Active NPI 1033375084 Individual Practitioner Male Practitioner

Dr. Bijender Kumar , MD

Internal Medicine • Oregon, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bijender Kumar, MD is a certified Internal Medicine practicing in Oregon, OH. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Kumar delivers high-quality medical care to the local community at 3841 NAVARRE AVE.

Dr. Kumar is affiliated with Mercy Health Physicians-North Llc 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

3841 Navarre Ave

Oregon, OH 436163435

Telephone 4196918132

Fax 4196912061

Associated Practice Facility / Clinic

🏢 Oregon Clinic, Inc. Facility NPI 1831229491

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Oregon, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +10.0 yrs vs City Avg

City Avg: 15.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

12 Specialists

Practicing in Oregon, OH (5516 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (25 Years) 25 Yrs

Oregon Specialty Average (15.0 Years) 15.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	398	196	$104.00	$74.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	149	139	$291.00	$162.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	138	80	$149.00	$112.51
99239 Hospital discharge day management, more than 30 minutes	124	116	$154.00	$103.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	90	37	$60.00	$47.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	47	$192.78	$121.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$198.00	$123.79
99291 Critical care, first 30-74 minutes	25	15	$320.00	$202.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$215.00	$122.08

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	453	207	$104.00	$76.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	138	130	$291.00	$166.86
99239 Hospital discharge day management, more than 30 minutes	84	79	$154.00	$100.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	78	48	$149.00	$115.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	68	40	$60.00	$48.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	36	$191.00	$121.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	53	$198.00	$124.20
99291 Critical care, first 30-74 minutes	22	12	$320.00	$207.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$215.00	$122.52

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	616	244	$104.00	$68.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	190	171	$291.00	$191.83
99239 Hospital discharge day management, more than 30 minutes	132	125	$154.00	$90.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	83	49	$149.00	$99.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	48	$191.00	$123.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	69	46	$60.00	$37.70
99291 Critical care, first 30-74 minutes	55	28	$320.00	$213.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$198.00	$131.38
83036 Hemoglobin A1C level	18	14	$32.00	$9.57
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$134.00	$87.92
99220 Hospital observation care, typically 70 minutes	14	12	$265.00	$173.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$215.00	$125.28

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	265	112	$103.82	$71.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	16	$149.00	$102.38
99239 Hospital discharge day management, more than 30 minutes	37	36	$154.00	$99.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	13	$60.00	$38.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$198.00	$135.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$191.00	$127.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$291.00	$198.42
99238 Hospital discharge day management, 30 minutes or less	15	15	$111.00	$71.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$247.00	$166.17

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	172	93	$102.78	$71.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	65	35	$152.46	$102.40
99239 Hospital discharge day management, more than 30 minutes	52	51	$155.38	$104.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$142.00	$102.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$283.72	$199.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$60.00	$38.90
83037 Hemoglobin a1c level, by device for home use	13	13	$36.00	$8.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$198.55	$136.59

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	180	94	$142.00	$100.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	177	85	$110.59	$69.42
99239 Hospital discharge day management, more than 30 minutes	38	34	$163.00	$102.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	24	$165.00	$99.69
G0008 Administration of influenza virus vaccine	33	32	$27.00	$15.55
83037 Hemoglobin a1c level, by device for home use	26	25	$35.69	$10.22
99220 Hospital observation care, typically 70 minutes	26	25	$228.00	$177.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$262.50	$193.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$163.00	$110.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$192.60	$129.64
90662 Influenza vaccine split virus, preservative free	25	24	$68.96	$54.42
99238 Hospital discharge day management, 30 minutes or less	23	23	$118.17	$69.30
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$95.00	$70.44
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$242.00	$154.73
99217 Hospital observation care on day of discharge	16	15	$112.00	$69.90
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	15	11	$150.00	$86.80

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	178	98	$142.00	$99.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	169	102	$102.00	$67.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	64	43	$156.06	$99.10
99213 Established patient office or other outpatient visit, typically 15 minutes	63	41	$95.00	$66.46
99239 Hospital discharge day management, more than 30 minutes	40	39	$162.55	$102.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$260.91	$188.26
90662 Influenza vaccine split virus, preservative free	31	31	$44.00	$43.12
G0008 Administration of influenza virus vaccine	30	30	$27.00	$19.10
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$242.00	$154.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	16	$63.90	$37.09
99217 Hospital observation care on day of discharge	19	17	$112.00	$69.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$217.00	$147.59
99225 Subsequent observation care, typically 25 minutes per day	16	14	$82.00	$69.73
99220 Hospital observation care, typically 70 minutes	11	11	$228.00	$177.05

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	217	134	$102.44	$68.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	61	$142.00	$101.16
99213 Established patient office or other outpatient visit, typically 15 minutes	71	43	$95.00	$68.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	41	$61.86	$37.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	30	$152.83	$99.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	28	$261.76	$192.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$217.00	$153.20
99239 Hospital discharge day management, more than 30 minutes	18	18	$162.50	$102.44
G0008 Administration of influenza virus vaccine	16	16	$27.00	$23.63
90662 Influenza vaccine split virus, preservative free	13	13	$44.00	$43.12
99225 Subsequent observation care, typically 25 minutes per day	12	12	$82.00	$69.52
99220 Hospital observation care, typically 70 minutes	11	11	$231.45	$177.05
99238 Hospital discharge day management, 30 minutes or less	11	11	$109.64	$69.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$184.27	$129.98

Medical Specialties & State Licenses

CMS Verified: 2021-07-27

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.123947

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IN 01068024A

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0401869 (OH)

Hospital & Practice Group Affiliations

Mercy Health Physicians-North Llc

2213 Cherry St, Toledo, OH 436082603

Phone: 4192518983

Practice Associates & Co-Workers

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

13 Associated Practitioners

Bridget Kennedy

Nurse Practitioner - Family

NPI 1033764543

Jodi Rumman , CNP

Nurse Practitioner - Gerontology

NPI 1104225093

Certified Nurse Practitioner

Dr. Kanika Ahuja , MD

Internal Medicine

NPI 1124415781

Doctor of Medicine (M.D.)

Dr. Nicklaus Carrothers , MD

Internal Medicine

NPI 1174268130

Doctor of Medicine (M.D.)

Dr. Kewal Mahajan , MD

Internal Medicine - Geriatric Medicine

NPI 1245237650

Doctor of Medicine (M.D.)

Ranvir Rathore

Internal Medicine

NPI 1356598940

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location July 27, 2021

Registered at 3841 NAVARRE AVE, OREGON, OH 436163435 (Tel: 4196918132)

📍

Updated Practice Location May 29, 2020

Registered at 2213 CHERRY ST UNIT 2B, TOLEDO, OH 436082603 (Tel: 4192515155)

📍

Updated Business Mailing Address May 29, 2020

Registered at 2200 JEFFERSON AVE FL 5, TOLEDO, OH 436047102

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2020

Internal Medicine (License #35.123947 in OH)

✅

NPI Profile Active June 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 06, 2016

Registered at 11619 KITTERY DR, FISHERS, IN 460377858 (Tel: 4195080290)

📍

Updated Business Mailing Address June 06, 2016

Registered at 11619 KITTERY DR, FISHERS, IN 460377858

👤

Provider Name / Credentials Updated June 06, 2016

Recorded as BIJENDER KUMAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2016

Internal Medicine (License #01068024A in IN)

🟢

Initial NPI Registration & Enumeration July 30, 2008

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: 1033375084

Entity Type:

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

Enumeration Date: July 30, 2008

Last Update: July 27, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2200 Jefferson Ave Fl 5

Toledo, OH 436047102

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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