2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1811934839 M.D.
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Suneel Kumar, M.D.

Critical Care Medicine (Internal Medicine) Physician in Colorado Springs, Colorado. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,631 in Critical Care Medicine (Internal Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 219 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
37%
generic claims · 63% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$1.1K
56 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Suneel Kumar, M.D. reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 1,143 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
1K
Part D claims, 2023
37%
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.

Suneel Kumar, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Where Suneel Kumar, M.D. sits

This provider among critical care medicine (internal medicine) physician peers

Across the 1,643 critical care medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Suneel Kumar, M.D. writes more Part D claims than 63% of them and scores higher on MIPS quality than 13% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 68Suneel Kumar, M.D.-Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 13
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one critical care medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Suneel Kumar, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Suneel Kumar, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Suneel Kumar, M.D.?

Below national average

NPI registry status

Active

Issued 05/31/2006

NPI 1811934839

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

1,143 7% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

75/100 8.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Colorado

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Colorado providers

Colorado providers
Behavior Technician - 7.8%Behavior Technician7.8%Mental Health Counselor - 6.2%Mental Health Counselor6.2%Physical Therapist - 4.2%Physical Therapist4.2%Clinical Social Worker - 4.2%Clinical Social Worker4.2%Professional Counselor - 3.7%Professional Counselor3.7%Registered Nurse - 3.6%Registered Nurse3.6%Critical Care Medicine (Internal Medicine) Physician - 0.1%Critical Care Medicine (Internal Medicine) Physician0.1%
Largest specialties in Colorado (% of in-state providers)

Medicare quality performance, MIPS

Suneel Kumar, M.D.'s 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) - 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) - 75/100 vs national avg 83.1

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).

Suneel Kumar, M.D. appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding M.D. credentials at 1725 E BOULDER ST STE 204, Colorado Springs, CO, 80909, with a listed phone of (214) 361-9777. NPI 1811934839 was issued on 05/31/2006. 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 1,143 prescription claims written by this provider, covering 219 Medicare beneficiaries and totaling roughly $877K in drug spend, split 63% brand-name and 37% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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

1725 E BOULDER ST STE 204
Colorado Springs, CO 80909

Provider Details

NPI 1811934839
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 05/31/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where Suneel 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.

Mckenzie County Healthcare Systems Inc
Watford City, ND
Critical Access Hospitals
CMS CCN: 351302
Pulmonary Associates
Colorado Springs, CO

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 Suneel Kumar, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

AstraZeneca Pharmaceuticals LP

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.

Brand vs generic prescribing mix · Brand-heavy

Suneel Kumar, M.D. - brand share 63.0%
Critical Care Medicine (Internal Medicine) Physician average

63% brand-name claims vs 37% generic, on 1,143 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.

1,143
Total Claims
$877K
Total Drug Cost
219
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,560
Total Day Supply
43,153
Brand vs Generic
63% brand / 37% generic
Brand Drug Cost
$643K
Generic Drug Cost
$234K
Antibiotic Claims
74

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
1.64
Gender Split
65% female / 35% male

Top Prescribed Drugs (Medicare Part D)

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

What Suneel 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
Albuterol Sulfate Hfa
Albuterol Sulfate
148
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
123
Breo Ellipta
Fluticasone/Vilanterol
91
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
84
Ipratropium Bromide
74
Azithromycin
57
Stiolto Respimat
Tiotropium Br/Olodaterol Hcl
51
Spiriva Respimat
Tiotropium Bromide
49
Prednisone
41
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
36

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

Critical Care Medicine (Internal Medicine) Physician Overview

How Suneel Kumar, M.D. fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

Suneel Kumar, M.D.'s 1,143 claims are above the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Colorado

Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Kumar.

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Colorado medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Critical Care Medicine (Internal Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Suneel Kumar, M.D.'s specialty?
Suneel Kumar, M.D. specializes in Critical Care Medicine (Internal Medicine) Physician and practices in Colorado Springs, Colorado. Credentials: M.D..
How much does Suneel Kumar, M.D. prescribe under Medicare Part D?
In 2023, Suneel Kumar, M.D. wrote 1,143 Medicare Part D claims totaling $877K in drug costs for 219 beneficiaries.
What is Suneel Kumar, M.D.'s Medicare quality score?
Suneel Kumar, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Suneel Kumar, M.D. located?
Suneel Kumar, M.D. is located at 1725 E BOULDER ST STE 204, Colorado Springs, CO, 80909. Phone: (214) 361-9777.
What is Suneel Kumar, M.D.'s NPI number?
Suneel Kumar, M.D.'s National Provider Identifier (NPI) is 1811934839, issued on 05/31/2006.
Does Suneel Kumar, M.D. prescribe more brand-name or generic drugs?
Suneel Kumar, M.D.'s prescribing is 63% brand-name and 37% generic drugs by claim count, with $643K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does Suneel Kumar, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Suneel Kumar, M.D.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Breo Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Suneel Kumar, M.D. accept Medicare?
Suneel Kumar, M.D. appears in CMS Medicare data with 1,143 Part D claims and 219 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Suneel Kumar, M.D.'s credentials?
Suneel Kumar, M.D.'s NPI is 1811934839 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
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

Compiled from official public sources by the PlainDoctor editorial team.