2026 NPPES data Interventional Cardiology Physician NPI 1437280971 M.D.
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PRASANNA KUMAR, M.D.

Interventional Cardiology Physician in NEW HARTFORD, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 411 beneficiaries · Interventional Cardiology Physician avg: 3K
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$490.97
16 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PRASANNA KUMAR, M.D. filed 1,504 Medicare Part D claims in 2023 as a Interventional Cardiology Physician in NEW HARTFORD, New York, prescribing 77% generic.

2K
Part D claims, 2023
77%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

PRASANNA KUMAR, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,504 Top 19% higher than 81% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). This entry sits in this band. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

PRASANNA KUMAR, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about PRASANNA KUMAR, M.D.?

Quality data not reported

NPI registry status

Active

Issued 03/08/2007

NPI 1437280971

Primary specialty

Interventional Cardiology Physician

Niche

3,382 US NPIs in this specialty

Medicare Part D claims

1,504 50% vs specialty avg

2023 prescription claims

Specialty avg: 2,984

Specialty distribution in New York

How Interventional Cardiology Physician compares to other specialties among New York providers

New York providers

Interventional Cardiology Physician share within New York

1. Interventional Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Cardiology Physician share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Interventional Cardiology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Interventional Cardiology Physician ABMS/AOA estimate

Est. board-certified rate (Interventional Cardiology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Interventional Cardiology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

PRASANNA KUMAR, M.D. appears in the CMS NPPES registry as a Interventional Cardiology Physician provider holding M.D. credentials at 1729 BURRSTONE RD, NEW HARTFORD, NY, 13413, with a listed phone of (315) 798-1508. NPI 1437280971 was issued on 03/08/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KUMAR most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,504 prescription claims written by this provider, covering 411 Medicare beneficiaries and totaling roughly $257K in drug spend, split 23% brand-name and 77% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Interventional Cardiology Physician is a narrow specialty nationwide, with 3,382 enrolled providers across 53 states and an average of 2,984 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1729 BURRSTONE RD
NEW HARTFORD, NY 13413

Provider Details

NPI 1437280971
Specialty Interventional Cardiology Physician
Credentials M.D.
Gender Male
NPI Issued 03/08/2007

Hospital and facility affiliations

Facilities where PRASANNA KUMAR, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

NEW YORK UNIVERSITY
RIVERHEAD, NY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for PRASANNA KUMAR, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$491

Largest payer

Lexicon Pharmaceuticals, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to PRASANNA KUMAR, M.D.. To verify PRASANNA KUMAR, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

PRASANNA KUMAR, M.D. — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 1,504 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,504
Total Claims
$257K
Total Drug Cost
411
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,518
Total Day Supply
74,893
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$228K
Generic Drug Cost
$29K

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.57
Gender Split
47% female / 53% male
Age Distribution
<65: 64, 65-74: 152, 75-84: 136, 85+: 59

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What PRASANNA KUMAR, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Metoprolol Succinate
169
Atorvastatin Calcium
120
Eliquis
Apixaban
117
Ranolazine Er
Ranolazine
95
Amlodipine Besylate
89
Furosemide
85
Carvedilol
77
Lisinopril
77
Xarelto
Rivaroxaban
64
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
61

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Interventional Cardiology Physician Overview

How PRASANNA KUMAR, M.D. fits within the Interventional Cardiology Physician landscape nationally.

3,382
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
2,984
Avg Claims per Provider

PRASANNA KUMAR, M.D.'s 1,504 claims are below the specialty average of 2,984.

Nearby Interventional Cardiology Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as KUMAR.

Compare Interventional Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PRASANNA KUMAR, M.D.'s specialty?
PRASANNA KUMAR, M.D. specializes in Interventional Cardiology Physician and practices in NEW HARTFORD, New York. Credentials: M.D..
How much does PRASANNA KUMAR, M.D. prescribe under Medicare Part D?
In 2023, PRASANNA KUMAR, M.D. wrote 1,504 Medicare Part D claims totaling $257K in drug costs for 411 beneficiaries.
Where is PRASANNA KUMAR, M.D. located?
PRASANNA KUMAR, M.D. is located at 1729 BURRSTONE RD, NEW HARTFORD, NY, 13413. Phone: (315) 798-1508.
What is PRASANNA KUMAR, M.D.'s NPI number?
PRASANNA KUMAR, M.D.'s National Provider Identifier (NPI) is 1437280971, issued on 03/08/2007.
Does PRASANNA KUMAR, M.D. prescribe more brand-name or generic drugs?
PRASANNA KUMAR, M.D.'s prescribing is 23% brand-name and 77% generic drugs by claim count, with $228K in brand drug costs.
How many Interventional Cardiology Physician providers are there in the US?
There are 3,382 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 2,984 Medicare Part D claims per year.
What drugs does PRASANNA KUMAR, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PRASANNA KUMAR, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRASANNA KUMAR, M.D. accept Medicare?
PRASANNA KUMAR, M.D. appears in CMS Medicare data with 1,504 Part D claims and 411 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRASANNA KUMAR, M.D.'s credentials?
PRASANNA KUMAR, M.D.'s NPI is 1437280971 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology