Active NPI 1962571299 Individual Practitioner Male Practitioner

Dr. Prem Kumar , MD

Internal Medicine • Butler, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prem Kumar, MD is a certified Internal Medicine practicing in Butler, PA. With approximately 53 years of clinical experience since completing medical education in 1973, Dr. Kumar delivers high-quality medical care to the local community at 510 NORTH MAIN ST.

Dr. Kumar accepts Medicare assignment.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, established patient outpatient office visit, ultrasound of heart with color-depicted blood flow, rate, direction and valve function. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

510 North Main St

Butler, PA 16001

Telephone 7242823534

Fax 7242828627

Medicare Profile & Education

Medical School

Other

Graduation Year

1973

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Butler, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

53 Yrs +31.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

45 Specialists

Practicing in Butler, PA (7609 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (53 Years) 53 Yrs

Butler Specialty Average (21.5 Years) 21.5 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
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	301	244	$40.00	$7.65
99213 Established patient office or other outpatient visit, typically 15 minutes	123	68	$96.02	$86.02
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	117	112	$600.00	$64.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	24	$121.78	$74.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	56	26	$133.39	$112.43
99238 Hospital discharge day management, 30 minutes or less	41	34	$157.07	$76.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	30	$271.62	$164.28
93880 Ultrasound of both sides of head and neck blood flow	34	34	$300.00	$35.83
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	32	32	$50.00	$19.87
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	31	31	$200.00	$13.15
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	28	28	$390.00	$71.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$300.00	$122.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$178.46	$121.87
G0008 Administration of influenza virus vaccine	12	12	$34.17	$29.97
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$60.00	$21.90
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	11	11	$150.00	$17.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	461	409	$40.00	$7.83
99213 Established patient office or other outpatient visit, typically 15 minutes	170	96	$90.00	$86.29
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	123	122	$600.00	$65.80
93880 Ultrasound of both sides of head and neck blood flow	40	40	$300.00	$36.94
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	32	32	$50.00	$20.29
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	32	32	$200.00	$13.42
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	30	30	$390.00	$73.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$300.00	$123.15
99238 Hospital discharge day management, 30 minutes or less	26	21	$120.00	$77.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	13	$85.00	$76.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	19	$250.00	$167.18
G0008 Administration of influenza virus vaccine	20	20	$30.00	$29.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	14	$120.00	$114.71
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	20	20	$60.00	$33.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	634	515	$40.00	$8.06
99213 Established patient office or other outpatient visit, typically 15 minutes	198	88	$90.00	$88.26
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	177	170	$600.00	$68.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	81	23	$85.00	$69.05
93880 Ultrasound of both sides of head and neck blood flow	64	64	$300.00	$38.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	24	$120.00	$99.07
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	38	38	$50.00	$21.20
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	38	38	$200.00	$14.13
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	37	37	$390.00	$75.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	27	$250.00	$191.84
99238 Hospital discharge day management, 30 minutes or less	25	24	$120.00	$69.37
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	24	23	$60.00	$31.49
G0008 Administration of influenza virus vaccine	24	23	$30.00	$28.34
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	18	18	$150.00	$18.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$300.00	$127.04
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$40.00	$39.63
99217 Hospital observation care on day of discharge	13	12	$120.00	$69.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	561	452	$40.00	$8.21
99213 Established patient office or other outpatient visit, typically 15 minutes	194	84	$88.45	$87.93
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	165	160	$600.00	$69.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	20	$85.00	$70.28
93880 Ultrasound of both sides of head and neck blood flow	53	53	$300.00	$38.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	18	$120.00	$100.99
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	27	27	$50.00	$21.56
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	27	27	$200.00	$14.38
G0008 Administration of influenza virus vaccine	25	25	$30.00	$16.40
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	25	25	$390.00	$76.42
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	25	25	$60.00	$29.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	19	$250.00	$195.79
99238 Hospital discharge day management, 30 minutes or less	23	19	$120.00	$70.39
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	21	20	$150.00	$18.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$195.00	$132.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	455	370	$40.00	$8.47
99213 Established patient office or other outpatient visit, typically 15 minutes	165	83	$75.00	$73.27
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	131	126	$600.00	$73.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	128	42	$85.00	$71.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	35	$120.00	$103.71
99238 Hospital discharge day management, 30 minutes or less	50	40	$120.00	$72.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	14	$75.00	$39.18
93880 Ultrasound of both sides of head and neck blood flow	39	39	$300.00	$39.95
99442 Telephone medical discussion with physician, 11-20 minutes	37	30	$40.00	$38.85
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	36	35	$200.00	$14.84
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	35	35	$390.00	$79.19
99219 Hospital observation care, typically 50 minutes	35	30	$200.00	$132.83
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	34	34	$50.00	$21.85
G0008 Administration of influenza virus vaccine	26	26	$30.00	$16.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	22	$250.00	$201.32
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$250.00	$166.27
99225 Subsequent observation care, typically 25 minutes per day	20	16	$120.00	$72.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	13	$195.00	$136.84
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	15	15	$150.00	$25.83
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	14	14	$60.00	$29.23
99217 Hospital observation care on day of discharge	14	14	$120.00	$71.90
90653 Vaccine for influenza for injection into muscle	13	13	$54.62	$54.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	561	439	$40.00	$8.39
99213 Established patient office or other outpatient visit, typically 15 minutes	261	92	$75.00	$72.13
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	197	180	$600.00	$72.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	172	54	$85.00	$71.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	79	30	$120.00	$102.37
93880 Ultrasound of both sides of head and neck blood flow	77	74	$300.00	$39.96
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	60	57	$200.00	$14.68
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	58	55	$50.00	$22.04
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	54	52	$390.00	$78.40
99238 Hospital discharge day management, 30 minutes or less	50	33	$120.00	$71.66
99225 Subsequent observation care, typically 25 minutes per day	48	23	$120.00	$71.94
99219 Hospital observation care, typically 50 minutes	42	30	$200.00	$128.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	24	$250.00	$199.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	20	$75.00	$38.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$195.00	$134.90
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	27	27	$250.00	$166.24
90756 Vaccine for influenza for injection into muscle	23	23	$45.00	$26.13
G0008 Administration of influenza virus vaccine	23	23	$30.00	$15.95
99217 Hospital observation care on day of discharge	22	20	$120.00	$71.66
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	17	17	$150.00	$26.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	12	$165.94	$105.31
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	15	13	$120.00	$105.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	647	540	$40.00	$8.12
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	419	405	$600.00	$70.40
99213 Established patient office or other outpatient visit, typically 15 minutes	267	99	$75.00	$68.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	185	63	$85.00	$69.64
93880 Ultrasound of both sides of head and neck blood flow	113	113	$300.00	$38.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	110	53	$120.00	$99.75
99238 Hospital discharge day management, 30 minutes or less	67	55	$120.00	$69.69
99219 Hospital observation care, typically 50 minutes	60	51	$200.00	$129.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	18	$75.00	$37.57
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	53	52	$200.00	$14.20
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	52	51	$50.00	$21.32
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	49	49	$390.00	$76.19
99225 Subsequent observation care, typically 25 minutes per day	41	24	$120.00	$69.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	33	$250.00	$192.33
99217 Hospital observation care on day of discharge	31	26	$120.00	$69.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	28	$195.00	$130.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	22	$105.00	$101.51
90756 Vaccine for influenza for injection into muscle	21	21	$45.00	$22.33
G0008 Administration of influenza virus vaccine	20	20	$30.00	$19.57
93312 Ultrasound of heart with probe in esophagus, with report	19	19	$600.00	$105.07
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	18	18	$100.00	$3.04
93320 Ultrasound of heart blood flow, valves and chambers	18	18	$100.00	$17.59
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	17	17	$150.00	$25.67
93923 Complete ultrasound study of arm and leg arteries	16	16	$200.00	$21.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	742	605	$40.00	$7.81
99213 Established patient office or other outpatient visit, typically 15 minutes	328	106	$75.00	$66.14
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	204	193	$600.00	$58.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	185	51	$85.38	$66.19
93880 Ultrasound of both sides of head and neck blood flow	80	79	$300.00	$37.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	75	32	$120.00	$95.70
99225 Subsequent observation care, typically 25 minutes per day	68	31	$120.00	$66.80
99219 Hospital observation care, typically 50 minutes	65	45	$200.00	$121.67
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	57	57	$200.00	$13.63
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	57	57	$50.00	$20.46
99238 Hospital discharge day management, 30 minutes or less	56	38	$120.00	$66.22
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	55	55	$390.00	$72.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	23	$75.00	$36.05
99217 Hospital observation care on day of discharge	33	25	$120.00	$66.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	27	$195.00	$125.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	21	$250.00	$181.09
93293 Telephonic rhythm strip evaluation of single, dual, multiple lead or leadless pacemaker system, up to 90 days	21	11	$45.00	$14.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$105.00	$98.20
93923 Complete ultrasound study of arm and leg arteries	16	16	$200.00	$20.89
G0008 Administration of influenza virus vaccine	14	14	$30.00	$24.05
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$41.07	$17.48
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	14	13	$150.00	$22.88
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	13	13	$100.00	$2.92
93320 Ultrasound of heart blood flow, valves and chambers	13	13	$100.00	$16.89
93312 Ultrasound of heart with probe in esophagus, with report	13	13	$600.00	$100.03

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD031965E

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 - Cardiovascular Disease

NUCC Taxonomy Code: 207RC0000X

State License PA MD031965E

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0009769200001 (PA)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 510 NORTH MAIN ST, BUTLER, PA 16001 (Tel: 7242823534)

📍

Updated Business Mailing Address July 08, 2007

Registered at 510 NORTH MAIN ST, BUTLER, PA 16001 (Tel: 7242823534)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as PREM KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #MD031965E in PA)

🟢

Initial NPI Registration & Enumeration November 08, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962571299

Entity Type:

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

Enumeration Date: November 08, 2006

Last Update: September 11, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

510 North Main St

Butler, PA 16001

Phone: 7242823534

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

⚠️ Medical Disclaimer

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