Active NPI 1942285978 Individual Practitioner Male Practitioner

Dr. Peter D Cummings , MD

Orthopaedic Surgery • Phoenix, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Peter Cummings, MD is a certified Orthopaedic Surgery practicing in Phoenix, AZ. With approximately 37 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 1989, Dr. Cummings delivers high-quality medical care to the local community at 2222 E HIGHLAND AVE.

Dr. Cummings maintains professional affiliations with Novaspine Pain Institute Plc, Toca At Banner Health Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, aspiration and/or injection of fluid from large joint, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2222 E Highland Ave
Ste 300

Phoenix, AZ 850164872

Telephone 6022776211

Fax 8668468709

Associated Practice Facility / Clinic

🏢 Institute For Bone & Joint Disorders Pc Facility NPI 1578560900

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +12.4 yrs vs City Avg

City Avg: 24.6 Yrs

State Avg: 26.8 Yrs

Regional Practice Density

144 Specialists

Practicing in Phoenix, AZ (501 Statewide)

Telehealth Adoption Rate

9.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

61.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cummings (37 Years) 37 Yrs

Phoenix Specialty Average (24.6 Years) 24.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	382	64	$17.63	$6.93
20610 Aspiration and/or injection of fluid from large joint	191	106	$182.20	$71.07
99213 Established patient office or other outpatient visit, typically 15 minutes	171	142	$216.87	$87.98
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	132	33	$310.18	$122.10
73030 X-ray of shoulder, minimum of 2 views	83	80	$84.00	$33.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$271.80	$107.87
73564 X-ray of knee, 4 or more views	77	76	$111.00	$44.44
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	46	12	$303.99	$112.58
73080 X-ray of elbow, minimum of 3 views	31	31	$79.00	$31.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$304.18	$120.66
73560 X-ray of knee, 1-2 views	15	14	$85.00	$32.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$180.00	$54.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	374	72	$16.95	$6.66
99213 Established patient office or other outpatient visit, typically 15 minutes	205	158	$171.00	$87.47
20610 Aspiration and/or injection of fluid from large joint	117	86	$183.25	$71.72
73030 X-ray of shoulder, minimum of 2 views	86	80	$83.72	$33.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$252.00	$108.54
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	67	18	$318.06	$125.21
73564 X-ray of knee, 4 or more views	64	61	$111.00	$45.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$251.00	$122.32
73080 X-ray of elbow, minimum of 3 views	24	23	$79.00	$31.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$383.00	$161.09
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$2789.00	$1038.35
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$456.00	$165.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	5,340	88	$53.52	$21.09
J3111 Injection, romosozumab-aqqg, 1 mg	3,781	11	$23.67	$9.38
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	589	101	$16.94	$6.63
99213 Established patient office or other outpatient visit, typically 15 minutes	250	214	$171.00	$88.35
20610 Aspiration and/or injection of fluid from large joint	237	134	$179.92	$71.37
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	177	35	$371.05	$147.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	125	96	$37.00	$14.05
73030 X-ray of shoulder, minimum of 2 views	111	104	$84.00	$33.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$252.00	$107.60
73564 X-ray of knee, 4 or more views	78	77	$111.00	$44.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	57	$251.00	$122.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$383.00	$163.62
73080 X-ray of elbow, minimum of 3 views	22	22	$76.91	$31.04
29827 Repair of shoulder rotator cuff using an endoscope	16	16	$2789.00	$1016.67
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	16	$456.00	$164.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$143.00	$52.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3111 Injection, romosozumab-aqqg, 1 mg	5,040	18	$33.05	$9.09
J0897 Injection, denosumab, 1 mg	3,810	63	$47.60	$20.45
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	588	121	$22.15	$6.91
99213 Established patient office or other outpatient visit, typically 15 minutes	241	200	$173.81	$89.83
20610 Aspiration and/or injection of fluid from large joint	195	150	$175.39	$69.32
73564 X-ray of knee, 4 or more views	115	101	$123.52	$44.78
73030 X-ray of shoulder, minimum of 2 views	114	107	$90.58	$32.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	112	81	$54.90	$13.86
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	97	31	$616.97	$135.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$256.78	$107.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	82	$255.54	$127.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	60	$124.49	$55.12
73080 X-ray of elbow, minimum of 3 views	28	25	$87.57	$31.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$387.56	$165.29
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	19	19	$550.79	$166.24
27447 Replacement of knee joint, both sides of knee	19	16	$3917.18	$1276.77
73560 X-ray of knee, 1-2 views	15	14	$85.00	$33.39
29827 Repair of shoulder rotator cuff using an endoscope	13	12	$3400.21	$1063.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3111 Injection, romosozumab-aqqg, 1 mg	48,300	43	$37.08	$8.81
J0897 Injection, denosumab, 1 mg	11,040	153	$45.00	$19.21
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg	1,777	33	$165.60	$33.39
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,069	166	$37.40	$7.03
99213 Established patient office or other outpatient visit, typically 15 minutes	582	333	$180.40	$72.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	447	189	$62.70	$13.71
20610 Aspiration and/or injection of fluid from large joint	341	221	$177.66	$67.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	250	198	$108.90	$44.44
73564 X-ray of knee, 4 or more views	168	135	$154.82	$42.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	153	153	$268.40	$105.72
73030 X-ray of shoulder, minimum of 2 views	148	131	$109.37	$32.24
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	131	36	$1114.00	$133.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	119	$265.10	$107.43
73080 X-ray of elbow, minimum of 3 views	40	37	$119.00	$30.25
73221 Mri scan of arm joint without contrast	19	18	$905.47	$160.09
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	18	$816.20	$176.19
29827 Repair of shoulder rotator cuff using an endoscope	17	17	$5019.30	$1077.33
73721 Mri scan of leg joint without contrast	16	15	$919.23	$153.24
29823 Removal of extensive shoulder joint tissue using an endoscope	16	16	$2943.60	$187.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	7,740	119	$21.67	$18.44
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,394	200	$37.40	$6.69
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg	1,320	20	$304.10	$25.87
20610 Aspiration and/or injection of fluid from large joint	714	285	$194.68	$68.13
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	643	92	$1114.00	$176.50
99213 Established patient office or other outpatient visit, typically 15 minutes	507	370	$180.40	$72.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	193	$265.10	$105.92
73564 X-ray of knee, 4 or more views	171	127	$153.00	$39.56
73030 X-ray of shoulder, minimum of 2 views	164	139	$109.66	$29.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	131	119	$108.90	$43.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	130	121	$62.70	$16.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$268.40	$106.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$408.10	$161.73
73221 Mri scan of arm joint without contrast	31	28	$926.27	$140.46
73080 X-ray of elbow, minimum of 3 views	27	26	$119.00	$29.06
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	20	20	$816.20	$175.04
29824 Partial removal of collar bone at shoulder using an endoscope	18	18	$3179.00	$284.81
29823 Removal of extensive shoulder joint tissue using an endoscope	18	18	$2943.60	$208.50
29827 Repair of shoulder rotator cuff using an endoscope	16	16	$5333.01	$1046.09
73721 Mri scan of leg joint without contrast	13	13	$895.40	$159.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	11,161	120	$21.56	$17.83
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,409	222	$36.40	$6.93
20610 Aspiration and/or injection of fluid from large joint	879	311	$142.90	$66.29
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	832	126	$1114.00	$142.04
99213 Established patient office or other outpatient visit, typically 15 minutes	797	513	$175.17	$68.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	189	$255.92	$100.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	191	121	$61.36	$19.47
73030 X-ray of shoulder, minimum of 2 views	152	139	$101.04	$27.06
73564 X-ray of knee, 4 or more views	152	135	$136.50	$36.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	134	134	$265.30	$102.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$390.45	$155.15
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	50	19	$64.00	$27.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	41	$107.82	$41.66
97140 Therapy procedure using manual technique, each 15 minutes	41	21	$60.00	$21.77
73080 X-ray of elbow, minimum of 3 views	27	23	$108.63	$29.77
29823 Removal of extensive shoulder joint tissue using an endoscope	23	21	$2873.79	$186.30
73221 Mri scan of arm joint without contrast	20	20	$876.48	$163.40
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	20	19	$899.23	$169.98
29824 Partial removal of collar bone at shoulder using an endoscope	18	18	$3066.61	$290.49
29827 Repair of shoulder rotator cuff using an endoscope	17	17	$4932.07	$1012.26
73562 X-ray of knee, 3 views	15	14	$117.00	$33.78
73721 Mri scan of leg joint without contrast	15	13	$873.69	$154.40
29881 Removal of knee cartilage using an endoscope	14	14	$2465.95	$521.15
73560 X-ray of knee, 1-2 views	14	14	$102.07	$29.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	9,362	114	$21.67	$16.64
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,119	165	$34.00	$6.81
20610 Aspiration and/or injection of fluid from large joint	699	237	$134.00	$67.96
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	663	101	$1114.00	$147.34
99213 Established patient office or other outpatient visit, typically 15 minutes	612	421	$164.00	$71.44
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	415	113	$64.00	$27.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	232	$241.00	$104.68
97140 Therapy procedure using manual technique, each 15 minutes	232	112	$60.00	$22.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	158	114	$57.00	$25.11
73564 X-ray of knee, 4 or more views	158	127	$103.00	$38.61
73030 X-ray of shoulder, minimum of 2 views	121	110	$72.00	$28.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$244.00	$106.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$371.00	$154.10
73221 Mri scan of arm joint without contrast	37	35	$818.70	$152.65
73080 X-ray of elbow, minimum of 3 views	26	25	$79.00	$30.66
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	24	23	$925.92	$176.35
97161 Evaluation of physical therapy, typically 20 minutes	22	21	$164.00	$80.22
73721 Mri scan of leg joint without contrast	18	17	$833.33	$158.55
29824 Partial removal of collar bone at shoulder using an endoscope	18	17	$2889.83	$314.47
29827 Repair of shoulder rotator cuff using an endoscope	16	16	$4564.75	$1053.53
73560 X-ray of knee, 1-2 views	15	13	$73.00	$30.28

Medical Specialties & State Licenses

CMS Verified: 2025-11-05

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License AZ 26142

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

409111 (AZ)

Hospital & Practice Group Affiliations

Toca At Banner Health Llc

9377 E Bell Rd, Scottsdale, AZ 852601503

Phone: 6022776211

Novaspine Pain Institute Plc

13203 N 103rd Ave, Sun City, AZ 853513032

Phone: 6237774747

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Doctor of Medicine (M.D.)

Dr. Keerat Singh , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1083971691

Doctor of Medicine (M.D.)

Dr. Anuj Netto , MD

Orthopaedic Surgery

NPI 1104054311

Doctor of Medicine (M.D.)

Dr. Vivek Mehta , MD

Physical Medicine & Rehabilitation

NPI 1114187614

Doctor of Medicine (M.D.)

Dr. Andrew Gibson , DPT

Physical Therapist

NPI 1114319670

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address November 05, 2025

Registered at 13203 N 103RD AVE STE H5, SUN CITY, AZ 853513032 (Tel: 6237774747)

✅

NPI Profile Active June 25, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 25, 2008

Registered at 2222 E HIGHLAND AVE, STE 300, PHOENIX, AZ 850164872 (Tel: 6022776211)

📍

Updated Business Mailing Address June 25, 2008

Registered at 2222 E HIGHLAND AVE, STE 300, PHOENIX, AZ 850164872 (Tel: 6022776211)

👤

Provider Name / Credentials Updated June 25, 2008

Recorded as PETER CUMMINGS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2008

Orthopaedic Surgery (License #26142 in AZ)

🟢

Initial NPI Registration & Enumeration December 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942285978

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 13, 2005

Last Update: November 05, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

13203 N 103rd Ave Ste H5

Sun City, AZ 853513032

Phone: 6237774747

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.