BHAVNA K KUMAR MD
NPI 1699847079
Pathology - Anatomic Pathology & Clinical Pathology in Elkton, MD

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment
83.92/100
CMS Quality Rating

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bhavna K Kumar Md NPPES

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

BHAVNA K KUMAR MD (NPI 1699847079) is an individual anatomic pathology & clinical pathology provider in Elkton, Maryland, licensed in Maryland (D0064914) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1699847079
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameBHAVNA K KUMARCredential: MD
Location Address106 BOW STElkton, MD 21921-5544
Mailing Address106 Bow StElkton, MD 21921-5544
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 14, 2006
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
NPI 1699847079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in MD · D0064914
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
106 BOW ST, Elkton, MD 21921

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

Bhavna K 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 ID1153423942
PECOS Enrollment IDI20070226000319
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 22

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
615 services310 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
295 services182 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
161 services44 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
125 services107 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
76 services70 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
71 services65 patients

Hospital Affiliations CMS Care Compare 2

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Umd Upper Chesapeake Medical Center

Acute Care Hospitals · Bel Air, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210049
Location500 Upper Chesapeake DriveBel Air, MD 21014 · Harford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21921 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
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.

83.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.19
Improvement Activities40

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
106 BOW ST
ELKTON, MD 21921
Social Worker (Clinical)
106 BOW ST
ELKTON, MD 21921
Pharmacist
106 BOW ST
ELKTON, MD 21921
Social Worker
106 BOW ST
ELKTON, MD 21921
Hospitalist
106 BOW ST
ELKTON, MD 21921
Internal Medicine
106 BOW ST
ELKTON, MD 21921
Nurse Practitioner (Family)
106 BOW ST
ELKTON, MD 21921
Internal Medicine
106 BOW ST
ELKTON, MD 21921

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 Bhavna Kumar's NPI number?

The NPI number for Bhavna Kumar is 1699847079. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Bhavna Kumar located?

Bhavna Kumar practices at 106 Bow St, Elkton, MD 21921. The listed phone number is (410) 392-7089.

What is Bhavna Kumar's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Bhavna Kumar enrolled in Medicare?

Yes. Bhavna 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.

Is Bhavna Kumar affiliated with any hospitals?

According to CMS data, Bhavna Kumar is affiliated with Union Hospital Of Cecil County and Umd Upper Chesapeake Medical Center.

When was this NPI record last updated?

The NPPES record for Bhavna Kumar was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.