Active NPI 1821417981 Individual Practitioner Male Practitioner

Prageet Kumar

Internal Medicine • Buffalo, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Prageet Kumar is a certified Internal Medicine practicing in Buffalo, NY. With approximately 12 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 2014, Prageet Kumar delivers high-quality medical care to the local community at 462 GRIDER ST.

Prageet Kumar maintains professional affiliations with Cogent Medical Care Pc, Icahn School Of Medicine At Mount Sinai 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, initial hospital care with moderate level of medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

462 Grider St

Buffalo, NY 142153021

Telephone 7168984328

Associated Practice Facility / Clinic

🏢 Metcare Rx Pharmaceutical Services Group, Llc Facility NPI 1629052295

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Buffalo, NY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -4.7 yrs vs City Avg

City Avg: 16.7 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

312 Specialists

Practicing in Buffalo, NY (12979 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (12 Years) 12 Yrs

Buffalo Specialty Average (16.7 Years) 16.7 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	134	66	$718.00	$111.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	38	$1389.00	$164.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	19	$500.00	$74.44
99239 Hospital discharge day management, more than 30 minutes	32	32	$737.00	$108.13

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	220	93	$718.00	$114.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	61	$1389.00	$166.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	33	$500.00	$76.00
99239 Hospital discharge day management, more than 30 minutes	35	35	$737.00	$109.87

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	253	97	$719.92	$98.92
99239 Hospital discharge day management, more than 30 minutes	51	50	$740.67	$101.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	49	$1391.06	$191.17
99220 Hospital observation care, typically 70 minutes	45	45	$1253.00	$172.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	25	$500.99	$68.69
99226 Subsequent observation care, typically 35 minutes per day	24	21	$711.18	$97.99
99217 Hospital observation care on day of discharge	11	11	$502.00	$69.07

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	375	127	$741.10	$100.78
99239 Hospital discharge day management, more than 30 minutes	56	56	$763.71	$103.70
99220 Hospital observation care, typically 70 minutes	39	39	$1318.91	$177.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$1439.50	$195.35
99226 Subsequent observation care, typically 35 minutes per day	23	20	$746.13	$100.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	12	$512.49	$70.12

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	242	122	$741.10	$104.02
99239 Hospital discharge day management, more than 30 minutes	57	57	$763.71	$105.26
99220 Hospital observation care, typically 70 minutes	44	44	$1318.91	$184.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$1439.50	$201.27
99226 Subsequent observation care, typically 35 minutes per day	33	28	$746.13	$104.29
99217 Hospital observation care on day of discharge	22	22	$517.52	$72.27

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	285	110	$741.10	$100.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	78	77	$1439.50	$195.41
99220 Hospital observation care, typically 70 minutes	69	67	$1318.91	$179.40
99239 Hospital discharge day management, more than 30 minutes	65	65	$763.71	$103.60
99291 Critical care, first 30-74 minutes	16	15	$1587.72	$214.64
99217 Hospital observation care on day of discharge	12	12	$517.52	$70.53

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	270	101	$741.10	$101.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	86	83	$1439.50	$196.39
99220 Hospital observation care, typically 70 minutes	43	43	$1318.91	$180.53
99291 Critical care, first 30-74 minutes	32	31	$1587.72	$215.20
99239 Hospital discharge day management, more than 30 minutes	30	29	$763.71	$104.50

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	61	24	$740.21	$97.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	32	$1439.25	$189.90

Medical Specialties & State Licenses

CMS Verified: 2024-11-21

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 289955

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License NY 289955

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Hospital & Practice Group Affiliations

Cogent Medical Care Pc

565 Abbott Rd, Buffalo, NY 142202039

Phone: 7168282434

Icahn School Of Medicine At Mount Sinai

1 Gustave L Levy Pl, New York, NY 100296504

Phone: 2126598551

Secondary Practice Locations

1 Gustave L Levy Pl

New York, NY 100296504

Phone: 2122411653

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Ursula Pandit , MD

Internal Medicine

NPI 1598293292

Doctor of Medicine (M.D.)

Dr. Alan Saltzman , MD

Internal Medicine - Pulmonary Disease

NPI 1790752665

Doctor of Medicine (M.D.)

Dr. Everett Sinibaldi , MD

Internal Medicine

NPI 1821451188

Doctor of Medicine (M.D.)

Bryan Boyce

Radiology - Diagnostic Radiology

NPI 1992159982

Career & Practice History Timeline

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

8 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2024

Hospitalist (License #289955 in NY)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2019

Internal Medicine (License #289955 in NY)

✅

NPI Profile Active April 15, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 15, 2014

Registered at 462 GRIDER ST, BUFFALO, NY 142153021 (Tel: 7168984328)

📍

Updated Business Mailing Address April 15, 2014

Registered at 462 GRIDER ST, BUFFALO, NY 142153021

👤

Provider Name / Credentials Updated April 15, 2014

Recorded as PRAGEET KUMAR

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2014

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 15, 2014

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: 1821417981

Entity Type:

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

Enumeration Date: April 15, 2014

Last Update: November 21, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

462 Grider St

Buffalo, NY 142153021

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.