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DR. ASHOK KUMAR M.D.
NPI 1205983871
Surgery in Flora, IL

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
433 E 7TH ST, FLORA, IL 62839(618) 662-3018(618) 662-4188 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ashok Kumar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ASHOK KUMAR M.D. (NPI 1205983871) is an individual surgery provider in Flora, Illinois and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Clay County Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1205983871
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ASHOK KUMARCredential: M.D.
Location Address433 E 7TH STFlora, IL 62839-1805
Mailing Address433 E 7th St, P.o. Box 40Flora, IL 62839-1805 · (618) 662-3018 · Fax (618) 662-4188
Phone(618) 662-3018
Fax(618) 662-4188
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205983871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
433 E 7TH ST, Flora, IL 62839
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINF59359IL
Other1307317IL · Blue Cross Blue Shield
Medicare ID-Type Unspecified387100IL
OtherP00029104IL · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ashok Kumar M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163591751
PECOS Enrollment IDI20080522000297
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ashok Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Clay
0.7 mi
Critical Access
911 STACEY BURK DR
Flora, IL 62839
  • Reassigned Medicare billing, Illinois enrollment
  • 65 clinicians in this Medicare group
NPI 1184655136 (618) 662-2131

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Clay County Hospital

Critical Access Hospitals · Flora, IL
OwnershipGovernment - Local
CMS Certification Number141351
Location911 Stacy Burk DrFlora, IL 62839 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62839 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers15 claims30 services$4.82 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each A4390
DME-Orthotic Devices · category DF010N
2 suppliers14 claims390 services$8.32 avg. paid by Medicare
Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061
DME-Orthotic Devices · category DF010N
1 supplier13 claims260 services$3.33 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
2 suppliers17 claims625 services$0.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier21 claims21 services$20.20 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$111.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHOK KUMAR PC MD BC
Surgery
433 E 7TH ST
FLORA, IL 62839
Clay County (618) 662-3018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashok Kumar's NPI number?

The NPI number for Ashok Kumar is 1205983871. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Ashok Kumar located?

Ashok Kumar practices at 433 E 7th St, Flora, IL 62839. The listed phone number is (618) 662-3018.

What is Ashok Kumar's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ashok Kumar enrolled in Medicare?

Yes. Ashok Kumar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ashok Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashok Kumar reassigns Medicare benefits to County Of Clay (Flora, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashok Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashok Kumar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list Ashok Kumar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ashok Kumar affiliated with any hospitals?

According to CMS data, Ashok Kumar is affiliated with Clay County Hospital.

When was this NPI record last updated?

The NPPES record for Ashok Kumar was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.