Peter K Kummant, MD - Medicare General Surgery in Martin, KY

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Peter K Kummant, MD is a medicare enrolled "Surgery" physician in Martin, Kentucky. He went to University Of Pittsburgh School Of Medicine and graduated in 1984 and has 42 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice St Joseph's Hospital Of Buckhannon Inc and his current practice location is 12579 Main Street, Ste 101, Martin, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 285-0681.

Peter K Kummant is licensed to practice in Kentucky (license number 46983) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295736189.

Contact Information

Peter K Kummant, MD
12579 Main Street, Ste 101,
Martin, KY 41649-0910
(606) 285-0681
(606) 285-9843

Map and Direction




Physician's Profile

Full NamePeter K Kummant
GenderMale
SpecialityGeneral Surgery
Experience42 Years
Location12579 Main Street, Martin, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Peter K Kummant attended and graduated from University Of Pittsburgh School Of Medicine in 1984
  NPI Data:
  • NPI Number: 1295736189
  • Provider Enumeration Date: 08/02/2005
  • Last Update Date: 03/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8022183573
  • Enrollment ID: I20250113001150

Medical Identifiers

Medical identifiers for Peter K Kummant such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295736189NPI-NPPES
0000678684OtherPASECURITY BLUE
020048938OtherUNITED HEALTHCARE
219141OtherUPMC FOR YOU
CI6850OtherPAMEDICARE RAILROAD
K146780OtherKYMEDICARE
123225OtherTHREE RIVERS HEALTH PLAN
2588679OtherAETNA
678684OtherPAHIGHMARK BC/BS
1517401OtherGATEWAY HEALTH PLAN
678684OtherPAKEYSTONE HEALTH PLAN WEST
1911411OtherPAFIRST HEALTH
251828837OtherDEVON HEALTH PLAN
0012567360003MedicaidPA
116818OtherANTHEM BC/BS
219141OtherUPMC
5007868-001OtherCIGNA
7100312840MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 034039-E (Pennsylvania)Secondary
208600000XSurgery 46983 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph's HospitalBuckhannon, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Joseph's Hospital Of Buckhannon Inc670982816367

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Peter K Kummant allows following entities to bill medicare on his behalf.
Entity NameSt Joseph's Hospital Of Buckhannon Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124005061
PECOS PAC ID: 6709828163
Enrollment ID: O20050525000839
Entity NameSt Joseph's Hospital Of Buckhannon Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1124005061
PECOS PAC ID: 6709828163
Enrollment ID: O20230204000431

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter K Kummant is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Peter K Kummant, MD
100 E Liberty St, Ste 800,
Louisville, KY 40202-1434

Ph: (606) 330-7818		Peter K Kummant, MD
12579 Main Street, Ste 101,
Martin, KY 41649-0910

Ph: (606) 285-0681

Reviews and Comments


Surgery Doctors in Martin, KY


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.