Active NPI 1700142593 Individual Practitioner Male Practitioner

Dr. Naveen Kumar , MD

Surgery • Oxford, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Naveen Kumar, MD is a certified Surgery practicing in Oxford, NC. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Kumar delivers high-quality medical care to the local community at 102 PROFESSIONAL PARK STE C.

Dr. Kumar is affiliated with Granville Health Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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 Professional Park Ste C

Oxford, NC 275652554

Telephone 9196030368

Fax 9196900842

Associated Practice Facility / Clinic

🏢 Granville Health Inc Facility NPI 1952372500

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Oxford, NC

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -1.7 yrs vs City Avg

City Avg: 15.7 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Oxford, NC (1222 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (14 Years) 14 Yrs

Oxford Specialty Average (15.7 Years) 15.7 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	27	$243.00	$120.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	12	$143.00	$74.19
99213 Established patient office or other outpatient visit, typically 15 minutes	19	14	$172.00	$85.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$317.00	$157.31

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	42	27	$243.00	$121.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	20	$143.00	$76.83
99213 Established patient office or other outpatient visit, typically 15 minutes	23	18	$172.00	$84.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	13	$190.07	$115.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$374.00	$168.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$317.00	$160.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$255.00	$126.23

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	74	35	$143.00	$68.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	45	$368.94	$190.75
99213 Established patient office or other outpatient visit, typically 15 minutes	43	27	$172.93	$83.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	24	$243.00	$123.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	18	$77.00	$37.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	13	$194.31	$98.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$317.00	$161.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$212.00	$101.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	33	$142.00	$88.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	33	$210.00	$126.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	43	$391.49	$194.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	24	$143.00	$69.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	22	$77.00	$37.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$320.00	$163.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	16	$205.00	$100.34
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	14	11	$445.00	$129.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$209.00	$109.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	62	26	$142.00	$73.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	29	$143.00	$72.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	26	$77.00	$38.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	26	$399.00	$201.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	17	$214.52	$106.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$320.00	$156.01
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	19	16	$445.00	$130.96
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	12	$256.00	$128.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$209.00	$105.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	38	$142.00	$70.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	23	$143.00	$70.25
11042 Removal of skin and tissue, 20.0 sq cm or less	53	13	$228.00	$65.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	46	$399.00	$195.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	29	$212.12	$103.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	14	$77.00	$38.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$209.00	$103.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$313.29	$157.12
14000 Repair of wound of trunk by transferring skin, 10.0 sq cm or less	13	11	$1201.00	$351.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	31	$126.00	$67.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	25	$127.34	$68.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	38	$362.38	$190.41
11042 Removal of skin and tissue, 20.0 sq cm or less	24	13	$203.25	$55.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$286.00	$153.04
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	23	11	$404.52	$140.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$187.00	$99.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	11	$69.00	$36.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$187.00	$99.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$242.00	$128.28
19081 Biopsy of breast accessed through the skin with stereotactic guidance	12	12	$1156.42	$152.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	16	$102.29	$37.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	13	$136.57	$67.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$192.36	$99.49
99213 Established patient office or other outpatient visit, typically 15 minutes	21	16	$126.00	$66.16

Medical Specialties & State Licenses

CMS Verified: 2023-10-06

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 2012-00666

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

Granville Health Inc

103 Professional Park, Oxford, NC 275652581

Phone: 9196908853

Secondary Practice Locations

101 Professional Park Ste B

Oxford, NC 275652580

Phone: 9196030368

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Shanna Sprinkle , MD, MPH

Surgery

NPI 1235574195

Doctor of Medicine (M.D.), Master of Public Health

Dr. Shane Hodge , DO

Surgery

NPI 1548498975

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

12 Historical Events

✅

NPI Profile Active September 11, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 11, 2017

Registered at 102 PROFESSIONAL PARK STE C, OXFORD, NC 275652554 (Tel: 9196030368)

📍

Updated Business Mailing Address September 11, 2017

Registered at 102 PROFESSIONAL PARK, STE C, OXFORD, NC 275652554 (Tel: (919) 603-0368)

👤

Provider Name / Credentials Updated September 11, 2017

Recorded as NAVEEN KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2017

Surgery (License #2012-00666 in NC)

📍

Updated Business Mailing Address August 14, 2017

Registered at 102 PROFESSIONAL PARK, STE C, OXFORD, NC 275652554 (Tel: 9196030368)

✅

NPI Profile Active August 27, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 27, 2014

Registered at 210 FEW CIR, DURHAM, NC 277057372 (Tel: 2038587500)

📍

Updated Business Mailing Address August 27, 2014

Registered at 210 FEW CIR, DURHAM, NC 277057372 (Tel: 2038587500)

👤

Provider Name / Credentials Updated August 27, 2014

Recorded as NAVEEN KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2014

Surgery (License #2012-00666 in NC)

🟢

Initial NPI Registration & Enumeration April 05, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1700142593

Entity Type:

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

Enumeration Date: April 05, 2012

Last Update: October 06, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

102 Professional Park, Ste C

Oxford, NC 275652554

Phone: 9196030368

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.