Active NPI 1144271990 Individual Practitioner Male Practitioner

Dr. Punit Kumar , MD

Internal Medicine • Fond Du Lac, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Punit Kumar, MD is a certified Internal Medicine practicing in Fond Du Lac, WI. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Kumar delivers high-quality medical care to the local community at 420 E DIVISION ST.

Dr. Kumar maintains professional affiliations with Agnesian Healthcare Inc, Bellin Memorial Hospital Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient assisted living visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

420 E Division St
Fond Du Lac Regional Clinic

Fond Du Lac, WI 549354560

Telephone 9209268420

Associated Practice Facility / Clinic

🏢 Agnesian Healthcare Inc Facility NPI 1730162991

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fond Du Lac, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +1.2 yrs vs City Avg

City Avg: 28.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

23 Specialists

Practicing in Fond Du Lac, WI (2181 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

68.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (30 Years) 30 Yrs

Fond Du Lac Specialty Average (28.8 Years) 28.8 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
99213 Established patient office or other outpatient visit, typically 15 minutes	25	16	$194.00	$61.22

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	35	18	$338.34	$122.23
99213 Established patient office or other outpatient visit, typically 15 minutes	22	13	$236.55	$86.31

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	33	17	$323.00	$123.64
99213 Established patient office or other outpatient visit, typically 15 minutes	29	16	$227.00	$87.11

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	126	66	$314.00	$124.94
99213 Established patient office or other outpatient visit, typically 15 minutes	51	30	$218.12	$87.88

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	447	174	$308.00	$104.89
99336 Established patient assisted living visit, typically 40 minutes	100	31	$238.00	$132.87
99213 Established patient office or other outpatient visit, typically 15 minutes	79	59	$212.00	$71.64
G0008 Administration of influenza virus vaccine	65	64	$29.15	$16.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	49	$481.00	$138.69
90662 Influenza vaccine split virus, preservative free	58	57	$65.00	$60.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$308.00	$113.49
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$268.00	$16.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$627.00	$196.55

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	487	179	$298.38	$105.32
99213 Established patient office or other outpatient visit, typically 15 minutes	118	89	$205.95	$71.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	89	89	$285.02	$111.73
G0008 Administration of influenza virus vaccine	83	82	$25.00	$15.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	57	$466.14	$140.71
90662 Influenza vaccine split virus, preservative free	65	64	$64.46	$53.89
99336 Established patient assisted living visit, typically 40 minutes	64	29	$229.95	$131.61
99335 Established patient assisted living visit, typically 25 minutes	33	18	$194.55	$92.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$609.00	$199.40
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	18	18	$28.17	$18.65
G0009 Administration of pneumococcal vaccine	15	15	$25.00	$15.92
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$260.80	$16.35
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	12	$107.71	$51.58
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	11	11	$129.45	$8.30

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	445	173	$289.40	$103.16
99213 Established patient office or other outpatient visit, typically 15 minutes	96	74	$196.65	$69.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	81	59	$454.89	$137.70
G0008 Administration of influenza virus vaccine	80	79	$25.00	$19.38
99335 Established patient assisted living visit, typically 25 minutes	77	28	$187.82	$91.21
90662 Influenza vaccine split virus, preservative free	71	70	$57.91	$51.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$249.00	$111.88
G0009 Administration of pneumococcal vaccine	38	38	$25.00	$19.63
99336 Established patient assisted living visit, typically 40 minutes	29	15	$222.03	$130.10
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$178.67	$101.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$588.50	$197.28
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$252.67	$16.11
90670 Pneumococcal vaccine for injection into muscle	15	15	$265.80	$197.75
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$104.33	$51.47

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	368	148	$276.46	$102.17
99213 Established patient office or other outpatient visit, typically 15 minutes	81	58	$187.56	$70.24
G0008 Administration of influenza virus vaccine	71	71	$25.00	$23.95
99335 Established patient assisted living visit, typically 25 minutes	65	20	$195.77	$91.48
90662 Influenza vaccine split virus, preservative free	60	60	$57.08	$47.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	57	44	$436.74	$134.17
G0009 Administration of pneumococcal vaccine	32	32	$25.00	$24.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	11	$73.70	$24.46
99336 Established patient assisted living visit, typically 40 minutes	22	14	$223.45	$129.63
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$157.53	$96.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$568.88	$186.68
90670 Pneumococcal vaccine for injection into muscle	15	15	$247.00	$185.76
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$243.86	$15.33
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	14	$121.50	$8.21
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$24.25	$16.95

Medical Specialties & State Licenses

CMS Verified: 2020-12-31

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WI 42145

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

34022700 (WI)

Commercial Insurance / Payer ID Railroad Medicare

110211128 (WI)

Hospital & Practice Group Affiliations

Agnesian Healthcare Inc

360 S Mountin Dr, Mayville, WI 530501498

Phone: 9203872111

Agnesian Healthcare Inc

620 W Brown St, Waupun, WI 539631702

Phone: 9203246531

Agnesian Healthcare Inc

430 E Division St, Fond Du Lac, WI 549354560

Phone: 9209292300

Agnesian Healthcare Inc

420 E Division St, Fond Du Lac, WI 549354560

Phone: 9209237400

Bellin Memorial Hospital Inc

1630 Commanche Ave, Green Bay, WI 543135753

Phone: 9204304700

Agnesian Healthcare Inc

608 W Brown St, Waupun, WI 539631702

Phone: 9203246800

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Jay Muller , MD

Internal Medicine

NPI 1053305961

Doctor of Medicine (M.D.)

Dr. Dana Vasquez , MD

Internal Medicine

NPI 1093798290

Doctor of Medicine (M.D.)

Dr. Adam Karewicz , MD

Internal Medicine

NPI 1114035755

Doctor of Medicine (M.D.)

Dr. Jamie Deering , MD

Family Medicine

NPI 1164473617

Doctor of Medicine (M.D.)

Dr. Radu Pirvanescu , MD

Internal Medicine

NPI 1174631063

Doctor of Medicine (M.D.)

Julie Johnson , NP

Nurse Practitioner - Adult Health

NPI 1184605891

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 03, 2016

Registered at 420 E DIVISION ST, FOND DU LAC REGIONAL CLINIC, FOND DU LAC, WI 549354560 (Tel: 9209268420)

📍

Updated Business Mailing Address March 03, 2016

Registered at 420 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209268340)

👤

Provider Name / Credentials Updated March 03, 2016

Recorded as PUNIT KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2016

Internal Medicine (License #42145 in WI)

🟢

Initial NPI Registration & Enumeration May 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1144271990

Entity Type:

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

Enumeration Date: May 15, 2006

Last Update: December 31, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

420 E Division St

Fond Du Lac, WI 549354560

Phone: 9209268340

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.