Paraag Kumar, M.D.
NPI 1265751192 · Family Medicine Physician · Austin, TX
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paraag Kumar, M.D. is a Family Medicine Physician provider in Austin, TX (NPI 1265751192).
Provider details
- NPI number
- 1265751192
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- P8686 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
130 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 56 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 47 | $124 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 27 | $89 |
Typical Medicare-allowed amounts for these services range $16–$124 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Atorvastatin Calcium | 17 |
| Gabapentin | 11 |
| Zolpidem Tartrate | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$637 across 23 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 1000 E 41st St Ste 925Austin, TX 78751-4856Phone: (512) 978-9940Fax: (512) 901-9702
- 2901 Montopolis DrAustin, TX 78741-6411Phone: (512) 978-9901Fax: (512) 901-9765
- 3601 W William Cannon Dr Ste BAustin, TX 78749-1533Phone: (512) 988-5355Fax: (512) 323-0307
Registry dates
- Enumerated
- 2010-05-17
- Last updated
- 2025-03-17
- Certified
- 2025-03-17
Frequently asked questions
- What is Paraag Kumar's NPI number?
- Paraag Kumar's National Provider Identifier (NPI) is 1265751192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paraag Kumar's specialty?
- Paraag Kumar is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Paraag Kumar located?
- Paraag Kumar's practice location on file with NPPES is 319 Congress Avenue, Austin, TX 78701.
- What is Paraag Kumar's phone number?
- The practice phone number listed in the NPPES registry for Paraag Kumar is (888) 663-6331.
- Does Paraag Kumar accept Medicare?
- Paraag Kumar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paraag Kumar's NPI active?
- Yes — Paraag Kumar's NPI (1265751192) is active in the NPPES registry as of the last update on 2025-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.