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PETER K KUMMANT MD
NPI 1295736189
Surgery in Martin, KY

Active since August 02, 2005PECOS Enrolled
97.4/100
CMS Quality Rating
12579 MAIN STREET, STE 101, MARTIN, KY 41649(606) 285-0681(606) 285-9843 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Peter K Kummant Md NPPES

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

PETER K KUMMANT MD (NPI 1295736189) is an individual surgery provider in Martin, Kentucky, licensed in Kentucky (46983) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295736189
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePETER K KUMMANTCredential: MD
Location Address12579 MAIN STREET, STE 101Martin, KY 41649-0910
Mailing Address100 E Liberty St, Ste 800Louisville, KY 40202-1434 · (606) 330-7818 · Fax (606) 330-7825
Phone(606) 285-0681
Fax(606) 285-9843
Sole ProprietorNo
Enumeration DateAugust 2, 2005
Last NPPES UpdateMarch 22, 2016
✔ NPI 1295736189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in KY · 46983✔ Licensed in PA · 034039-E
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.
12579 MAIN STREET, Martin, KY 41649
Open in Google Maps ↗

Other Identifiers 18

Other020048938United Healthcare
Other116818Anthem Bc/bs
Other2588679Aetna
OtherCI6850PA · Medicare Railroad
Medicaid0012567360003PA
Medicaid7100312840KY
Other5007868-001Cigna
Other678684PA · Highmark Bc/bs
Other123225Three Rivers Health Plan
Other219141Upmc For You
OtherK146780KY · Medicare
Medicare ID-Type Unspecified678684PA
Other0000678684PA · Security Blue
Other1517401Gateway Health Plan
Other1911411PA · First Health
Other219141Upmc
Other251828837Devon Health Plan
Other678684PA · Keystone Health Plan West

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter K Kummant Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Peter Kummant reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arh Mary Breckinridge Health Services, Inc.
1.3 mi
Critical Access
11203 MAIN ST
Martin, KY 41649
  • Reassigned Medicare billing, Kentucky enrollment
  • 97 clinicians in this Medicare group
NPI 1306339460 (606) 285-6400
Appalachian Regional Healthcare, Inc
7.1 mi
Rural Health
9879 KY ROUTE 122
Mc Dowell, KY 41647
  • Reassigned Medicare billing, Kentucky enrollment
  • 419 clinicians in this Medicare group
NPI 1669078879 (606) 377-3462
Arh Tug Valley Health Services, Inc.
11 mi
Otolaryngology
5322 KY ROUTE 321
Prestonsburg, KY 41653
  • Reassigned Medicare billing, Kentucky enrollment
  • 242 clinicians in this Medicare group
NPI 1093672230 (606) 886-2712

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41649 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

JAMES ORVILLE MUSIC MSN, APRN, NP-C
Nurse Practitioner (Family)
12579 MAIN STREET
MARTIN, KY 41649
Floyd County (606) 285-0681
SAINT JOSEPH HEALTH SYSTEM INC
Clinic/Center (Rural Health)
12579 MAIN STREET
MARTIN, KY 41649
Floyd County (606) 285-0681
ANGELA M O'QUINN DO
Family Medicine
12579 MAIN STREET, SUITE 101
MARTIN, KY 41649
Floyd County (606) 285-0681

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 Peter Kummant's NPI number?

The NPI number for Peter Kummant is 1295736189. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Peter Kummant located?

Peter Kummant practices at 12579 Main Street Ste 101, Martin, KY 41649. The listed phone number is (606) 285-0681.

What is Peter Kummant's specialty?

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

Is Peter Kummant enrolled in Medicare?

Yes. Peter Kummant is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Peter Kummant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Kummant reassigns Medicare benefits to 3 organizations: Arh Mary Breckinridge Health Services, Inc. (Martin, KY), Appalachian Regional Healthcare, Inc (Mc Dowell, KY) and Arh Tug Valley Health Services, Inc. (Prestonsburg, KY). Each 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 Peter Kummant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Kummant was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.