DR. USHA SIVAKUMAR (M.D.) – Internal Medicine Physician, NPI 1124001540
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,245 INTERNAL MEDICINE in MD
Provider Addresses for DR. USHA SIVAKUMAR (M.D.)
915 TOLL HOUSE AVE STE 309
FREDERICK, MD 217015912
Phone: (301) 228-9123
Type: Location
1932, Sycamore Spring Court, Cooksville, Howard County, Maryland, 21723, United States
COOKSVILLE, MD 217239304
Phone: (724) 575-0126
Type: Mailing
915 Toll House Ave Ste 309
Frederick, MD 217015912
Phone: (301) 228-9123
Type: Location
141 THOMAS JOHNSON DR STE 100
FREDERICK, MD 217024509
Phone: (301) 228-9123
Fax: (855) 760-5009
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 133 Open Payments records for all available years, with a total value of $2,597.
Total Amount is formed as General ($2,597) + Research ($0) + Ownership ($0) = $2,597.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($415).
Total Amount
$2,597
General + Research + Ownership
Payments
133
Total payment records
General Amount
$2,597
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $415 |
| Novo Nordisk Inc | $398 |
| AstraZeneca Pharmaceuticals LP | $293 |
| Amgen Inc. | $226 |
| Lilly USA, LLC | $118 |
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: 2017-06-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20170619001083 | I | Internal Medicine | MD | 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 | 1,285 | 477 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 325 | 325 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 167 | 132 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 76 | 76 | $0 |
| G0008 | Administration of influenza virus vaccine | 49 | 49 | $0 |
Insurance plans in this area (ZIP 21701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MD | |
| Nurse Practitioner | MD | |
| Orthopedic Surgery, Sports Medicine | NH | |
| Internal Medicine | MD | |
| Nurse Practitioner | MD | |
| Family Practice, Sports Medicine | MD | |
| Orthopedic Surgery | MD | |
| P O D I A T R Y | MD | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MD | |
| Pain Management, Neurology | MD |
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