PETER K KUMMANT MD
NPI 1295736189
Surgery in Martin, KY

Q: 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.

Q: What is Peter Kummant's specialty?

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

Q: 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.

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment

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: August 09, 2026.

On this page

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 and is a graduate of University Of Pittsburgh School Of Medicine (1984).

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

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1984

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

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter K Kummant Md 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 ID8022183573

PECOS Enrollment IDI20250113001150

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.

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

Quality

76.55

Promoting Interoperability

100

Improvement Activities

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Peter Kummant accept?

Health plans from CareSource list Peter Kummant 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.

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.