KUMAR GAURAV PRASAD MD
NPI 1487882353
Otolaryngology in Kansas City, MO

Active since June 30, 2009PECOS EnrolledAccepts Medicare Assignment
84.49/100
CMS Quality Rating
9411 N OAK TRFY, SUITE 202, KANSAS CITY, MO 64155(816) 468-8820(816) 468-8898 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kumar Gaurav Prasad Md NPPES

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

KUMAR GAURAV PRASAD MD (NPI 1487882353) is an individual otolaryngology provider in Kansas City, Missouri, licensed in Missouri (2015009389) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Saint Louis University School Of Medicine (2009).

NPPES Registry Identity

NPI1487882353
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameKUMAR GAURAV PRASADCredential: MD
Location Address9411 N OAK TRFY, SUITE 202Kansas City, MO 64155-2233
Mailing Address2700 Clay Edwards Dr, Suite 240North Kansas City, MO 64116-3251 · (816) 691-5287 · Fax (816) 346-7690
Fax(816) 468-8898
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2009
Enumeration DateJune 30, 2009
Last NPPES UpdateJune 16, 2015
NPI 1487882353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in MO · 2015009389 Licensed in IN · 01073660A
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

9411 N OAK TRFY, Kansas City, MO 64155

Other Identifiers 2

Medicaid201232130IN
Medicare PIN063220008IN

Accepted 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

Kumar Gaurav Prasad 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 ID6800019936
PECOS Enrollment IDI20140519001173
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 13

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
400 services36 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
134 services105 patients
New patient office or other outpatient visit, 30-44 minutes 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.
102 services102 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
67 services59 patients
New patient office or other outpatient visit, 45-59 minutes 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.
66 services66 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
47 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64155 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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.

84.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.98
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
100%29 patients
Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines
14%147 patients1/55-star benchmark: 89%
Documentation of Current Medications in the Medical Record
89%2,027 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%1,452 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 76% · 439 patients
Patients screened: 99% · 439 patients
3%99 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
88%730 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
99%74 patients4/55-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 3

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

Compressor, air power source for equipment which is not self-contained or cylinder driven E0565
DME-Other DME · category DE000N
1 supplier12 claims12 services$36.01 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier15 claims15 services$31.62 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers14 claims14 services$37.27 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 20

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

Otolaryngology (Plastic Surgery within the Head & Neck)
9411 N OAK TRFY, STE 202
KANSAS CITY, MO 64155
Family Medicine
9411 N OAK TRFY, SUITE 100
KANSAS CITY, MO 64155
Family Medicine
9411 N OAK TRFY, SUITE 100
KANSAS CITY, MO 64155
Family Medicine
9411 N OAK TRFY, SUITE 100
KANSAS CITY, MO 64155
Family Medicine
9411 N OAK TRFY, SUITE 100
KANSAS CITY, MO 64155
Family Medicine
9411 N OAK TRFY, SUITE 100
KANSAS CITY, MO 64155
Family Medicine
9411 N OAK TRFY, SUITE 100
KANSAS CITY, MO 64155
Family Medicine
9411 N OAK TRFY, SUITE 100
KANSAS CITY, MO 64155

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 Kumar Prasad's NPI number?

The NPI number for Kumar Prasad is 1487882353. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Kumar Prasad located?

Kumar Prasad practices at 9411 N Oak Trfy Suite 202, Kansas City, MO 64155. The listed phone number is (816) 468-8820.

What is Kumar Prasad's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kumar Prasad enrolled in Medicare?

Yes. Kumar Prasad 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 Kumar Prasad accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Kumar Prasad 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 Kumar Prasad affiliated with any hospitals?

According to CMS data, Kumar Prasad is affiliated with Lutheran Hospital Of Indiana and Parkview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kumar Prasad was last updated on June 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.