DR. GREGORY A CUMMINS DO
NPI 1528168994
Hospitalist in N Kansas City, MO
NPI Status: Active since September 25, 2006
Contact Information
2700 CLAY EDWARDS DR
SUITE 240
N KANSAS CITY, MO
ZIP 64116
Phone: (816) 455-0681
Fax: (816) 455-5294
- Individual
- Male
- Hospitalist
- PECOS Enrolled
About GREGORY CUMMINS
This page provides the complete NPI Profile along with additional information for Gregory Cummins, a provider established in N Kansas City, Missouri with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1528168994 assigned on September 2006. The practitioner's primary taxonomy code is 208M00000X with license number 115724 (MO). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1528168994
- Provider Name
- DR. GREGORY A CUMMINS DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2700 CLAY EDWARDS DR SUITE 240 N KANSAS CITY, MO 64116
- Location Phone
- (816) 455-0681
- Location Fax
- (816) 455-5294
- Mailing Address
- 2700 CLAY EDWARDS DR SUITE 240 N KANSAS CITY, MO 64116
- Mailing Phone
- (816) 455-0681
- Mailing Fax
- (816) 455-5294
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-25-2006
- Last Update Date
- 04-06-2017
- Code Navigator
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
Hospitalist
- Taxonomy Code
- 208M00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 115724
- License State
- MO
- Taxonomy Description
- Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
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 |
|---|---|---|---|
| 1528168994 | MEDICAID (05) | MO | |
| MA6411015 | MEDICARE UPIN (02) | MO |
Medicare Participation & PECOS Enrollment Status
Gregory Cummins 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 64116 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.61
- Minimum New Patient Price $55.29
- Maximum New Patient Price $168.52
- Average New Patient Copayment $31.9
- Minimum New Patient Copayment $13.82
- Maximum New Patient Copayment $42.13
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.82
- Minimum Established Patient Price $17.6
- Maximum Established Patient Price $137.2
- Average Established Patient Copayment $24.45
- Minimum Established Patient Copayment $4.4
- Maximum Established Patient Copayment $34.3
* 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 | 5 | 2 | 8 | 1 | 6 | 8 | 9 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 2 | 6 | 16 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 2 + 6 + 1 + 6 + 9 + 1 + 8 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1528168994 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1487654810 | DR. ROBERT A SHEMWELL DPM Individual | Podiatrist | 2700 CLAY EDWARDS DR SUITE 370 NORTH KANSAS CITY, MO 64116 (816) 842-3663 |
| 1164492294 | DR. GRACE WISCO BAYSA-NG MD Individual | Pediatrics | 2700 CLAY EDWARDS DR SUITE 500 NORTH KANSAS CITY, MO 64116 (816) 421-4115 |
| 1497725543 | KENNETH PAUL DUNCAN MD Individual | Pediatrics | 2700 CLAY EDWARDS DR SUITE 500 NORTH KANSAS CITY, MO 64116 (816) 421-4115 |
| 1124098280 | KRISTEN AYANA JACOBS MD Individual | Pediatrics | 2700 CLAY EDWARDS DR SUITE 500 NORTH KANSAS CITY, MO 64116 (816) 421-4115 |
| 1083686273 | DR. MICHAEL WARD RAYBOULD MD Individual | Internal Medicine | 2700 CLAY EDWARDS DR SUITE 400 NORTH KANSAS CITY, MO 64116 (816) 421-4240 |
| 1679545859 | DR. JOSEPH MICHAEL PALAZOLA MD Individual | Internal Medicine | 2700 CLAY EDWARDS DR SUITE 400 NORTH KANSAS CITY, MO 64116 (816) 421-4240 |
| 1740252311 | DR. KENNETH ROSS MANN MD Individual | Internal Medicine | 2700 CLAY EDWARDS DR SUITE 400 NORTH KANSAS CITY, MO 64116 (816) 421-4240 |
| 1003889114 | DR. NICHOLAS ANDREW SZILAGYE MD Individual | Internal Medicine | 2700 CLAY EDWARDS DR SUITE 400 NORTH KANSAS CITY, MO 64116 (816) 421-4240 |
| 1295708923 | DR. JAMES MICHAEL STODDARD DO Individual | Internal Medicine | 2700 CLAY EDWARDS DR SUITE 400 NORTH KANSAS CITY, MO 64116 (816) 421-4240 |
| 1669448585 | JAMES S ZARR MD Individual | Physical Medicine & Rehabilitation | 2700 CLAY EDWARDS DR SUITE 320 NORTH KANSAS CITY, MO 64116 (816) 472-8005 |
| 1790751790 | JAMES S. ZARR, MD, PC Organization | Physical Medicine & Rehabilitation | 2700 CLAY EDWARDS DR SUITE 320 NORTH KANSAS CITY, MO 64116 (816) 472-8005 |
| 1780640276 | DR. KALA DANUSHKODI M.D. Individual | Physical Medicine & Rehabilitation | 2700 CLAY EDWARDS DR SUITE 310 NORTH KANSAS CITY, MO 64116 (816) 455-1313 |
| 1619904919 | DR. LYNN R MCCANSE M.D. Individual | Specialist | 2700 CLAY EDWARDS DR STE 300 NORTH KANSAS CITY, MO 64116 (816) 842-0171 |
| 1760593305 | MRS. KATHRYN A HANSON MD Individual | Internal Medicine | 2700 CLAY EDWARDS DR SUITE 400 KANSAS CITY, MO 64116 (816) 421-4240 |
| 1740384007 | DR. CHRISTINE D GREEN M.D. Individual | Pediatrics | 2700 CLAY EDWARDS DR SUITE 500 NORTH KANSAS CITY, MO 64116 (816) 421-4115 |
| 1972642932 | DR. JOHN PATRICK A. GOODMAN D.D.S. Individual | Dentist | 2700 CLAY EDWARDS DR SUITE 470 NORTH KANSAS CITY, MO 64116 (816) 842-5335 |
| 1932315918 | DEBRA LOUISE O'MALLEY M.A., LPC Individual | Counselor (Professional) | 2700 CLAY EDWARDS DR SUITE 265 N KANSAS CITY, MO 64116 (816) 561-5655 |
| 1316137953 | MIDWEST HEMORRHOID TREATMENT CENTER NORTH KANSAS CITY LLC Organization | Specialist | 2700 CLAY EDWARDS DR SUITE 260 NORTH KANSAS CITY, MO 64116 (816) 421-0601 |
| 1548431943 | WENDY J WEIMER D.D.S., Organization | Dentist (General Practice) | 2700 CLAY EDWARDS DR SUITE 345 NORTH KANSAS CITY, MO 64116 (816) 877-0200 |
| 1821312372 | KALA DANUSHKODI MD LLC Organization | Physical Medicine & Rehabilitation | 2700 CLAY EDWARDS DR SUITE 310 NORTH KANSAS CITY, MO 64116 (816) 455-1313 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528168994, enumerated in the NPI registry as an "individual" on September 25, 2006
The provider is located at 2700 Clay Edwards Dr Suite 240 N Kansas City, Mo 64116 and the phone number is (816) 455-0681
The provider's speciality is Hospitalist with taxonomy code 208M00000X
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 $127.61 with an average copayment of $31.9 for new patient appointments. Established patients should expect a typical charge of $97.82 and an average copayment of 24.45. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 25, 2006. 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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