RAVI KUMAR MD
NPI 1851612972
Neurological Surgery in Rochester, MN

Active since June 14, 2010PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2021, Sep 8, 2021, Jan 6, 2017 (3 updates tracked since 2017).

About Ravi Kumar Md NPPES

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

RAVI KUMAR MD (NPI 1851612972) is an individual neurological surgery provider in Rochester, Minnesota, licensed in Washington (MD61104836) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1851612972
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameRAVI KUMARCredential: MD
Location Address200 1ST ST SWRochester, MN 55905-0001
Mailing Address301 W Poplar St, Ste 50Walla Walla, WA 99362-2800 · (509) 897-8300
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 14, 2010
Last NPPES UpdateNovember 9, 20213 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
NPI 1851612972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in WA · MD61104836 Licensed in MN · 54167
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
200 1ST ST SW, Rochester, MN 55905

Secondary Practice Locations 2

Location 1301 W Poplar St Ste 50Walla Walla, WA 99362-2800 · Phone (509) 897-8300 · Fax (509) 897-6066
Location 2401 W Poplar StWalla Walla, WA 99362-2846 · Phone (509) 525-3320 · Fax (509) 897-5156

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

Ravi 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 ID8527231315
PECOS Enrollment IDI20241219002031
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.

Hospital Affiliations CMS Care Compare

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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 $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

Referred Medical Equipment & Supplies CMS DME claims 2

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

Cervical, multiple post collar, occipital/mandibular supports, adjustable L0180
DME-Orthotic Devices · category DF000N
2 suppliers14 claims14 services$326.25 avg. paid by Medicare
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0642
DME-Orthotic Devices · category DF007N
3 suppliers28 claims28 services$225.52 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.

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Ravi Kumar's NPI number?

The NPI number for Ravi Kumar is 1851612972. It was assigned to this individual provider in the NPPES registry on June 14, 2010.

Where is Ravi Kumar located?

Ravi Kumar practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Ravi Kumar's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Ravi Kumar enrolled in Medicare?

Yes. Ravi 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 Ravi Kumar accept?

Health plans from AvMed, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Premera Blue Cross Blue Shield of Alaska and 2 other insurers list Ravi 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 Ravi Kumar affiliated with any hospitals?

According to CMS data, Ravi Kumar is affiliated with Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Ravi Kumar was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.