Doctor profile · Federal record
Dr. Pradeep Kumar, M.D.
Gastroenterology Physician (CMS: Gastroenterology) · Austin, TX
- NPI 1093790537
- Accepts Medicare
- MIPS 79.4 / 100 · 2023
- 35 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4310 James Casey St, Suite 4A
Austin, TX 787451120
(512) 448-4588
fax (512) 445-4511 - Mailing address
-
Po Box 10597
Austin, TX 787661597
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- November 13, 2009
- Year of graduation
- 1991 — 35 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Texas #J2268
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093790537. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
581
Distinct HCPCS
10
Medicare allowed
$94,737
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 121 | 99 | $89 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 116 | 116 | $244 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 51 | 51 | $84 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 48 | 48 | $125 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 47 | 43 | $124 | |
G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk | 42 | 42 | $177 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 39 | 39 | $111 | |
G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 24 | 24 | $179 | |
43235 |
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 23 | 23 | $88 | |
45378 |
Diagnostic exam of large bowel using a flexible endoscope | 22 | 22 | $166 |
In context: peer comparison
Among 21 peers in this city , average services per provider: 53. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$17,193
Transactions
103
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 56 | $16,015.55 | |
| PFIZER INC. | 13 | $179.53 | |
| Celgene Corporation | 4 | $134.67 | |
| Janssen Scientific Affairs, LLC | 1 | $117.89 | |
| Madrigal Pharmaceuticals | 5 | $94.91 | |
| Merck Sharp & Dohme LLC | 3 | $90.79 | |
| Janssen Biotech, Inc. | 4 | $66.65 | |
| GENZYME CORPORATION | 2 | $57.83 | |
| Phathom Pharmaceuticals, Inc. | 3 | $56.47 | |
| AIMMUNE THERAPEUTICS, INC. | 2 | $50.77 | |
| Lilly USA, LLC | 2 | $47.61 | |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $44.61 | |
| VIVUS LLC | 2 | $39.11 | |
| Celltrion USA Inc. | 2 | $35.06 | |
| Gilead Sciences, Inc. | 2 | $32.87 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
687
Patients
195
Total drug cost
$251,657
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 182 | 74 | $2,917 |
| Dicyclomine Hcl | Generic | 67 | 31 | $1,581 |
| Linzess (Linaclotide) | Brand | 59 | 16 | $38,252 |
| Pantoprazole Sodium | Generic | 54 | 16 | $1,159 |
| Nortriptyline Hcl | Generic | 49 | 21 | $987 |
| Dexlansoprazole Dr (Dexlansoprazole) | Brand | 41 | 0 | $23,475 |
| Esomeprazole Magnesium | Generic | 40 | 12 | $1,858 |
| Creon (Lipase/Protease/Amylase) | Brand | 33 | 13 | $86,133 |
| Mesalamine | Generic | 32 | 0 | $34,407 |
| Spironolactone | Generic | 28 | 0 | $777 |
Frequently asked questions
What is Dr. Pradeep Kumar's medical specialty?
Dr. Pradeep Kumar practices Gastroenterology Physician in Austin, TX.
Where does Dr. Pradeep Kumar practice?
Dr. Pradeep Kumar practices at 4310 James Casey St, Austin, TX 787451120. Office phone: 5124484588.
What is Dr. Pradeep Kumar's NPI?
Dr. Pradeep Kumar's National Provider Identifier (NPI) is 1093790537, issued by NPPES.
Does Dr. Pradeep Kumar accept Medicare assignment?
Yes. Dr. Pradeep Kumar accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Pradeep Kumar commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS 45385); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239). Source: CMS Medicare Physician & Other Practitioners file.