MRS. KATHERINE HAMES CUMMINGS PA-C
NPI 1275882565
Physician Assistant in Milan, TN
NPI Status: Active since September 03, 2012
Contact Information
4039 HIGHLAND ST
MILAN, TN
ZIP 38358
Phone: (731) 422-0213
Fax: (731) 686-8997
- Individual
- Female
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About KATHERINE CUMMINGS
This page provides the complete NPI Profile along with additional information for Katherine Cummings, a primary care provider established in Milan, Tennessee with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1275882565 assigned on September 2012. The practitioner's primary taxonomy code is 363A00000X with license number 2164 (TN). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1275882565
- Provider Name
- MRS. KATHERINE HAMES CUMMINGS PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4039 HIGHLAND ST MILAN, TN 38358
- Location Phone
- (731) 422-0213
- Location Fax
- (731) 686-8997
- Mailing Address
- PO BOX 400 JACKSON, TN 38302
- Mailing Phone
- (731) 422-0213
- Mailing Fax
- (731) 686-8997
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-03-2012
- Last Update Date
- 01-16-2023
- Code Navigator
A primary care provider (PCP) like Katherine Cummings sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 2164
- License State
- TN
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- UHC Bronze Copay Focus (No Referrals) - EPO
- UHC Bronze Copay Focus+ (Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value (No Referrals) - EPO
- UHC Gold Advantage (No Referrals) - EPO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus (No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Advantage (No Referrals) - EPO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - EPO
- UHC Silver Copay Focus (No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
- EssentialSmile Tennessee - Total Care - EPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Katherine Cummings is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 38358 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.53
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $20.38
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.01
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $16.5
- Minimum Established Patient Copayment $4.18
- Maximum Established Patient Copayment $32.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MRS. KATHERINE HAMES CUMMINGS PA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 8 | 8 | 2 | 5 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 16 | 8 | 4 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 6 + 8 + 4 + 5 + 1 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1275882565 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437168390 | DR. JOEL S CRAIG DPM Individual | Podiatrist (Foot & Ankle Surgery) | 4039 HIGHLAND ST MILAN FOOT CARE MILAN, TN 38358 (731) 723-3668 |
| 1215014717 | RONALD GUY TWILLA M.D. Individual | Family Medicine | 4039 HIGHLAND ST SUITE 5 MILAN, TN 38358 (731) 686-1516 |
| 1487921318 | CAROL D BELONG CM Individual | Case Manager/Care Coordinator | 4039 HIGHLAND ST MILAN, TN 38358 (731) 541-8344 |
| 1700871480 | NICOLAS APPLETON MD Individual | Internal Medicine | 4039 HIGHLAND ST MILAN, TN 38358 (731) 686-8995 |
| 1275528952 | JOE APPLETON MD Individual | Internal Medicine | 4039 HIGHLAND ST MILAN, TN 38358 (731) 686-8995 |
| 1831372069 | JOEL SCOTT CRAIG Organization | Prosthetic/Orthotic Supplier | 4039 HIGHLAND ST MILAN, TN 38358 (731) 723-3668 |
| 1396082780 | TOP FLIGHT MEDICAL GROUP Organization | Specialist | 4039 HIGHLAND ST MILAN, TN 38358 (615) 340-3436 |
| 1245665868 | JANTZEN MOSS L.P.N. Individual | Licensed Practical Nurse | 4039 HIGHLAND ST SUITE 2 MILAN, TN 38358 (731) 723-1327 |
| 1740340884 | STACY R BROMLEY PA-C Individual | Physician Assistant | 4039 HIGHLAND ST MILAN, TN 38358 (731) 686-8995 |
| 1225265218 | MRS. RONICA C SMITH MS Individual | Social Worker (Clinical) | 4039 HIGHLAND ST MILAN, TN 38358 (731) 723-1327 |
| 1831363894 | SANDRA STARR APN, BC-FNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 4039 HIGHLAND ST SUITE 2 MILAN, TN 38358 (731) 723-1327 |
| 1134571490 | MR. JOSEPH HEATH THOMPSON PA-C Individual | Physician Assistant | 4039 HIGHLAND ST MILAN, TN 38358 (731) 686-8995 |
| 1275512345 | KARON P HARRISON P.A. Individual | Physician Assistant (Medical) | 4039 HIGHLAND ST MILAN, TN 38358 (731) 686-8995 |
| 1316441983 | SETH PATRICK HAYES DO Individual | Family Medicine | 4039 HIGHLAND ST MILAN, TN 38358 (731) 686-1591 |
| 1265859433 | TRINA ELAINE RYAN FNP Individual | Nurse Practitioner (Family) | 4039 HIGHLAND ST MILAN, TN 38358 (731) 422-0213 |
| 1568452225 | MILAN GENERAL HOSPITAL, INC. Organization | Medicare Defined Swing Bed Unit | 4039 HIGHLAND ST MILAN, TN 38358 (731) 686-5135 |
| 1639206329 | MILAN GENERAL HOSPITAL Organization | Pharmacy (Institutional Pharmacy) | 4039 HIGHLAND ST MILAN, TN 38358 (731) 686-1591 |
| 1699765453 | MILAN GENERAL HOSPITAL, INC. Organization | General Acute Care Hospital | 4039 HIGHLAND ST MILAN, TN 38358 (731) 686-5135 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275882565, enumerated in the NPI registry as an "individual" on September 03, 2012
The provider is located at 4039 Highland St Milan, Tn 38358 and the phone number is (731) 422-0213
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $81.53 with an average copayment of $20.38 for new patient appointments. Established patients should expect a typical charge of $66.01 and an average copayment of 16.5. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 03, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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