Brian Cummings, PA - Physician Assistant in Champaign, IL

Professional Overview & Biography Verified Profile Summary

Brian Cummings, PA is a certified Physician Assistant practicing in Champaign, IL. With approximately 21 years of clinical experience since completing medical education in 2005, Brian Cummings delivers high-quality medical care to the local community at 1802 S. MATTIS AVENUE.

Brian Cummings is affiliated with Carle Health Care Incorporated and accepts Medicare assignment.

Frequently performed procedures and clinical services include aspiration and/or injection of fluid from large joint, established patient outpatient office visit, new 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

1802 S. Mattis Avenue
Orthopedics

Champaign, IL 61821

Telephone 2173837676

Fax 2173834910

Associated Practice Facility / Clinic

🏢 Carle Health Care Incorporated Facility NPI 1316261480

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Champaign, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +5.6 yrs vs City Avg

City Avg: 15.4 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

43 Specialists

Practicing in Champaign, IL (4958 Statewide)

Telehealth Adoption Rate

4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cummings (21 Years) 21 Yrs

Champaign Specialty Average (15.4 Years) 15.4 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
20610 Aspiration and/or injection of fluid from large joint	232	104	$494.18	$43.55
99213 Established patient office or other outpatient visit, typically 15 minutes	91	73	$167.03	$54.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$341.96	$68.00
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$277.14	$39.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$351.36	$79.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	203	85	$441.38	$42.51
99213 Established patient office or other outpatient visit, typically 15 minutes	113	90	$163.41	$55.48
99202 New patient office or other outpatient visit, typically 20 minutes	47	47	$257.13	$39.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$90.00	$30.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	169	85	$478.93	$45.32
99213 Established patient office or other outpatient visit, typically 15 minutes	116	90	$185.43	$56.27
99202 New patient office or other outpatient visit, typically 20 minutes	47	47	$259.79	$41.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$87.00	$30.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	165	82	$437.27	$46.25
99213 Established patient office or other outpatient visit, typically 15 minutes	122	99	$173.03	$57.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	33	$90.50	$30.66
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$257.88	$41.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	151	87	$413.05	$46.21
99213 Established patient office or other outpatient visit, typically 15 minutes	120	100	$157.00	$43.77
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$216.90	$43.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$85.00	$22.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	213	133	$385.19	$44.49
99213 Established patient office or other outpatient visit, typically 15 minutes	112	103	$173.48	$42.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	60	$78.24	$21.56
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$228.50	$41.94
99238 Hospital discharge day management, 30 minutes or less	19	17	$245.00	$59.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	114	85	$372.63	$44.20
99213 Established patient office or other outpatient visit, typically 15 minutes	105	87	$134.29	$42.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$74.00	$21.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$314.17	$65.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$302.14	$62.93
23472 Prosthetic repair of shoulder joint, total shoulder	17	17	$13680.00	$200.28
27447 Replacement of knee joint, both sides of knee	13	12	$12210.00	$186.33
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$225.00	$42.59
99238 Hospital discharge day management, 30 minutes or less	11	11	$235.00	$56.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	100	70	$350.00	$44.04
99213 Established patient office or other outpatient visit, typically 15 minutes	94	74	$110.00	$42.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$261.80	$65.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	22	$320.00	$60.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$236.43	$62.49
27447 Replacement of knee joint, both sides of knee	14	13	$12210.00	$186.27
23472 Prosthetic repair of shoulder joint, total shoulder	11	11	$13680.00	$199.88

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-002639

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IL 85002639

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dmerc #

0533210001 (IL)

Hospital & Practice Group Affiliations

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Carle Health Care Incorporated

2300 S 1st St, Champaign, IL 618207661

Phone: 2173839400

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Michael Moran , MD

Orthopaedic Surgery

NPI 1073565784

Doctor of Medicine (M.D.)

Dr. Kenneth Dols , MD

Orthopaedic Surgery

NPI 1134147200

Doctor of Medicine (M.D.)

Dr. Robert Born , DPM

Podiatrist

NPI 1134170590

Doctor of Podiatric Medicine

Steven Burger , PA

Physician Assistant

NPI 1457485757

Physician Assistant

James Berkes , PA

Physician Assistant

NPI 1528146883

Physician Assistant

Dr. Scott Kline , MD

Orthopaedic Surgery

NPI 1578589834

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 21, 2013

Registered at 1802 S. MATTIS AVENUE, ORTHOPEDICS, CHAMPAIGN, IL 61821 (Tel: 2173837676)

📍

Updated Business Mailing Address November 21, 2013

Registered at PO BOX 6002, URBANA, IL 618036002 (Tel: 2173268300)

👤

Provider Name / Credentials Updated November 21, 2013

Recorded as BRIAN CUMMINGS, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2013

Physician Assistant (License #085-002639 in IL)

🟢

Initial NPI Registration & Enumeration August 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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Brian J Cummings , PA

Professional Overview & Biography Verified Profile Summary

Practice Location & Contact Primary Location

Medicare Profile & Education

Specialty Benchmarks & Practice Insights

Clinical Seniority & Experience Comparison

Performed Procedures & Service Volume

Medical Specialties & State Licenses

Additional State Medicaid & Healthcare Payer Identifiers

Hospital & Practice Group Affiliations

Carle Health Care Incorporated

Carle Health Care Incorporated

Carle Health Care Incorporated

Practice Associates & Co-Workers

Career & Practice History Timeline

Patient & Community Reviews

NPI Administrative Meta

Mailing Address