Active NPI 1073756441 Individual Practitioner Male Practitioner

Dr. Prashant Kumar , MD

Anesthesiology - Pain Medicine • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prashant Kumar, MD is a certified Anesthesiology - Pain Medicine practicing in Worcester, MA. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Kumar delivers high-quality medical care to the local community at 102 SHORE DRIVE.

Dr. Kumar is affiliated with Saint Vincent Physician Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, new 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

102 Shore Drive
Ste 502

Worcester, MA 016053154

Telephone 5084257670

Fax 5084257671

Associated Practice Facility / Clinic

🏢 New England Oral Surgery Associates, Llc Facility NPI 1053823401

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology - Pain Medicine in Worcester, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +2.0 yrs vs City Avg

City Avg: 15.0 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

2 Specialists

Practicing in Worcester, MA (122 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (17 Years) 17 Yrs

Worcester Specialty Average (15.0 Years) 15.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	509	183	$250.00	$92.68
99213 Established patient office or other outpatient visit, typically 15 minutes	285	165	$167.00	$63.59
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	146	109	$41.00	$16.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$385.00	$129.25
62323 Injection of substance into lower spine canal using imaging guidance	59	49	$296.00	$96.90
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	52	40	$315.00	$109.87
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	52	40	$178.00	$50.31
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	47	39	$676.00	$254.57
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	43	36	$180.00	$79.02
20553 Injection of trigger points, 3 or more muscles	41	28	$145.00	$40.48
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	37	25	$231.00	$74.89
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	37	25	$450.00	$133.64
20610 Aspiration and/or injection of fluid from large joint	33	25	$191.00	$42.16
77002 Fluoroscopic guidance for needle placement	32	27	$79.00	$24.71
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	32	19	$438.00	$77.21
64555 Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin	21	11	$953.00	$245.51
64633 Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint	18	11	$690.00	$218.31
64634 Destruction of upper or middle spinal facet joint nerves with imaging guidance	18	11	$207.00	$75.22
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	11	$91.00	$29.65

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	544	170	$250.00	$93.81
99213 Established patient office or other outpatient visit, typically 15 minutes	274	160	$167.00	$65.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$385.00	$134.42
62323 Injection of substance into lower spine canal using imaging guidance	56	42	$296.00	$99.60
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	38	28	$315.00	$109.28
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	38	28	$178.00	$50.31
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	36	29	$237.42	$72.70
63650 Implantation of spinal neurostimulator electrodes, accessed through the skin	36	15	$1157.00	$313.92
20610 Aspiration and/or injection of fluid from large joint	35	23	$191.00	$44.89
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	35	29	$450.00	$132.47
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	31	25	$676.00	$225.68
20553 Injection of trigger points, 3 or more muscles	30	27	$145.00	$40.69
77002 Fluoroscopic guidance for needle placement	28	20	$79.00	$27.28
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	27	20	$438.00	$80.52
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	25	19	$91.00	$30.69
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	24	22	$165.00	$72.73
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	18	15	$274.00	$40.61
64633 Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint	16	11	$690.00	$217.29
64634 Destruction of upper or middle spinal facet joint nerves with imaging guidance	16	11	$207.00	$73.29
64450 Injection of anesthetic agent, other peripheral nerve or branch	13	12	$264.00	$35.80

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	427	198	$237.78	$97.90
99213 Established patient office or other outpatient visit, typically 15 minutes	238	146	$157.88	$66.79
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	113	32	$172.17	$58.42
62323 Injection of substance into lower spine canal using imaging guidance	78	57	$279.69	$102.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$360.84	$137.66
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	64	44	$165.81	$49.17
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	64	35	$649.84	$185.16
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	64	44	$294.69	$107.94
20610 Aspiration and/or injection of fluid from large joint	61	42	$179.46	$45.44
77002 Fluoroscopic guidance for needle placement	55	43	$73.91	$28.18
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	48	31	$429.00	$138.83
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	48	31	$219.92	$78.73
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	35	20	$84.83	$31.67
63650 Implantation of spinal neurostimulator electrodes, accessed through the skin	27	12	$1078.63	$326.04
20553 Injection of trigger points, 3 or more muscles	26	21	$136.69	$40.81
64450 Injection of anesthetic agent, other peripheral nerve or branch	25	13	$248.04	$36.17
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	24	17	$414.67	$84.88
62321 Injection of substance into middle or upper spine canal using imaging guidance	12	11	$302.33	$110.82
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	12	11	$255.67	$41.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	447	212	$153.00	$68.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	381	215	$230.00	$99.32
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	143	33	$165.00	$57.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	121	121	$354.00	$138.98
62323 Injection of substance into lower spine canal using imaging guidance	84	61	$272.00	$101.04
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	77	51	$290.00	$113.02
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	76	50	$163.00	$52.43
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	74	33	$622.00	$217.18
63650 Implantation of spinal neurostimulator electrodes, accessed through the skin	67	26	$1065.00	$328.08
20610 Aspiration and/or injection of fluid from large joint	56	38	$175.00	$47.86
77002 Fluoroscopic guidance for needle placement	54	38	$72.00	$28.65
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	51	42	$212.00	$77.71
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	51	42	$414.00	$136.53
20553 Injection of trigger points, 3 or more muscles	38	28	$133.00	$43.60
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	32	24	$252.00	$42.76
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	30	19	$83.00	$32.20
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	29	22	$403.00	$88.59
64450 Injection of anesthetic agent, other peripheral nerve or branch	22	15	$243.00	$31.21
64405 Injection of anesthetic agent, greater occipital nerve	18	12	$242.00	$70.75
63685 Insertion of spinal neurostimulator pulse generator or receiver	17	17	$943.00	$212.84
64421 Injection of anesthetic agent and/or steroid into multiple rib nerves for regional nerve block	17	11	$550.00	$26.03
64420 Injection of anesthetic agent and/or steroid into rib nerve	17	11	$373.00	$61.89
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	16	14	$215.00	$81.99

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	302	192	$231.17	$79.64
99213 Established patient office or other outpatient visit, typically 15 minutes	236	166	$154.40	$54.39
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	196	44	$165.00	$60.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$356.58	$135.01
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	101	44	$622.00	$221.28
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	96	59	$290.00	$115.93
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	91	57	$163.00	$52.94
62323 Injection of substance into lower spine canal using imaging guidance	86	63	$272.00	$103.55
20610 Aspiration and/or injection of fluid from large joint	68	45	$175.00	$47.00
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	63	49	$212.00	$82.13
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	63	49	$414.00	$143.01
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	62	49	$215.00	$83.30
63650 Implantation of spinal neurostimulator electrodes, accessed through the skin	54	21	$1065.00	$299.48
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	31	21	$403.00	$90.39
20553 Injection of trigger points, 3 or more muscles	26	22	$133.00	$42.82
99443 Telephone medical discussion with physician, 21-30 minutes	24	22	$196.50	$82.97
64420 Injection of anesthetic agent and/or steroid into rib nerve	21	12	$373.00	$60.76
64520 Injection of anesthetic agent into middle or lower spine sympathetic nerve	19	11	$209.00	$102.50
62325 Insertion of indwelling catheter and administration of substance into spinal canal of upper or middle back using imaging guidance	16	12	$290.00	$93.93
63685 Insertion of spinal neurostimulator pulse generator or receiver	14	13	$943.00	$165.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	222	138	$155.38	$53.48
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	209	47	$165.00	$59.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	127	$233.33	$78.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	167	167	$362.17	$135.89
62323 Injection of substance into lower spine canal using imaging guidance	111	79	$272.00	$97.59
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	105	47	$622.00	$220.87
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	101	63	$290.00	$118.44
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	99	62	$163.00	$54.83
20610 Aspiration and/or injection of fluid from large joint	89	55	$175.00	$48.45
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	83	64	$212.00	$78.75
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	83	64	$414.00	$138.70
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	83	64	$215.00	$80.33
20553 Injection of trigger points, 3 or more muscles	73	50	$133.41	$40.68
63650 Implantation of spinal neurostimulator electrodes, accessed through the skin	40	14	$1065.00	$307.42
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	39	29	$403.00	$89.91
64450 Injection of anesthetic agent, other peripheral nerve or branch	33	11	$243.00	$34.35
64421 Injection of anesthetic agent and/or steroid into multiple rib nerves for regional nerve block	28	15	$550.00	$86.89
62325 Insertion of indwelling catheter and administration of substance into spinal canal of upper or middle back using imaging guidance	24	18	$290.00	$112.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$349.00	$141.67
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	19	14	$462.00	$144.07
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	19	14	$233.00	$81.40
64492 Injections of upper or middle spine facet joint using imaging guidance	18	14	$236.00	$86.96
64520 Injection of anesthetic agent into middle or lower spine sympathetic nerve	17	11	$209.00	$69.95
64405 Injection of anesthetic agent, greater occipital nerve	16	12	$242.00	$77.96
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$83.00	$33.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	277	171	$203.00	$53.81
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	250	52	$180.72	$60.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	114	$315.00	$80.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	154	154	$498.00	$136.83
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	131	53	$678.00	$227.22
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	106	66	$534.83	$53.63
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	105	66	$590.44	$116.75
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	87	59	$292.86	$80.39
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	87	59	$286.97	$79.24
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	87	59	$542.48	$139.09
62323 Injection of substance into lower spine canal using imaging guidance	80	61	$622.00	$103.50
20610 Aspiration and/or injection of fluid from large joint	78	52	$261.54	$49.57
20553 Injection of trigger points, 3 or more muscles	61	46	$116.00	$43.14
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	38	22	$1322.11	$90.59
63650 Implantation of spinal neurostimulator electrodes, accessed through the skin	38	13	$1147.00	$298.62
64450 Injection of anesthetic agent, other peripheral nerve or branch	34	15	$308.47	$39.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$483.00	$141.88
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	18	$97.00	$33.68
64421 Injection of anesthetic agent and/or steroid into multiple rib nerves for regional nerve block	19	14	$415.00	$96.95
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	19	13	$256.00	$40.53
64405 Injection of anesthetic agent, greater occipital nerve	18	16	$557.44	$88.20
62325 Insertion of indwelling catheter and administration of substance into spinal canal of upper or middle back using imaging guidance	16	13	$562.00	$109.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	205	129	$203.00	$51.71
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	155	42	$183.48	$58.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$498.00	$138.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	90	$315.00	$78.41
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	88	56	$589.36	$122.31
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	88	56	$528.18	$56.45
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	81	43	$694.74	$221.99
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	79	54	$292.00	$80.59
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	79	54	$298.00	$81.71
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	79	54	$552.00	$141.56
62323 Injection of substance into lower spine canal using imaging guidance	58	41	$622.00	$104.41
20553 Injection of trigger points, 3 or more muscles	58	36	$116.00	$43.46
20610 Aspiration and/or injection of fluid from large joint	48	28	$265.63	$48.84
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	42	22	$1315.81	$89.13
63650 Implantation of spinal neurostimulator electrodes, accessed through the skin	35	13	$1147.00	$287.23
77002 Fluoroscopic guidance for needle placement	32	21	$74.00	$28.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$483.00	$139.75
64421 Injection of anesthetic agent and/or steroid into multiple rib nerves for regional nerve block	20	11	$415.00	$95.20
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	17	12	$256.00	$37.80
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	12	$97.00	$33.37

Medical Specialties & State Licenses

Anesthesiology - Pain Medicine Primary Specialty

NUCC Taxonomy Code: 207LP2900X

State License MA 258822

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Anesthesiology - Pain Medicine

NUCC Taxonomy Code: 207LP2900X

State License IL 036.132266

Hospital & Practice Group Affiliations

Saint Vincent Physician Services Inc

123 Summer St, Worcester, MA 016081216

Saint Vincent Physician Services Inc

1 Eaton Pl, Worcester, MA 016081232

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 17, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 17, 2014

Registered at 102 SHORE DRIVE, STE 502, WORCESTER, MA 016053154 (Tel: 5084257670)

📍

Updated Business Mailing Address July 17, 2014

Registered at 102 SHORE DRIVE, STE 502, WORCESTER, MA 016053154 (Tel: 5084257670)

👤

Provider Name / Credentials Updated July 17, 2014

Recorded as PRASHANT KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2014

Anesthesiology (License #258822 in MA)

🟢

Initial NPI Registration & Enumeration April 14, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1073756441

Entity Type:

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

Enumeration Date: April 14, 2009

Last Update: July 17, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

102 Shore Drive, Ste 502

Worcester, MA 016053154

Phone: 5084257670

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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