NEEL MUKUL KUMAR MD
NPI 1306163514
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Tulsa, OK

Q: What is Neel Kumar's NPI number?

The NPI number for Neel Kumar is 1306163514. It was assigned to this individual provider in the NPPES registry on April 27, 2010.

Q: What is Neel Kumar's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Q: When was this NPI record last updated?

The NPPES record for Neel Kumar was last updated on May 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 27, 2010PECOS EnrolledAccepts Medicare Assignment

99.1/100

CMS Quality Rating

6827 S MEMORIAL DR, TULSA, OK 74133(918) 252-2020(918) 307-1983 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2020, Sep 12, 2016 (2 updates tracked since 2016).

On this page

About Neel Mukul Kumar Md NPPES

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

NEEL MUKUL KUMAR MD (NPI 1306163514) is an individual ophthalmic plastic and reconstructive surgery provider in Tulsa, Oklahoma, licensed in Oklahoma (31990) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and is a graduate of University Of South Alabama College Of Medicine (2010).

NPPES Registry Identity

NPI1306163514

Entity TypeIndividualMale

Primary Taxonomy207WX0200X

Provider Legal NameNEEL MUKUL KUMARCredential: MD

Location Address6827 S MEMORIAL DRTulsa, OK 74133-2126

Mailing Address6140 S Memorial DrTulsa, OK 74133-1933 · (918) 252-2020 · Fax (918) 307-1983

Phone(918) 252-2020

Fax(918) 307-1983

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2010

Enumeration DateApril 27, 2010

Last NPPES UpdateMay 26, 20202 updates tracked since enumeration

NPPES CertifiedMay 26, 2020

✔ NPI 1306163514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207WX0200X

License✔ Licensed in OK · 31990

Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Also ListedOphthalmologyTaxonomy 207W00000X · License ME124162 (FL), 274993 (NY)

6827 S MEMORIAL DR, Tulsa, OK 74133

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Other Identifiers 3

Other1509VFL · Blue Cross Blue Shield

Medicaid015055800FL

Medicaid03917484NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Neel Mukul Kumar 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 ID7416172242

PECOS Enrollment IDI20160707001822

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.

Areas of Expertise CMS Part B claims 17

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

2,310 services11 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

290 services283 patients

Exam of visual field with limited testing 92081

An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.

223 services221 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

139 services139 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

123 services122 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

95 services90 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

90 services90 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

68 services68 patients

Repair of brow paralysis 67900

Repair of brow paralysis is a procedure aimed to restore function and symmetry to the face. This is achieved by adjusting muscles and nerves in the brow area. It can help improve the appearance and movement of the forehead and eyebrows, enhancing overall facial expressions.

45 services45 patients

Removal of growth of eyelid 67840

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.

35 services35 patients

Injection of chemical for paralysis of nerve muscles on side of face 64612

This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.

33 services14 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

32 services31 patients

Shortening or advancement of upper eyelid muscle to correct drooping or paralysis 67903

This procedure involves adjusting the muscle in your upper eyelid to correct drooping or paralysis. The muscle may be shortened or advanced to help lift the eyelid to a better position. This can improve vision and give a more alert appearance. It's typically an outpatient procedure.

23 services23 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

18 services18 patients

Removal of over 1/4 of eyelid margin and repair of eyelid 67966

This procedure involves the removal of more than a quarter of the eyelid margin due to conditions like tumors, infections, or injuries. The remaining part is then repaired to restore normal function and appearance. It's a safe procedure done under local anesthesia.

15 services13 patients

Biopsy of eyelid 67810

A biopsy of the eyelid is a procedure where a small piece of tissue is taken from your eyelid for examination. It helps identify any abnormal growth like a lump or cyst. It's done under local anesthesia, so you won't feel pain during the process.

14 services14 patients

Reconstruction of eyelid margin 67950

Reconstruction of the eyelid margin is a surgical procedure to repair defects or abnormalities in the eyelid. It helps to protect the eye, improve vision, and enhance appearance. The surgery involves reshaping the eyelid using tissue grafts or flaps.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK

2/5 CMS rating

OwnershipProprietary

CMS Certification Number370001

Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74133 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

99.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

96%25 patients5/55-star benchmark: 87%

Diabetes: Eye Exam

100%81 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%1,737 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%919 patients5/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 992 patients

Patients screened: 100% · 992 patients

97%99 patients4/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%31 patients

Provide Patients Electronic Access to Their Health Information

87%1,804 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 969 patients

Patients totalRate: 0% · 969 patients

0%969 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Polishing/resurfacing of ocular prosthesis V2624

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier11 claims11 services$54.07 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 2

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

TRIAD EYE INSTITUTE PLLC

Ophthalmology

6827 S MEMORIAL DR
TULSA, OK 74133

Tulsa County (918) 252-2020

TLC VISION CENTER PC

Ophthalmology

6827 S MEMORIAL DR, STE. A
TULSA, OK 74133

Tulsa County (918) 398-6565

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 Neel Kumar's NPI number?

The NPI number for Neel Kumar is 1306163514. It was assigned to this individual provider in the NPPES registry on April 27, 2010.

Where is Neel Kumar located?

Neel Kumar practices at 6827 S Memorial Dr, Tulsa, OK 74133. The listed phone number is (918) 252-2020.

What is Neel Kumar's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Neel Kumar enrolled in Medicare?

Yes. Neel 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.

What insurance does Neel Kumar accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Neel 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 Neel Kumar affiliated with any hospitals?

According to CMS data, Neel Kumar is affiliated with Hillcrest Medical Center.

When was this NPI record last updated?

The NPPES record for Neel Kumar was last updated on May 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.