Active NPI 1427087071 Individual Practitioner Male Practitioner

Dr. Prashant Kumar , MD

Specialist • Lufkin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prashant Kumar, MD is a certified Specialist practicing in Lufkin, TX. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Kumar delivers high-quality medical care to the local community at 409 GASLIGHT BLVD.

Dr. Kumar is affiliated with E T Nephrology Associates Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, dialysis services. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

409 Gaslight Blvd

Lufkin, TX 759043132

Telephone 9366342227

Fax 9366344658

Associated Practice Facility / Clinic

🏢 Ssk Physician Associates Facility NPI 1275953432

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lufkin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs -5.7 yrs vs City Avg

City Avg: 33.7 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

9 Specialists

Practicing in Lufkin, TX (2033 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (28 Years) 28 Yrs

Lufkin Specialty Average (33.7 Years) 33.7 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	632	290	$522.00	$122.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	300	125	$356.00	$75.73
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	199	34	$1393.00	$338.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	185	104	$514.00	$114.00
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	84	30	$1169.00	$281.19
90966 Home dialysis services per month, patient 20 years of age or older	83	12	$1166.00	$281.10
90935 Hemodialysis procedure with physician evaluation	62	33	$357.00	$68.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	49	$998.00	$166.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	39	$674.00	$125.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	34	$704.00	$173.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$798.00	$161.20
99291 Critical care, first 30-74 minutes	18	12	$1341.00	$204.80

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	611	281	$522.00	$123.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	335	142	$356.00	$77.43
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	253	46	$1393.00	$344.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	224	107	$514.00	$112.49
90966 Home dialysis services per month, patient 20 years of age or older	108	16	$1166.00	$282.64
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	96	30	$1169.00	$284.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	69	$998.00	$169.80
90935 Hemodialysis procedure with physician evaluation	49	31	$357.00	$66.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$798.00	$162.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	33	$704.00	$174.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	35	$674.00	$127.22
99291 Critical care, first 30-74 minutes	16	15	$1341.00	$199.04

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	807	418	$522.00	$119.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	288	137	$356.00	$68.98
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	231	35	$1393.00	$350.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	212	121	$514.00	$98.98
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	134	24	$1169.00	$288.55
90966 Home dialysis services per month, patient 20 years of age or older	101	14	$1166.00	$289.24
90935 Hemodialysis procedure with physician evaluation	67	33	$357.00	$70.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$798.00	$159.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	44	$998.00	$191.24
99213 Established patient office or other outpatient visit, typically 15 minutes	45	42	$354.00	$83.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	36	$674.00	$130.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$704.00	$162.47

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	701	419	$522.00	$107.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	521	178	$356.00	$69.79
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	432	59	$1393.00	$352.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	175	97	$514.00	$100.50
99213 Established patient office or other outpatient visit, typically 15 minutes	154	141	$354.00	$79.17
90935 Hemodialysis procedure with physician evaluation	127	65	$357.00	$71.25
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	93	37	$1169.00	$292.55
90966 Home dialysis services per month, patient 20 years of age or older	89	12	$1166.00	$281.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	59	$674.00	$130.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	59	$998.00	$194.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$798.00	$147.89
99441 Telephone medical discussion with physician, 5-10 minutes	43	39	$200.00	$54.97
99442 Telephone medical discussion with physician, 11-20 minutes	34	31	$200.00	$89.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$523.00	$97.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$704.00	$161.97

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	706	245	$356.00	$71.69
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	525	103	$1392.57	$283.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	340	219	$525.25	$105.57
90935 Hemodialysis procedure with physician evaluation	259	93	$357.00	$73.42
99213 Established patient office or other outpatient visit, typically 15 minutes	245	212	$354.00	$73.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	206	125	$514.00	$103.40
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	127	76	$1169.00	$238.59
90966 Home dialysis services per month, patient 20 years of age or older	109	19	$1166.00	$228.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	108	85	$674.00	$136.37
99442 Telephone medical discussion with physician, 11-20 minutes	99	65	$200.00	$73.12
99441 Telephone medical discussion with physician, 5-10 minutes	66	51	$200.00	$44.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	62	$998.00	$200.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$798.00	$161.66
99291 Critical care, first 30-74 minutes	18	16	$1341.00	$219.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$523.00	$105.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	859	171	$1393.00	$279.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	829	388	$522.67	$105.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	742	246	$356.00	$71.69
90970 Dialysis services, per day, less than full month service (20 years or older)	243	25	$38.00	$7.67
90935 Hemodialysis procedure with physician evaluation	163	83	$357.00	$72.62
99213 Established patient office or other outpatient visit, typically 15 minutes	163	124	$354.00	$72.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	153	106	$514.00	$102.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	117	104	$674.00	$134.87
90966 Home dialysis services per month, patient 20 years of age or older	85	15	$1166.00	$227.37
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	84	55	$1169.00	$235.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$798.00	$160.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$998.00	$199.33
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	19	15	$62.00	$12.37
99291 Critical care, first 30-74 minutes	19	17	$1341.00	$219.74
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	16	13	$244.00	$48.99
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	12	11	$5775.00	$1223.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	955	182	$1393.00	$275.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	824	259	$356.00	$70.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	765	349	$522.00	$102.70
90970 Dialysis services, per day, less than full month service (20 years or older)	221	25	$38.00	$7.57
90935 Hemodialysis procedure with physician evaluation	214	106	$357.00	$71.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	186	128	$514.00	$100.98
99213 Established patient office or other outpatient visit, typically 15 minutes	145	118	$354.00	$70.17
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	131	85	$1169.00	$232.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	113	93	$674.00	$133.29
90966 Home dialysis services per month, patient 20 years of age or older	75	15	$1166.00	$227.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$790.25	$155.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	55	$998.00	$195.48
99291 Critical care, first 30-74 minutes	39	35	$1341.00	$217.31
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	37	15	$51.00	$10.25
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	36	29	$62.00	$12.19
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	29	25	$244.00	$48.91
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	26	23	$5775.00	$1181.52
90962 Dialysis services, 1 physician visit per month (20 years or older)	17	15	$900.00	$179.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$523.00	$103.74

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	1,046	465	$336.76	$102.38
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	929	171	$995.00	$273.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	750	259	$243.66	$69.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	181	122	$358.42	$100.76
90935 Hemodialysis procedure with physician evaluation	146	67	$252.84	$69.66
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	129	62	$796.13	$228.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	113	101	$452.05	$132.61
90970 Dialysis services, per day, less than full month service (20 years or older)	101	17	$38.00	$7.53
99213 Established patient office or other outpatient visit, typically 15 minutes	96	81	$234.89	$69.31
90966 Home dialysis services per month, patient 20 years of age or older	71	13	$1713.97	$228.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$519.24	$157.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	54	$724.14	$196.44
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	49	17	$44.10	$10.13
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	33	27	$44.58	$11.98
99291 Critical care, first 30-74 minutes	31	25	$810.58	$211.43
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	25	18	$178.56	$48.11
90962 Dialysis services, 1 physician visit per month (20 years or older)	16	12	$587.19	$177.08
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	14	12	$4831.50	$1136.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$502.67	$138.51
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	11	11	$2426.00	$535.90

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX M2885

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan

0041AH (TX)

Hospital & Practice Group Affiliations

E T Nephrology Associates Pa

700 S John Redditt Dr, Lufkin, TX 759043145

Phone: 9366342227

E T Nephrology Associates Pa

930 Marvin Hancock Dr, Jasper, TX 759514752

Phone: 9366342227

E T Nephrology Associates Pa

409 Gaslight Blvd, Lufkin, TX 759043158

Phone: 9366342227

E T Nephrology Associates Pa

8760 S Us Hwy 59, Nacogdoches, TX 759648438

Phone: 9366342227

Practice Associates & Co-Workers

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

6 Associated Practitioners

Della Connor , FNP

Registered Nurse

NPI 1346463064

Family Nurse Practitioner

Dr. Imran Nazeer , MD

Specialist

NPI 1477582039

Doctor of Medicine (M.D.)

Dr. Francisco Cardenas , MD

Specialist

NPI 1497968556

Doctor of Medicine (M.D.)

Julie Christensen , RD

Dietitian, Registered

NPI 1760615157

Registered Dietitian

Mary Greer , FNP-C

Nurse Practitioner - Family

NPI 1891427753

Family Nurse Practitioner (Certified)

Dr. Muhammad Mir , DO

Internal Medicine - Nephrology

NPI 1912168501

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 March 17, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2011

Registered at 409 GASLIGHT BLVD, LUFKIN, TX 759043132 (Tel: 9366342227)

📍

Updated Business Mailing Address March 17, 2011

Registered at PO BOX 150408, LUFKIN, TX 759150408 (Tel: 9366342227)

👤

Provider Name / Credentials Updated March 17, 2011

Recorded as PRASHANT KUMAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2011

Specialist (License #M2885 in TX)

🟢

Initial NPI Registration & Enumeration July 03, 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: 1427087071

Entity Type:

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

Enumeration Date: July 03, 2006

Last Update: March 17, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 150408

Lufkin, TX 759150408

Phone: 9366342227

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.