Active NPI 1275793549 Individual Practitioner Male Practitioner

Dr. Pranat Kumar , MD

Surgery • Poughkeepsie, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Pranat Kumar, MD is a certified Surgery practicing in Poughkeepsie, NY. With approximately 22 years of clinical experience since graduating from University Of Alabama School Of Medicine in 2004, Dr. Kumar delivers high-quality medical care to the local community at 243 NORTH RD STE 204.

Dr. Kumar is affiliated with Nuvance Health Medical Practice Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, established patient outpatient office visit, diagnostic examination of the anus using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

243 North Rd Ste 204

Poughkeepsie, NY 126011173

Telephone 8454731112

Associated Practice Facility / Clinic

🏢 Theodora S. Budnik, M.d. Facility NPI 1447205323

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Poughkeepsie, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +2.2 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

25 Specialists

Practicing in Poughkeepsie, NY (2269 Statewide)

Telehealth Adoption Rate

12.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

72.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (22 Years) 22 Yrs

Poughkeepsie Specialty Average (19.8 Years) 19.8 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	19	$119.07	$53.04
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$259.00	$99.14
46600 Diagnostic examination of the anus using an endoscope	26	25	$503.00	$126.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$374.26	$139.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	13	$202.40	$84.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$512.00	$196.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$553.00	$184.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$394.86	$139.97
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	11	11	$7135.00	$1684.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$522.55	$154.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	24	$117.00	$53.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$553.00	$187.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$368.00	$139.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	18	$198.00	$85.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$512.00	$194.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$626.00	$240.04
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$259.00	$98.64
46600 Diagnostic examination of the anus using an endoscope	18	18	$503.00	$134.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$333.00	$116.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	46	40	$251.17	$100.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$318.66	$124.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	19	$189.62	$77.06
46600 Diagnostic examination of the anus using an endoscope	28	26	$485.00	$140.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	11	$111.52	$42.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$351.64	$140.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$489.20	$199.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$484.00	$172.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	31	$246.76	$77.96
99213 Established patient office or other outpatient visit, typically 15 minutes	40	32	$313.68	$101.06
46600 Diagnostic examination of the anus using an endoscope	32	27	$428.36	$138.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	22	$563.45	$199.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$701.41	$245.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$704.45	$217.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$424.24	$143.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$544.34	$186.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$373.34	$124.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$467.26	$148.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	30	$267.00	$78.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$441.00	$178.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	26	$752.00	$220.39
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$194.00	$80.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$286.00	$118.97
46600 Diagnostic examination of the anus using an endoscope	18	17	$243.00	$116.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$291.00	$118.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$385.00	$159.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	112	56	$267.00	$76.91
99213 Established patient office or other outpatient visit, typically 15 minutes	58	43	$194.00	$79.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	55	$752.00	$211.50
46600 Diagnostic examination of the anus using an endoscope	35	34	$243.00	$104.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$291.00	$115.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$441.00	$170.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$286.00	$115.51
47562 Removal of gallbladder using an endoscope	13	13	$1865.00	$669.75
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	$552.00	$209.79
0249T Suturing hemorrhoids using ultrasound guidance	11	11	$2459.00	$421.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	118	68	$267.00	$76.29
99213 Established patient office or other outpatient visit, typically 15 minutes	61	49	$194.00	$75.94
46600 Diagnostic examination of the anus using an endoscope	38	31	$243.00	$96.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$510.00	$143.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$441.00	$173.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$286.00	$113.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	22	$386.00	$109.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	23	$752.00	$212.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$291.00	$114.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$385.00	$144.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	128	69	$267.00	$75.31
99213 Established patient office or other outpatient visit, typically 15 minutes	61	49	$194.00	$76.89
46600 Diagnostic examination of the anus using an endoscope	32	30	$243.00	$95.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	26	$286.00	$109.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$291.00	$111.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$510.00	$142.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$441.00	$172.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	15	$146.00	$41.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$752.00	$211.47

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 248890

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.

Hospital & Practice Group Affiliations

Nuvance Health Medical Practice Pc

45 Reade Pl, Poughkeepsie, NY 126013947

Phone: 8454548500

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Theodora Budnik , MD

Surgery

NPI 1306802483

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 May 03, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 03, 2012

Registered at 243 NORTH RD STE 204, POUGHKEEPSIE, NY 126011173 (Tel: 8454731112)

📍

Updated Business Mailing Address May 03, 2012

Registered at 243 NORTH RD STE 204, POUGHKEEPSIE, NY 126011173 (Tel: 8457585636)

👤

Provider Name / Credentials Updated May 03, 2012

Recorded as PRANAT KUMAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2012

Surgery (License #248890 in NY)

🟢

Initial NPI Registration & Enumeration June 11, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1275793549

Entity Type:

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

Enumeration Date: June 11, 2008

Last Update: May 03, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

243 North Rd Ste 204

Poughkeepsie, NY 126011173

Phone: 8457585636

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.