Active NPI 1639306293 Individual Practitioner Male Practitioner

Dr. Pavankumar Bommasamudram , MD

Internal Medicine • Tulsa, OK

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Pavankumar Bommasamudram, MD is a certified Internal Medicine practicing in Tulsa, OK. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Bommasamudram delivers high-quality medical care to the local community at 1705 E 19TH ST.

Dr. Bommasamudram maintains professional affiliations with Healthfirst Physicians Management Services, Inc., Good Samaritan Hospital Physician Services, Inc, Jennie Edmundson Memorial Hospital and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, critical care, first, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1705 E 19th St
Ste #302

Tulsa, OK 741045405

Telephone 9187487585

Fax 9187487539

Associated Practice Facility / Clinic

🏢 Richter Clinic For Neurology & Neuropsychiatry, Pc Facility NPI 1528005469

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tulsa, OK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -2.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

326 Specialists

Practicing in Tulsa, OK (1179 Statewide)

Telehealth Adoption Rate

19.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

57.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bommasamudram (18 Years) 18 Yrs

Tulsa Specialty Average (20.0 Years) 20.0 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	116	79	$161.70	$76.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	110	69	$173.39	$110.90
99291 Critical care, first 30-74 minutes	108	85	$552.21	$206.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	71	70	$487.16	$163.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	27	$125.87	$47.31
99239 Hospital discharge day management, more than 30 minutes	23	23	$198.06	$109.26
99291 Critical care, first 30-74 minutes	21	21	$542.58	$202.12
99238 Hospital discharge day management, 30 minutes or less	16	16	$102.64	$70.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$141.09	$73.24

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	155	95	$150.70	$74.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	147	81	$85.08	$47.15
99239 Hospital discharge day management, more than 30 minutes	78	76	$224.34	$107.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	74	57	$199.96	$109.25
99291 Critical care, first 30-74 minutes	60	38	$536.30	$202.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	55	$387.07	$164.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$333.49	$123.78
99291 Critical care, first 30-74 minutes	15	15	$538.33	$213.14

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	284	130	$180.01	$97.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	163	88	$141.48	$68.35
99291 Critical care, first 30-74 minutes	90	53	$448.30	$201.97
99239 Hospital discharge day management, more than 30 minutes	67	67	$191.47	$100.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	59	$371.42	$187.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	36	$135.06	$66.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	32	$199.76	$95.96
99217 Hospital observation care on day of discharge	28	28	$137.48	$68.42
99220 Hospital observation care, typically 70 minutes	23	23	$368.31	$172.16
99238 Hospital discharge day management, 30 minutes or less	19	19	$116.75	$65.78
99226 Subsequent observation care, typically 35 minutes per day	11	11	$173.34	$97.49

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	364	183	$280.22	$99.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	347	162	$219.94	$69.05
99291 Critical care, first 30-74 minutes	128	70	$643.98	$207.73
99239 Hospital discharge day management, more than 30 minutes	122	120	$367.19	$101.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	90	90	$572.62	$190.86
99220 Hospital observation care, typically 70 minutes	51	51	$621.13	$173.32
99217 Hospital observation care on day of discharge	46	46	$191.30	$69.27
99226 Subsequent observation care, typically 35 minutes per day	18	16	$251.05	$99.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	11	$135.00	$67.75
99238 Hospital discharge day management, 30 minutes or less	17	17	$108.49	$69.30

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	463	258	$249.82	$70.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	389	214	$343.33	$102.52
99239 Hospital discharge day management, more than 30 minutes	231	226	$382.22	$103.87
99291 Critical care, first 30-74 minutes	174	104	$688.82	$213.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	131	131	$677.57	$198.92
99220 Hospital observation care, typically 70 minutes	89	88	$596.88	$182.34
99217 Hospital observation care on day of discharge	57	57	$286.43	$71.22
99226 Subsequent observation care, typically 35 minutes per day	40	38	$306.00	$103.13
99238 Hospital discharge day management, 30 minutes or less	38	38	$211.85	$71.81
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	16	11	$289.00	$89.21
99306 Initial nursing facility visit, typically 45 minutes per day	13	11	$525.00	$163.79
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	12	11	$556.33	$213.46

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	384	211	$174.53	$70.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	292	160	$297.96	$99.08
99239 Hospital discharge day management, more than 30 minutes	178	173	$290.85	$103.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	153	145	$499.52	$193.63
99220 Hospital observation care, typically 70 minutes	152	141	$411.76	$178.95
99291 Critical care, first 30-74 minutes	103	58	$616.09	$215.55
99217 Hospital observation care on day of discharge	72	66	$198.10	$69.62
99226 Subsequent observation care, typically 35 minutes per day	21	21	$168.44	$101.39
99238 Hospital discharge day management, 30 minutes or less	11	11	$202.61	$70.45

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	469	210	$239.94	$97.96
99291 Critical care, first 30-74 minutes	172	104	$651.12	$212.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	153	71	$201.08	$68.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	56	$539.26	$192.61
99239 Hospital discharge day management, more than 30 minutes	46	46	$287.43	$102.08
99238 Hospital discharge day management, 30 minutes or less	20	20	$199.90	$69.08
99217 Hospital observation care on day of discharge	18	18	$209.33	$65.01
99220 Hospital observation care, typically 70 minutes	17	17	$532.00	$175.82

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	501	292	$252.60	$97.24
99291 Critical care, first 30-74 minutes	231	147	$651.90	$207.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	227	126	$199.66	$66.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99	99	$461.03	$186.23
99238 Hospital discharge day management, 30 minutes or less	52	52	$194.98	$66.22
99220 Hospital observation care, typically 70 minutes	21	21	$470.33	$172.28
99217 Hospital observation care on day of discharge	16	16	$194.31	$66.67
99239 Hospital discharge day management, more than 30 minutes	11	11	$238.76	$100.83

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OK 27309

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 KS 04-41542

Hospital & Practice Group Affiliations

Jennie Edmundson Memorial Hospital

933 E Pierce St, Council Bluffs, IA 515034626

Phone: 7123966111

Creek Nation Hospital And Clinics

10109 E 79th St, Tulsa, OK 741334564

St Bernards Hospital Inc.

225 E Washington Ave, Jonesboro, AR 724013119

Phone: 8709724100

Good Samaritan Hospital Physician Services, Inc

520 S 7th St, Vincennes, IN 475911038

Phone: 8128853280

Bryan Medical Center

1145 S Utica Ave, Tulsa, OK 741044004

Phone: 4024813548

Cherokee Nation

100 S Bliss Ave, Tahlequah, OK 744642512

Phone: 9184583100

Bryan Medical Center

4687 S Columbia Ave, Tulsa, OK 741055129

Phone: 4024813548

Creek Nation Hospital And Clinics

900 E Airport Rd, Okmulgee, OK 744479082

Phone: 9187569211

Healthfirst Physicians Management Services, Inc.

1000 N Lee Ave, Oklahoma City, OK 731021036

Phone: 4052726406

Creek Nation Hospital And Clinics

1800 E Coplin St, Okemah, OK 748594642

Phone: 9186231424

Creek Nation Hospital And Clinics

10109 E 79th St, Tulsa, OK 741334564

Phone: 9187564333

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Julia Kwon , DO

Internal Medicine

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Doctor of Osteopathic Medicine (D.O.)

Teressa Lemaster , CNS

Clinical Nurse Specialist - Acute Care

NPI 1003146598

Clinical Nurse Specialist

Dr. Jack Test , MD

Internal Medicine

NPI 1033648951

Doctor of Medicine (M.D.)

Caleb Severns

Hospitalist

NPI 1043671365

Dr. Mark Thompson , MD

Internal Medicine

NPI 1053504084

Doctor of Medicine (M.D.)

Dr. Patrick Neff , DO

Internal Medicine

NPI 1073053468

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 11, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 11, 2012

Registered at 1705 E 19TH ST, STE #302, TULSA, OK 741045405 (Tel: 9187487585)

📍

Updated Business Mailing Address July 11, 2012

Registered at 1705 E 19TH ST, STE #302, TULSA, OK 74104 (Tel: 9187487585)

👤

Provider Name / Credentials Updated July 11, 2012

Recorded as PAVANKUMAR BOMMASAMUDRAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2012

Internal Medicine (License #27309 in OK)

🟢

Initial NPI Registration & Enumeration June 22, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1639306293

Entity Type:

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

Enumeration Date: June 22, 2009

Last Update: December 05, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1705 E 19th St, Ste #302

Tulsa, OK 74104

Phone: 9187487585

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.