DR. PRASHANT KUMAR (M.D.) – Specialist, NPI 1427087071
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,168 NEPHROLOGY in TX
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Provider Addresses for DR. PRASHANT KUMAR (M.D.)
PO BOX 150408
LUFKIN, TX 759150408
Phone: (936) 634-2227
Fax: (936) 634-4658
Type: Mailing
409, Gaslight Boulevard, Lufkin, Angelina County, Texas, 75904, United States
LUFKIN, TX 759043132
Phone: (936) 634-2227
Fax: (936) 634-4658
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 83 Open Payments records for all available years, with a total value of $1,777.
Total Amount is formed as General ($1,777) + Research ($0) + Ownership ($0) = $1,777.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Amgen Inc. ($257).
Total Amount
$1,777
General + Research + Ownership
Payments
83
Total payment records
General Amount
$1,777
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $257 |
| AstraZeneca Pharmaceuticals LP | $212 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $163 |
| ANI Pharmaceuticals, Inc. | $147 |
| PFIZER INC. | $114 |
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: 2006-09-29
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 |
|---|---|---|---|---|
| I20060929000310 | I | Nephrology | TX | 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 | 611 | 281 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 335 | 142 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 253 | 46 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 224 | 107 | $0 |
| 90966 | Home dialysis services per month (20 years or older) | 108 | 16 | $0 |
Insurance plans in this area (ZIP 75915)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | TX | 90935 | Hemodialysis procedure with one physician evaluation | 272 | 99 |
| NEPHROLOGY | TX | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 129 | 67 |
| NEPHROLOGY | TX | 90966 | Home dialysis services per month, patient 20 years of age or older | 59 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nephrology, Internal Medicine | TX | |
| Nephrology, Internal Medicine | TX |
Reviews
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