDERICK, MD 217024683 (Tel: 2402156310)

📍

Updated Business Mailing Address October 10, 2017

Registered at 1932 SYCAMORE SPRING CT, COOKSVILLE, MD 217239304 (Tel: 7245750126)

👤

Provider Name / Credentials Updated October 10, 2017

Recorded as USHA SIVAKUMAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2017

Internal Medicine (License #D82249 in MD)

✅

NPI Profile Active May 08, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 08, 2008

Registered at 415 E 4TH AVE, SUITE # 3, TARENTUM, PA 150841847 (Tel: 7242243530)

📍

Updated Business Mailing Address May 08, 2008

Registered at 4020 PIN OAK CT, MURRYSVILLE, PA 156689799 (Tel: 7243278586)

👤

Provider Name / Credentials Updated May 08, 2008

Recorded as USHA SIVAKUMAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2008

Internal Medicine (License #MD068154L in PA)

🟢

Initial NPI Registration & Enumeration November 21, 2005

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: 1124001540

Entity Type:

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

Enumeration Date: November 21, 2005

Last Update: December 27, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1932 Sycamore Spring Ct

Cooksville, MD 217239304

Phone: 7245750126

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.