Active NPI 1417061045 Individual Practitioner Female Practitioner

Dr. Grace V Kumar , MD

Surgery • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Dr. Grace Kumar, MD is a registered healthcare professional specializing in Surgery in Dallas, TX. Practice services are available at 9301 N CENTRAL EXPY under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia 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

9301 N Central Expy
Ste 180a

Dallas, TX 752310806

Telephone 2142530170

Fax 2142926522

Associated Practice Facility / Clinic

🏢 Synergy Orthotics & Prosthetics, Llc Facility NPI 1447203369

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Dallas, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.6 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

216 Specialists

Practicing in Dallas, TX (2342 Statewide)

Telehealth Adoption Rate

18.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$361.18	$112.76
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$292.31	$91.22
49650 Repair of groin hernia using an endoscope	11	11	$1332.00	$344.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$245.81	$111.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	12	$151.00	$70.62
49650 Repair of groin hernia using an endoscope	20	20	$1019.18	$454.02
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$206.71	$88.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$229.73	$112.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	12	$142.11	$72.05
49650 Repair of groin hernia using an endoscope	18	18	$1006.94	$368.50
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$187.00	$93.75
55520 Removal of spermatic cord growth	11	11	$1063.71	$446.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$337.95	$162.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$221.88	$110.39
49650 Repair of groin hernia using an endoscope	19	19	$1066.79	$347.28
55520 Removal of spermatic cord growth	12	12	$955.00	$456.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$332.68	$161.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$220.50	$109.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$305.00	$156.16
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	$412.00	$195.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$303.80	$164.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$414.00	$202.71

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX M1856

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

179311901 (TX)

Commercial Insurance / Payer ID Bcbs

0079MT (TX)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Randall Kirby , MD, FACS

Surgery

NPI 1609824978

Doctor of Medicine (M.D.), FACS

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location September 26, 2018

Registered at 9301 N CENTRAL EXPY, STE 180A, DALLAS, TX 752310806 (Tel: 2142530170)

✅

NPI Profile Active January 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 05, 2016

Registered at 8220 WALNUT HILL LN STE 616, DALLAS, TX 752314424 (Tel: 2143455660)

📍

Updated Business Mailing Address January 05, 2016

Registered at PO BOX 674295, DALLAS, TX 752674295 (Tel: 2143455660)

👤

Provider Name / Credentials Updated January 05, 2016

Recorded as GRACE KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2016

Surgery (License #M1856 in TX)

🟢

Initial NPI Registration & Enumeration August 19, 2006

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: 1417061045

Entity Type:

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

Enumeration Date: August 19, 2006

Last Update: September 26, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 674295

Dallas, TX 752674295

Phone: 2143455660

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.