DR. ANTONIO ALBERTO CUMMINGS M.D.
NPI 1427369313
Emergency Medicine in Carbondale, IL
NPI Status: Active since June 25, 2010
Contact Information
405 W JACKSON ST
CARBONDALE, IL
ZIP 62901
Phone: (618) 549-0721
Fax: (618) 457-0469
- Individual
- Male
- Emergency Medicine
- PECOS Enrolled
About ANTONIO CUMMINGS
This page provides the complete NPI Profile along with additional information for Antonio Cummings, a provider established in Carbondale, Illinois with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1427369313 assigned on June 2010. The practitioner's primary taxonomy code is 207P00000X with license number 036.131709 (IL). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1427369313
- Provider Name
- DR. ANTONIO ALBERTO CUMMINGS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 405 W JACKSON ST CARBONDALE, IL 62901
- Location Phone
- (618) 549-0721
- Location Fax
- (618) 457-0469
- Mailing Address
- 1239 E MAIN ST CARBONDALE, IL 62901
- Mailing Phone
- (618) 457-5200
- Mailing Fax
- (618) 457-0469
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-25-2010
- Last Update Date
- 10-09-2019
- Code Navigator
Location Map
Secondary Locations
- 201 S 14th St
Herrin, IL 62948
(618) 942-2171 - 2 S Hospital Dr
Murphysboro, IL 62966
(618) 684-3156
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036.131709
- License State
- IL
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 125.057966 (IL) |
| 2 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 036131709 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036.131709 | MEDICAID (05) | IL |
Medicare Participation & PECOS Enrollment Status
Antonio 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) 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: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
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 62901 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.71
- Minimum New Patient Price $54.8
- Maximum New Patient Price $168.44
- Average New Patient Copayment $21.42
- Minimum New Patient Copayment $13.7
- Maximum New Patient Copayment $42.11
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.25
- Minimum Established Patient Price $17.16
- Maximum Established Patient Price $136.56
- Average Established Patient Copayment $24.31
- Minimum Established Patient Copayment $4.29
- Maximum Established Patient Copayment $34.14
* 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.
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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 | 4 | 2 | 7 | 3 | 6 | 9 | 3 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 6 | 6 | 18 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 6 + 6 + 1 + 8 + 3 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1427369313 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497747992 | MR. DAVID E TONDINI CRNA Individual | Nurse Anesthetist, Certified Registered | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1023000551 | MR. DAN EDWARD MILLER CRNA Individual | Nurse Anesthetist, Certified Registered | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1881686244 | MR. ALAN DUANE WAGNER CRNA Individual | Nurse Anesthetist, Certified Registered | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1699769232 | BRIGHAM ANESTHESIA SOUTH LLC Organization | Anesthesiology | 405 W JACKSON ST MEMORIAL HOSPITAL OF CARBONDALE CARBONDALE, IL 62901 (618) 549-0721 |
| 1619954161 | MR. JENNIFER CHRISTINE ASPEN OTR/L Individual | Occupational Therapist | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1598743924 | KRISTINE LAUBHAN CORNETT P.T. Individual | Physical Therapist | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1396723722 | MS. LYNDA KUETHER P.T. Individual | Physical Therapist | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1295713501 | MRS. TERRY JAYNE FOSTER SLP Individual | Speech-Language Pathologist | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1265487870 | DR. PAK K FUNG M.D. Individual | Emergency Medicine | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1598796427 | LEGATUS EMERGENCY SERVICES OF SOUTHERN ILLINOIS LLC Organization | Emergency Medicine | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1942395751 | MRS. STEPHANIE VICTORIA WOOD R.D. Individual | Dietitian, Registered | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1811076987 | MS. BARBARA J. FLAGEL CRNA Individual | Nurse Anesthetist, Certified Registered | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1730374489 | CHANDRASEKHAR REDDY MOTKAR MD Individual | Hospitalist | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 529-0478 |
| 1598996449 | MISS LEE ANN HART MCCAIN A.P.N. Individual | Nurse Practitioner (Family) | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1649589268 | MEMORIAL HOSPITAL OF CARBONDALE Organization | General Acute Care Hospital | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1811264856 | RACHEL ANN JARVIS MA Individual | Clinical Exercise Physiologist | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1043581820 | MRS. JENNIFER SUE CAMPOS FNP-BC, CCRN, CMC Individual | Nurse Practitioner (Family) | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1114277746 | KELSEY MILLER OTR/L Individual | Occupational Therapist | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1447242219 | MR. ANTHONY JOSEPH PINTO CRNA Individual | Nurse Anesthetist, Certified Registered | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1710310446 | MRS. APRIL JAN MILLER ACNS-BC Individual | Clinical Nurse Specialist (Adult Health) | 405 W JACKSON ST CARBONDALE, IL 62901 (618) 549-0721 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427369313, enumerated in the NPI registry as an "individual" on June 25, 2010
The provider is located at 405 W Jackson St Carbondale, Il 62901 and the phone number is (618) 549-0721
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Medicare and Medicaid. 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.71 with an average copayment of $21.42 for new patient appointments. Established patients should expect a typical charge of $97.25 and an average copayment of 24.31. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 25, 2010. 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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