Active NPI 1902809700 Individual Practitioner Male Practitioner

Dr. James R. Cummings , MD

General Practice • Brooksville, FL

Professional Overview & Biography Verified Profile Summary

Dr. James Cummings, MD is a registered healthcare professional specializing in General Practice in Brooksville, FL. Practice services are available at 27297 CHARLICK RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient custodial care facility, group care, or assisted living visit, physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and, physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

27297 Charlick Rd

Brooksville, FL 346028217

Telephone 3525847287

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Brooksville, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 38.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

7 Specialists

Practicing in Brooksville, FL (2490 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

22.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	291	291	$77.35	$60.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	279	215	$66.08	$53.52
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	260	138	$49.87	$40.80
99337 Established patient assisted living visit, typically 60 minutes	159	159	$257.00	$196.97
99336 Established patient assisted living visit, typically 40 minutes	45	24	$178.12	$138.28
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	19	18	$15.12	$15.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	527	337	$68.28	$53.28
99336 Established patient assisted living visit, typically 40 minutes	502	172	$177.71	$137.54
99337 Established patient assisted living visit, typically 60 minutes	477	251	$247.53	$197.18
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	422	191	$53.00	$40.97
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	175	107	$52.77	$41.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	82	82	$149.80	$116.40
99496 Transitional care management services for problem of high complexity	61	52	$298.25	$231.62
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	41	41	$80.59	$62.69
99335 Established patient assisted living visit, typically 25 minutes	37	35	$122.08	$96.42
99495 Transitional care management services for problem of at least moderate complexity	25	25	$213.16	$163.86
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	22	22	$273.32	$223.20
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	15	15	$244.53	$189.60
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	15	14	$16.10	$15.09
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	14	13	$117.50	$91.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99337 Established patient assisted living visit, typically 60 minutes	1,333	269	$220.00	$194.26
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,088	496	$45.00	$41.74
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	487	354	$63.00	$53.13
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	315	174	$53.00	$41.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	143	143	$140.00	$115.14
99336 Established patient assisted living visit, typically 40 minutes	141	107	$138.00	$135.84
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	96	76	$111.01	$91.26
99496 Transitional care management services for problem of high complexity	88	66	$280.00	$229.69
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	87	87	$245.00	$219.05
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	59	59	$76.00	$62.71
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	47	23	$56.00	$45.46
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	17	16	$23.00	$14.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	4,039	648	$45.00	$41.64
99337 Established patient assisted living visit, typically 60 minutes	1,387	386	$220.00	$192.84
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	449	336	$63.00	$53.04
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	365	231	$111.01	$90.48
99336 Established patient assisted living visit, typically 40 minutes	248	154	$137.71	$133.95
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	220	136	$53.00	$40.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	130	130	$140.00	$113.94
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	105	64	$56.00	$45.41
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	94	94	$245.00	$217.74
99496 Transitional care management services for problem of high complexity	88	66	$280.00	$227.48
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	62	31	$23.00	$14.43
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	31	31	$76.00	$62.26

Medical Specialties & State Licenses

CMS Verified: 2022-01-26

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME48975

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License FL ME48975

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

043804900 (FL)

Commercial Insurance / Payer ID Railroad Medicare

110020734 (FL)

Commercial Insurance / Payer ID Railroad Medicare

010066084 (FL)

Commercial Insurance / Payer ID Railroad Medicare

010058670 (FL)

Commercial Insurance / Payer ID Railroad Medicare

1902809700 (FL)

Commercial Insurance / Payer ID Blue Cross Blue Shield Fl

02121 (FL)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location January 26, 2022

Registered at 27297 CHARLICK RD, BROOKSVILLE, FL 346028217 (Tel: 3525847287)

📍

Updated Business Mailing Address January 26, 2022

Registered at 27297 CHARLICK RD, BROOKSVILLE, FL 346028217 (Tel: 3525847287)

📍

Updated Business Mailing Address March 03, 2020

Registered at 270 MAIN ST N STE 300, STILLWATER, MN 550826788 (Tel: 6513421039)

📍

Updated Practice Location August 21, 2018

Registered at 10150 HIGHLAND MANOR DR STE 240, TAMPA, FL 336109750 (Tel: 8132591013)

📍

Updated Business Mailing Address August 21, 2018

Registered at 10150 HIGHLAND MANOR DR STE 240, TAMPA, FL 336109750 (Tel: 8132591013)

✅

NPI Profile Active March 10, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 10, 2016

Registered at 300 S HYDE PARK AVE, STE 210, TAMPA, FL 336064125 (Tel: 8132591013)

📍

Updated Business Mailing Address March 10, 2016

Registered at 300 S HYDE PARK AVE, STE 210, TAMPA, FL 336064125 (Tel: 8132591013)

👤

Provider Name / Credentials Updated March 10, 2016

Recorded as JAMES CUMMINGS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2016

Family Medicine (License #ME48975 in FL)

🟢

Initial NPI Registration & Enumeration May 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. James Cummings. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1902809700

Entity Type:

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

Enumeration Date: May 24, 2005

Last Update: January 26, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

27297 Charlick Rd

Brooksville, FL 346028217

Phone: 3525847287

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.