Active NPI 1215184841 Individual Practitioner Male Practitioner

Dr. Ashwini Kumar , MD

Surgery • Jourdanton, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ashwini Kumar, MD is a certified Surgery practicing in Jourdanton, TX. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Kumar delivers high-quality medical care to the local community at 1907 HIGHWAY 97 E.

Dr. Kumar is affiliated with Alamo Heights Medical Clinic Pllc 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, initial hospital care with moderate level of medical decision making, if using time, at least, established 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

1907 Highway 97 E
Suite 260

Jourdanton, TX 780261537

Telephone 8307695910

Fax 8307695911

Associated Practice Facility / Clinic

🏢 Timberland Medical Group Facility NPI 1063834091

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jourdanton, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs Matches City Avg

City Avg: 24.0 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Jourdanton, TX (2342 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

80.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (24 Years) 24 Yrs

Jourdanton Specialty Average (24.0 Years) 24.0 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	1,252	258	$234.55	$74.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	276	251	$514.65	$164.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	151	120	$353.46	$112.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	63	$380.98	$122.37
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	100	59	$49.00	$15.75
99213 Established patient office or other outpatient visit, typically 15 minutes	59	43	$270.28	$86.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	54	51	$1103.85	$102.16
43246 Insertion of stomach tube using a flexible endoscope	48	40	$588.99	$187.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	42	$389.22	$124.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	35	$498.18	$159.40
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	29	29	$2142.69	$663.26
45380 Biopsy of large bowel using an endoscope	25	25	$1272.40	$141.84
43262 Incision of pancreatic outlet using a flexible endoscope	20	18	$1050.59	$62.36
43264 Removal of stone from bile or pancreatic duct using an endoscope	18	16	$855.30	$206.56
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$290.55	$17.01
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$2838.99	$303.89

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	900	180	$230.77	$76.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	176	166	$521.63	$166.69
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	152	12	$160.63	$51.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	89	64	$350.03	$114.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	63	24	$115.00	$47.60
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	56	55	$757.48	$107.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	52	$399.00	$124.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	34	$368.25	$120.06
99213 Established patient office or other outpatient visit, typically 15 minutes	47	30	$240.78	$85.06
45380 Biopsy of large bowel using an endoscope	25	24	$948.18	$157.71
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	23	23	$1891.76	$656.71
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	21	12	$477.14	$146.08
43264 Removal of stone from bile or pancreatic duct using an endoscope	20	14	$796.43	$160.99
43262 Incision of pancreatic outlet using a flexible endoscope	19	17	$815.42	$72.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$322.16	$107.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$489.54	$159.66
43246 Insertion of stomach tube using a flexible endoscope	13	12	$514.44	$181.81
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2176.65	$314.43

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	758	180	$214.00	$68.39
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	261	12	$167.00	$53.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	104	48	$115.00	$37.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	86	67	$306.00	$99.43
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	74	69	$418.00	$104.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	39	$315.00	$124.89
99213 Established patient office or other outpatient visit, typically 15 minutes	52	33	$213.00	$86.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	48	$596.00	$193.74
45380 Biopsy of large bowel using an endoscope	39	38	$609.00	$149.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$482.00	$159.13
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	34	12	$460.00	$138.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$401.00	$131.45
43246 Insertion of stomach tube using a flexible endoscope	22	20	$605.00	$176.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$315.00	$105.25
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	18	18	$2153.33	$588.58
13160 Second repair of surgical wound	17	14	$2353.00	$594.30
43262 Incision of pancreatic outlet using a flexible endoscope	12	12	$1083.00	$217.65

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	216	67	$205.56	$70.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	61	$279.50	$127.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	63	$540.23	$196.48
99213 Established patient office or other outpatient visit, typically 15 minutes	45	35	$192.20	$90.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$414.47	$165.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$381.84	$133.11
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	27	$424.25	$113.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	24	$276.92	$101.40
13160 Second repair of surgical wound	23	20	$2218.22	$746.15
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$1996.11	$630.52
45380 Biopsy of large bowel using an endoscope	18	18	$637.00	$157.36
49561 Repair of trapped incisional or abdominal hernia	17	17	$2478.94	$745.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$278.33	$110.41

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	248	74	$176.00	$72.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	119	110	$492.00	$201.54
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	106	12	$97.00	$55.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	56	$258.00	$107.36
99213 Established patient office or other outpatient visit, typically 15 minutes	59	46	$174.00	$73.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	45	42	$252.00	$100.37
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	42	42	$1890.00	$640.38
13160 Second repair of surgical wound	36	24	$2043.00	$770.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$400.00	$161.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$335.00	$136.90
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	25	12	$311.00	$120.85
49561 Repair of trapped incisional or abdominal hernia	23	23	$2330.00	$707.53
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$443.00	$100.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$260.00	$106.11
47001 Needle biopsy of liver	14	14	$264.00	$103.92

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	140	52	$176.00	$70.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	69	$258.00	$104.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	66	$492.00	$196.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$400.00	$158.57
99213 Established patient office or other outpatient visit, typically 15 minutes	48	38	$174.00	$71.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	29	$335.00	$129.32
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	31	31	$1890.00	$592.29
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	26	$443.00	$107.01
13160 Second repair of surgical wound	26	24	$2043.00	$770.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	24	$252.00	$101.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$260.00	$103.87
49561 Repair of trapped incisional or abdominal hernia	15	15	$2330.00	$638.27
45380 Biopsy of large bowel using an endoscope	12	12	$672.00	$129.70

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	124	45	$176.00	$69.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	69	$258.00	$101.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	94	84	$492.00	$194.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	60	45	$252.00	$100.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$400.00	$154.96
99213 Established patient office or other outpatient visit, typically 15 minutes	45	35	$174.00	$69.32
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	32	32	$1890.00	$678.21
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	26	$443.00	$94.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$260.00	$102.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$335.00	$131.14
13160 Second repair of surgical wound	14	14	$2043.00	$766.93
43264 Removal of stone from bile or pancreatic duct using an endoscope	12	12	$1333.00	$280.59
43262 Incision of pancreatic outlet using a flexible endoscope	12	12	$1110.00	$60.70

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	48	34	$272.06	$99.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	28	$188.70	$70.03
99213 Established patient office or other outpatient visit, typically 15 minutes	43	32	$184.05	$69.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$418.39	$157.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	16	$150.04	$38.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$518.50	$196.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$268.94	$101.80
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$1939.14	$596.06
45380 Biopsy of large bowel using an endoscope	14	14	$924.21	$147.69
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$812.00	$66.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$385.00	$132.61

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX Q3716

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

Alamo Heights Medical Clinic Pllc

1419 Austin Hwy, San Antonio, TX 782094337

Phone: 2102576151

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. George Zgourides , MD, PsyD

Psychologist - Clinical

NPI 1225264369

Doctor of Medicine (M.D.), Doctor of Psychology (Psy.D.)

Dr. Stephanie Prado , MD

Preventive Medicine - Undersea and Hyperbaric Medicine

NPI 1649344391

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 02, 2016

Registered at 1907 HIGHWAY 97 E, SUITE 260, JOURDANTON, TX 780261537 (Tel: 8307695910)

📍

Updated Business Mailing Address February 02, 2016

Registered at 7703 FLOYD CURL DR, SAN ANTONIO, TX 782293901

👤

Provider Name / Credentials Updated February 02, 2016

Recorded as ASHWINI KUMAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2016

Surgery (License #Q3716 in TX)

🟢

Initial NPI Registration & Enumeration August 26, 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: 1215184841

Entity Type:

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

Enumeration Date: August 26, 2008

Last Update: February 02, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7703 Floyd Curl Dr

San Antonio, TX 782293901

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.