DR. KUMAR GAURAV (M.D.) – Pulmonary Disease Physician, NPI 1467617902
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
293 PULMONARY DISEASE in KY
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Provider Addresses for DR. KUMAR GAURAV (M.D.)
740, South Limestone, North Elizabeth Street, Lexington, Fayette County, Kentucky, 40508, United States
LEXINGTON, KY 405363522
Phone: (859) 323-9555
Type: Location
CANCER TREATMENT CENTERS OF AMERICA
2520 ELISHA AVENUE
ZION, IL 60099
Phone: (800) 322-9183
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $5,640.
Total Amount is formed as General ($5,640) + Research ($0) + Ownership ($0) = $5,640.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($5,514).
Total Amount
$5,640
General + Research + Ownership
Payments
14
Total payment records
General Amount
$5,640
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $5,514 |
| Lilly USA, LLC | $49 |
| Merck Sharp & Dohme LLC | $33 |
| Daiichi Sankyo Inc. | $23 |
| Inari Medical, Inc. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-11-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160811001226 | I | Pulmonary Disease | WI | TBD |
| I20211105000137 | I | Pulmonary Disease | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 49 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 58 | 33 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 44 | 34 | $0 |
| 94726 | Test to determine lung volumes using sensors | 35 | 33 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 35 | 33 | $0 |
Insurance plans in this area (ZIP 40536)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | KY | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 39 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Thoracic Surgery | OK | |
| Interventional Radiology, Diagnostic Radiology | IL | |
| General Surgery, Surgical Oncology | IL | |
| Hematology/Oncology, Internal Medicine | IL | |
| Pulmonary Disease | IL | |
| Radiation Oncology | IL | |
| Registered Dietitian Or Nutrition Professional | NY | |
| Medical Oncology | IL | |
| Nurse Practitioner | IL | |
| P A T H O L O G Y | IL |
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