Doctor profile · Federal record
Dr. Atul Kumar, M.D., MBA
Gastroenterology Physician (CMS: Gastroenterology) · Medical Oncology Physician · Pensacola, FL
- NPI 1316049257
- Accepts Medicare
- 25 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
5151 N 9Th Ave
Pensacola, FL 325048721
(850) 416-7000 - Additional location
-
2375 S Ridgeview Dr
Yuma, AZ 853648868
(928) 317-2518 - Mailing address
-
4205 Belfort RD Ste 4015
Jacksonville, FL 322163623
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- August 8, 2025
- Year of graduation
- 2001 — 25 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State licenses (2)
- Florida #ME164143 · Arizona #77485
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1316049257. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
574
Distinct HCPCS
10
Medicare allowed
$66,672
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 178 | 105 | $76 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 100 | 97 | $125 | |
43235 |
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 61 | 60 | $96 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 53 | 52 | $166 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 43 | 43 | $94 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 32 | 32 | $236 | |
45378 |
Diagnostic exam of large bowel using a flexible endoscope | 29 | 28 | $165 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 22 | 22 | $148 | |
43237 |
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth | 18 | 17 | $132 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 14 | 14 | $114 |
In context: peer comparison
Among 13 peers in Pensacola Gastroenterology Physician, average services per provider: 279. This provider delivers 2.1× the peer median.Open Payments
Industry payments received
All-time total
$10,903
Transactions
14
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ipsen Bioscience INC. | 1 | $10,260.00 | |
| Abbvie INC. | 3 | $167.31 | |
| Endogastric Solutions, INC | 2 | $159.33 | |
| Madrigal Pharmaceuticals | 1 | $140.44 | |
| Medtronic, INC. | 2 | $86.43 | |
| Boston Scientific Corporation | 4 | $63.20 | |
| Ferring Pharmaceuticals INC. | 1 | $26.18 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
48
Patients
24
Total drug cost
$659
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 22 | 12 | $221 |
| Pantoprazole Sodium | Generic | 14 | 0 | $166 |
| Peg-3350 and Electrolytes (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 12 | 12 | $271 |
Hospital affiliations
Frequently asked questions
What is Dr. Atul Kumar's medical specialty?
Dr. Atul Kumar practices Gastroenterology Physician in Pensacola, FL.
Where does Dr. Atul Kumar practice?
Dr. Atul Kumar practices at 5151 N 9Th Ave, Pensacola, FL 325048721. Office phone: 8504167000.
What is Dr. Atul Kumar's NPI?
Dr. Atul Kumar's National Provider Identifier (NPI) is 1316049257, issued by NPPES.
Does Dr. Atul Kumar accept Medicare assignment?
Yes. Dr. Atul Kumar accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Atul Kumar commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43235). Source: CMS Medicare Physician & Other Practitioners file.