Dr. Shicha Kumar, MD - Surgery in New Brunswick, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Shicha Kumar, MD is a certified Surgery practicing in New Brunswick, NJ. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Kumar delivers high-quality medical care to the local community at 195 LITTLE ALBANY ST.

Dr. Kumar is affiliated with Rutgers Health-Rwj Scleroderma Program 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, partial removal of breast, 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

195 Little Albany St
Room 2040

New Brunswick, NJ 089011914

Telephone 7322357563

Fax 7322355260

Associated Practice Facility / Clinic

🏢 Rutgers Health-Rwj Scleroderma Program Facility NPI 1518904929

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in New Brunswick, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +3.1 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

33 Specialists

Practicing in New Brunswick, NJ (815 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

86.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (22 Years) 22 Yrs

New Brunswick Specialty Average (18.9 Years) 18.9 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	79	62	$842.00	$101.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	19	$1183.00	$153.44
19301 Partial removal of breast	17	17	$4430.59	$695.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$1441.00	$192.79
38900 Lymph node imaging during surgery	11	11	$873.00	$144.81
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$2891.00	$261.83

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	52	44	$833.02	$99.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	11	$1197.07	$143.62
19301 Partial removal of breast	14	13	$4458.39	$748.83
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$1451.38	$194.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$1101.54	$143.26

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	77	62	$701.18	$105.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$913.80	$147.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	13	$930.35	$159.26
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$452.18	$69.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$1149.62	$200.78
19301 Partial removal of breast	12	12	$3645.69	$709.82

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	39	32	$423.00	$109.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	18	$568.00	$160.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	15	$805.00	$202.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	13	$642.00	$149.30
38900 Lymph node imaging during surgery	13	13	$531.00	$151.41
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1717.00	$262.30

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	50	41	$423.00	$122.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	19	$568.00	$163.58
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$805.00	$231.32
38900 Lymph node imaging during surgery	17	17	$531.00	$153.75
19301 Partial removal of breast	16	14	$2541.00	$646.80
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	16	16	$1717.00	$247.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$642.00	$183.73

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	43	34	$428.09	$119.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	20	$568.00	$159.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	22	$805.00	$225.73
19301 Partial removal of breast	14	13	$2541.00	$539.08
38900 Lymph node imaging during surgery	11	11	$531.00	$150.00

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	34	25	$342.44	$118.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	18	$465.27	$159.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$531.11	$180.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$656.17	$226.68
19301 Partial removal of breast	12	11	$2113.92	$416.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	18	$449.00	$149.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$511.00	$168.84
19301 Partial removal of breast	13	12	$1994.00	$674.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$641.00	$200.51
38900 Lymph node imaging during surgery	12	12	$450.00	$142.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$334.00	$111.16
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1353.00	$227.94

Medical Specialties & State Licenses

CMS Verified: 2024-05-01

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ 25MA09875800

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 - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License NY 253249

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License NJ 25MA09875800

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

03261974 (NY)

Hospital & Practice Group Affiliations

Rutgers Health-Rwj Scleroderma Program

1 Robert Wood Johnson Pl, New Brunswick, NJ 089011928

Phone: 7328283000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Vadim Koshenkov , MD

Surgery - Surgical Oncology

NPI 1376785360

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 July 26, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 26, 2016

Registered at 195 LITTLE ALBANY ST, ROOM 2040, NEW BRUNSWICK, NJ 089011914 (Tel: 7322357563)

📍

Updated Business Mailing Address July 26, 2016

Registered at 195 LITTLE ALBANY ST, ROOM 2040, NEW BRUNSWICK, NJ 089011914 (Tel: 7322357563)

👤

Provider Name / Credentials Updated July 26, 2016

Recorded as SHICHA KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2016

Surgery (License #253249 in NY)

🟢

Initial NPI Registration & Enumeration April 10, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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Dr. Shicha Kumar , MD

Professional Overview & Biography Verified Profile Summary

Practice Location & Contact Primary Location

Medicare Profile & Education

Specialty Benchmarks & Practice Insights

Clinical Seniority & Experience Comparison

Performed Procedures & Service Volume

Medical Specialties & State Licenses

Additional State Medicaid & Healthcare Payer Identifiers

Hospital & Practice Group Affiliations

Rutgers Health-Rwj Scleroderma Program

Practice Associates & Co-Workers

Career & Practice History Timeline

Patient & Community Reviews

NPI Administrative Meta

Mailing Address