npidexNPI registry + Medicare data

WILLIAM CUMMINS, MD

Surgery Physician · ABINGDON, VA

Individual Active NPI 1265483184

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024308522$281,632$113,784$90,513
2023289541$274,232$116,264$92,067
2022332670$311,047$140,924$111,242

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more44$88$62
45378Diagnostic exam of large bowel using a flexible endoscope39$170$128
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope33$82$65
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope32$91$61
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more31$120$88
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more26$164$127
45384Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery21$209$163
G0105Colorectal cancer screening; colonoscopy on individual at high risk21$176$176
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes20$126$101
45380Biopsy of large bowel using a flexible endoscope19$188$138
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more17$55$42
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more15$109$82

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Surgery Physician208600000X✓0101241143VA
Surgery Physician208600000XMD37429TN

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.