DR. BOMMASAMUDRAM ASHWINI KUMAR M.D.
NPI 1962508424
Orthopaedic Surgery in Midwest City, OK

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
85.7/100
CMS Quality Rating
215 N MIDWEST BLVD, MIDWEST CITY, OK 73110(405) 737-3491(405) 737-5956 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Bommasamudram Ashwini Kumar M.d. NPPES

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

DR. BOMMASAMUDRAM ASHWINI KUMAR M.D. (NPI 1962508424) is an individual orthopaedic surgery provider in Midwest City, Oklahoma, licensed in Oklahoma (25189) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1962508424
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. BOMMASAMUDRAM ASHWINI KUMARCredential: M.D.
Location Address215 N MIDWEST BLVDMidwest City, OK 73110-4320
Mailing Address215 N Midwest BlvdMidwest City, OK 73110-4320 · (405) 737-3491 · Fax (405) 737-5956
Fax(405) 737-5956
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateSeptember 15, 2006
Last NPPES UpdateAugust 27, 2020
NPPES CertifiedAugust 27, 2020
NPI 1962508424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in OK · 25189
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedSpecialistTaxonomy 174400000X · License 25189 (OK)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 25189 (OK)
215 N MIDWEST BLVD, Midwest City, OK 73110

Other Identifiers 1

Medicaid200096480AOK

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

Dr. Bommasamudram Ashwini Kumar M.d. 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 ID9133120272
PECOS Enrollment IDI20070116000569
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 14

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.

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.
421 services236 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
166 services107 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.
125 services125 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
107 services65 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.
72 services66 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
59 services57 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Midwest

Acute Care Hospitals · Midwest City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370094
Location2825 Parklawn DriveMidwest City, OK 73110 · Oklahoma County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73110 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
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.

85.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.33
Promoting Interoperability100
Improvement Activities40
Cost62.01

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,088 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%647 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 299 patients
Patients tobacco: 11% · 53 patients
73%299 patients3/55-star benchmark: 98%
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.

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Primary Care)
215 N MIDWEST BLVD
MIDWEST CITY, OK 73110
Orthopaedic Surgery
215 N MIDWEST BLVD
MIDWEST CITY, OK 73110
Orthopaedic Surgery
215 N MIDWEST BLVD
MIDWEST CITY, OK 73110
Nurse Practitioner (Family)
215 N MIDWEST BLVD
MIDWEST CITY, OK 73110
Family Medicine
215 N MIDWEST BLVD
MIDWEST CITY, OK 73110

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 Bommasamudram Kumar's NPI number?

The NPI number for Bommasamudram Kumar is 1962508424. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Bommasamudram Kumar located?

Bommasamudram Kumar practices at 215 N Midwest Blvd, Midwest City, OK 73110. The listed phone number is (405) 737-3491.

What is Bommasamudram Kumar's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Bommasamudram Kumar enrolled in Medicare?

Yes. Bommasamudram 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 Bommasamudram 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 4 other insurers list Bommasamudram 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 Bommasamudram Kumar affiliated with any hospitals?

According to CMS data, Bommasamudram Kumar is affiliated with Ssm Health St Anthony Hospital - Oklahoma City and Ssm Health St Anthony Hospital - Midwest.

When was this NPI record last updated?

The NPPES record for Bommasamudram Kumar was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.