Medicare Enrolled
Dr. Prashant Kumar, MD
Pain Medicine · Worcester, MA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Kumar from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Kumar
Dr. Prashant Kumar is a pain medicine specialist in Worcester, MA, with 17 years of NPI registration. Based on federal Medicare data, Dr. Kumar performed 1,400 Medicare services across 786 unique beneficiaries.
Between the years covered by Open Payments, Dr. Kumar received a total of $7,442 from 27 pharmaceutical and/or device companies across 251 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Kumar is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 17 years in practice
▲ Top 29% volume in MA
$7,442 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,400
Medicare services
Top 29% in MA for pain medicine
786
Unique beneficiaries
$70
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~82 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
544 | $69 | $250 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
274 | $47 | $167 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
80 | $94 | $385 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
56 | $75 | $296 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
38 | $86 | $315 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
38 | $40 | $178 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
36 | $245 | $1,157 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
36 | $58 | $237 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
35 | $34 | $191 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
35 | $103 | $450 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
31 | $176 | $676 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
30 | $31 | $145 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
28 | $22 | $79 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
27 | $64 | $438 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
25 | $22 | $91 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
24 | $58 | $165 |
| Electronic analysis of implanted neurostimulator with complex programming This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators. |
18 | $32 | $274 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
16 | $173 | $690 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
16 | $58 | $207 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 13 | $26 | $264 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$7,442
Total received (2018-2024)
Avg $1,063/year across 7 years
Top 22% in MA for pain medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
27
Companies
251
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,397 (99.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$45 (0.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$760
2023
$1,202
2022
$860
2021
$1,417
2020
$630
2019
$1,178
2018
$1,396
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
PAINTEQ LLC
$315
Boston Scientific Corporation
$228
Saluda Medical Americas, Inc.
$150
SPR Therapeutics, Inc
$44
Abbott Laboratories
$22
Top 3 companies account for 91.3% of 2024 payments
All-time payments by company (2018-2024) ›
Boston Scientific Corporation
$3,811
PAINTEQ LLC
$660
SPR Therapeutics, Inc
$613
BOSTON SCIENTIFIC CORPORATION
$514
Abbott Laboratories
$303
Nevro Corp.
$215
Medtronic, Inc.
$177
Saluda Medical Americas, Inc.
$150
Collegium Pharmaceutical, Inc.
$116
Amgen Inc.
$95
Almatica Pharma LLC
$87
Vertos Medical, Inc.
$84
Medtronic USA, Inc.
$82
Stryker Corporation
$77
Stimwave Technologies Incorporated
$64
Arteriocyte Medical Systems, Inc.
$57
Celgene Corporation
$48
Shionogi Inc
$45
Valinor Pharma, LLC
$44
Teva Pharmaceuticals USA, Inc.
$35
PFIZER INC.
$32
Gilead Sciences, Inc.
$28
Lilly USA, LLC
$25
Curonix LLC
$23
ASSERTIO THERAPEUTICS, Inc.
$21
UCB, Inc.
$20
Fidia Pharma USA Inc.
$17
Top 3 companies account for 68.3% of all-time payments
Associated products mentioned in payments ›
AJOVY · AUTOFILL · AXIUM · Aimovig · CFNS StimQ Peripheral Nerve StimulatorSystem · Cimzia · EMGALITY · ETERNA · Evoke · GENERAL THERAPIES · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GRALISE · General - Pain Management · General - Therapies · Gralise · HYMOVIS · INTELLIS ADAPTIVESTIM · IVS - MULTIGEN 2RF · LYRICA · MOVANTIK · MULTIGEN 2 · NAPRELAN · NURTEC ODT · Otezla · PAINTEQ · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCLAIM · Penta SCS Leads · Proclaim Family of SCS IPGs · Proclaim IPG · SPECTRA WAVEWRITER · SPRINT PNS System · SUPERION · SYNCHROMEDII · Senza Spinal Cord Stimulation System · StimQ Receiver Stimulator Kit Channel A US w Receiver · Superion · Superion Indirect Decompression System · Symproic · VENASEAL · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XTAMPZA · mild Device Kit
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Pain medicines within 10 mi
9
Per 100K population
1.0
County median income
$93,561
Nearest hospital
ADCARE HOSPITAL OF WORCESTER INC
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Kumar is a clinical cardiology specialist, with above-average Medicare volume (top 29% in MA), with low-engagement industry engagement, with 17 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Kumar experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Kumar performed 544 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Kumar receive payments from pharmaceutical companies?
Yes. Dr. Kumar received a total of $7,442 from 27 companies across 251 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Kumar's costs compare to other pain medicines in Worcester?
Dr. Kumar's average Medicare payment per service is $70. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Kumar) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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