Active NPI 1528041423 Individual Practitioner Female Practitioner

Dr. Jayanthi Kumar , MD

Internal Medicine • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jayanthi Kumar, MD is a certified Internal Medicine practicing in Worcester, MA. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Kumar delivers high-quality medical care to the local community at 291 LINCOLN ST.

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

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of 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

291 Lincoln St

Worcester, MA 016053643

Telephone 5087527464

Associated Practice Facility / Clinic

🏢 Subhash C. Gulati, Md , Facs Inc Facility NPI 1356432603

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +13.6 yrs vs City Avg

City Avg: 19.4 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

460 Specialists

Practicing in Worcester, MA (7127 Statewide)

Telehealth Adoption Rate

15.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (33 Years) 33 Yrs

Worcester Specialty Average (19.4 Years) 19.4 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	502	181	$342.00	$116.82
99239 Hospital discharge day management, more than 30 minutes	74	73	$355.00	$113.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$667.00	$171.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	457	169	$342.00	$119.99
99239 Hospital discharge day management, more than 30 minutes	70	68	$355.00	$115.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	48	$667.00	$175.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	536	207	$342.00	$105.72
99239 Hospital discharge day management, more than 30 minutes	94	93	$355.00	$108.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$667.00	$204.07

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	282	165	$355.49	$91.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	232	81	$338.63	$107.31
99213 Established patient office or other outpatient visit, typically 15 minutes	106	83	$242.58	$73.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$378.24	$57.47
99443 Telephone medical discussion with physician, 21-30 minutes	72	48	$382.00	$137.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	11	$238.00	$74.66
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	38	13	$299.95	$95.04
99239 Hospital discharge day management, more than 30 minutes	38	38	$354.42	$110.85
93000 Routine ekg using at least 12 leads including interpretation and report	30	30	$131.00	$15.70
99442 Telephone medical discussion with physician, 11-20 minutes	28	24	$263.00	$96.89
99495 Transitional care management services for problem of at least moderate complexity	25	21	$623.08	$107.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$468.05	$122.99
99497 Advance care planning, first 30 minutes	15	15	$396.00	$51.03
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	14	13	$214.00	$56.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99443 Telephone medical discussion with physician, 21-30 minutes	344	181	$333.95	$116.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	276	165	$316.00	$113.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	137	57	$308.00	$110.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	100	66	$429.00	$155.31
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	94	89	$39.00	$18.77
G0008 Administration of influenza virus vaccine	93	88	$74.00	$17.74
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	81	24	$276.00	$96.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$348.00	$123.51
99442 Telephone medical discussion with physician, 11-20 minutes	80	56	$239.49	$80.09
99213 Established patient office or other outpatient visit, typically 15 minutes	50	43	$214.00	$78.19
99495 Transitional care management services for problem of at least moderate complexity	37	30	$613.00	$198.03
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	34	13	$166.00	$43.69
93000 Routine ekg using at least 12 leads including interpretation and report	33	32	$131.00	$18.25
99239 Hospital discharge day management, more than 30 minutes	30	27	$333.00	$114.00
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	27	17	$214.00	$56.66
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	26	22	$44.00	$13.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	19	$597.00	$214.28
99306 Initial nursing facility visit, typically 45 minutes per day	20	16	$491.00	$176.09
G0009 Administration of pneumococcal vaccine	18	17	$74.00	$17.68

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	465	219	$314.37	$114.61
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	125	37	$274.99	$96.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	119	119	$348.00	$122.78
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	113	112	$38.93	$17.48
G0008 Administration of influenza virus vaccine	112	111	$73.64	$17.42
99213 Established patient office or other outpatient visit, typically 15 minutes	87	66	$211.76	$78.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	86	30	$305.40	$108.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	81	60	$427.22	$153.44
99495 Transitional care management services for problem of at least moderate complexity	49	39	$611.53	$173.20
99306 Initial nursing facility visit, typically 45 minutes per day	44	31	$484.25	$174.61
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	40	30	$214.00	$56.24
99239 Hospital discharge day management, more than 30 minutes	34	26	$331.06	$112.33
93000 Routine ekg using at least 12 leads including interpretation and report	29	26	$131.00	$18.10
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	28	12	$166.00	$43.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	18	$591.61	$211.57
81002 Urinalysis, manual test	20	19	$12.00	$3.41
G0009 Administration of pneumococcal vaccine	18	18	$73.44	$17.42

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	474	218	$296.00	$112.65
G0008 Administration of influenza virus vaccine	130	126	$69.00	$21.55
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	130	126	$38.00	$17.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	112	112	$348.00	$122.09
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	86	28	$270.00	$95.38
99213 Established patient office or other outpatient visit, typically 15 minutes	81	62	$199.00	$76.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	77	58	$420.00	$150.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	74	32	$301.00	$108.19
93000 Routine ekg using at least 12 leads including interpretation and report	53	49	$131.00	$17.91
99495 Transitional care management services for problem of at least moderate complexity	41	34	$601.00	$172.10
99306 Initial nursing facility visit, typically 45 minutes per day	28	24	$458.00	$173.26
99239 Hospital discharge day management, more than 30 minutes	25	21	$327.00	$112.09
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	22	18	$214.00	$56.34
81002 Urinalysis, manual test	22	18	$9.00	$3.41
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	12	$166.00	$43.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$566.00	$210.67
G0009 Administration of pneumococcal vaccine	15	15	$69.00	$21.55

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	424	195	$296.00	$111.06
99213 Established patient office or other outpatient visit, typically 15 minutes	205	119	$199.00	$75.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	109	109	$346.08	$119.76
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	107	105	$38.00	$17.48
G0008 Administration of influenza virus vaccine	96	94	$69.00	$26.66
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	71	21	$266.76	$93.81
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	59	19	$269.49	$93.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	40	$416.16	$149.51
93000 Routine ekg using at least 12 leads including interpretation and report	49	47	$131.00	$17.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	23	$299.78	$106.64
99495 Transitional care management services for problem of at least moderate complexity	29	25	$597.69	$169.08
99306 Initial nursing facility visit, typically 45 minutes per day	25	22	$458.00	$170.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	19	$565.00	$207.03
99239 Hospital discharge day management, more than 30 minutes	21	18	$326.38	$110.37
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	20	20	$214.00	$55.78
G0009 Administration of pneumococcal vaccine	19	19	$69.00	$26.66
81002 Urinalysis, manual test	17	17	$9.00	$3.43
90471 Administration of 1 vaccine	14	14	$69.00	$26.76
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$198.00	$94.49

Medical Specialties & State Licenses

CMS Verified: 2020-11-05

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 208474

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

0126870 (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

291 Lincoln St, Worcester, MA 016053643

Phone: 5087527464

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Doctor of Medicine (M.D.)

Tracy Cormier , NP

Nurse Practitioner

NPI 1083829014

Nurse Practitioner

Dr. Hawa Abu , MD

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NPI 1104441229

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 April 28, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 28, 2009

Registered at 291 LINCOLN ST, WORCESTER, MA 016053643 (Tel: 5087527464)

📍

Updated Business Mailing Address April 28, 2009

Registered at PO BOX 415348, BOSTON, MA 022415348

👤

Provider Name / Credentials Updated April 28, 2009

Recorded as JAYANTHI KUMAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2009

Internal Medicine (License #208474 in MA)

🟢

Initial NPI Registration & Enumeration November 23, 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: 1528041423

Entity Type:

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

Enumeration Date: November 23, 2005

Last Update: November 05, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

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.