Active NPI 1497743488 Individual Practitioner Male Practitioner

Dr. Edgard Cumpa , MD

Internal Medicine • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Edgard Cumpa, MD is a certified Internal Medicine practicing in Springfield, IL. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Cumpa delivers high-quality medical care to the local community at 2239 E COOK ST.

Dr. Cumpa is affiliated with Central Counties Health Centers, Inc. and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, x-ray of foot, minimum of 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2239 E Cook St

Springfield, IL 627031944

Telephone 2177882300

Associated Practice Facility / Clinic

🏢 Central Counties Health Centers, Inc. Facility NPI 1861480709

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +10.9 yrs vs City Avg

City Avg: 19.1 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

206 Specialists

Practicing in Springfield, IL (7544 Statewide)

Telehealth Adoption Rate

4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cumpa (30 Years) 30 Yrs

Springfield Specialty Average (19.1 Years) 19.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	117	$201.00	$126.19
36415 Insertion of needle into vein for collection of blood sample	123	81	$20.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	85	63	$135.00	$89.46
73630 X-ray of foot, minimum of 3 views	84	28	$42.32	$17.95
71046 X-ray of chest, 2 views	79	36	$26.82	$16.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	644	175	$201.00	$128.14
36415 Insertion of needle into vein for collection of blood sample	350	150	$20.00	$3.00
73630 X-ray of foot, minimum of 3 views	112	44	$41.41	$16.96
71046 X-ray of chest, 2 views	110	51	$27.60	$15.73
G0008 Administration of influenza virus vaccine	64	64	$37.00	$16.21
99213 Established patient office or other outpatient visit, typically 15 minutes	62	49	$135.00	$90.36
90662 Influenza vaccine split virus, preservative free	58	58	$51.00	$51.00
G0009 Administration of pneumococcal vaccine	41	40	$37.00	$16.20
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	38	38	$145.00	$123.71
70551 Mri scan of brain without contrast	23	12	$895.00	$109.09
0003A Adm sarscov2 30mcg/0.3ml 3rd	17	17	$120.00	$38.01
83036 Hemoglobin A1C level	17	13	$34.00	$9.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$313.00	$166.87
81003 Automated urinalysis test	17	12	$8.00	$2.25
99495 Transitional care management services for problem of at least moderate complexity	12	11	$315.00	$202.17
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	11	11	$75.00	$35.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	619	199	$201.00	$107.66
36415 Insertion of needle into vein for collection of blood sample	406	171	$20.00	$2.98
85610 Blood test, clotting time	94	15	$14.00	$4.26
G0009 Administration of pneumococcal vaccine	93	91	$37.00	$16.02
71046 X-ray of chest, 2 views	84	41	$29.54	$15.93
G0008 Administration of influenza virus vaccine	72	70	$37.00	$16.15
90670 Pneumococcal vaccine for injection into muscle	68	67	$267.00	$219.52
90662 Influenza vaccine split virus, preservative free	66	64	$51.00	$50.95
73630 X-ray of foot, minimum of 3 views	57	27	$43.81	$17.92
80048 Blood test, basic group of blood chemicals (calcium, total)	51	47	$30.00	$8.29
80061 Blood test, lipids (cholesterol and triglycerides)	48	46	$47.00	$13.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	36	$271.00	$143.03
99213 Established patient office or other outpatient visit, typically 15 minutes	38	31	$135.00	$73.95
83036 Hemoglobin A1C level	31	29	$34.00	$9.53
72100 X-ray of lower and sacral spine, 2-3 views	26	12	$56.58	$17.55
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$145.00	$117.68
84443 Blood test, thyroid stimulating hormone (TSH)	22	22	$59.00	$16.46
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	19	19	$23.00	$6.34
80053 Blood test, comprehensive group of blood chemicals	17	17	$37.00	$10.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$313.00	$163.44
81003 Automated urinalysis test	14	13	$8.00	$2.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	354	136	$233.00	$103.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	189	98	$158.00	$72.44
99239 Hospital discharge day management, more than 30 minutes	103	99	$232.00	$103.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	80	77	$392.00	$200.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	450	165	$158.00	$72.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	193	98	$233.00	$103.21
99239 Hospital discharge day management, more than 30 minutes	112	104	$232.00	$105.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	74	$392.00	$200.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$320.00	$135.68
99238 Hospital discharge day management, 30 minutes or less	11	11	$185.00	$71.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	313	141	$233.00	$102.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	227	103	$158.00	$71.08
99239 Hospital discharge day management, more than 30 minutes	92	90	$232.00	$105.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	70	$392.00	$199.92
99291 Critical care, first 30-74 minutes	24	20	$739.00	$222.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$320.00	$135.19

Medical Specialties & State Licenses

CMS Verified: 2024-10-23

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036107283

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036107283 (IL)

Hospital & Practice Group Affiliations

Central Counties Health Centers, Inc.

2239 E Cook St, Springfield, IL 627031944

Phone: 21778823002307

Central Counties Health Centers, Inc.

2239 E Cook St, Springfield, IL 627031944

Practice Associates & Co-Workers

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

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Career & Practice History Timeline

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

10 Historical Events

📍

Updated Business Mailing Address October 23, 2024

Registered at 2239 E COOK ST, SPRINGFIELD, IL 627031944 (Tel: 2177882300)

📍

Updated Practice Location July 05, 2022

Registered at 2239 E COOK ST, SPRINGFIELD, IL 627031944 (Tel: 2177882300)

📍

Updated Practice Location December 09, 2019

Registered at 1745 W WALNUT ST, JACKSONVILLE, IL 626506126 (Tel: 2172436454)

📍

Updated Business Mailing Address December 09, 2019

Registered at 1745 W WALNUT ST, JACKSONVILLE, IL 626506126 (Tel: 2172436454)

✅

NPI Profile Active June 22, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location June 22, 2009

Registered at 751 N RUTLEDGE ST, ROOM 1700, SPRINGFIELD, IL 627024909 (Tel: 2175450182)

📍

Updated Business Mailing Address June 22, 2009

Registered at PO BOX 19636, SPRINGFIELD, IL 627949636 (Tel: 2175450182)

👤

Provider Name / Credentials Updated June 22, 2009

Recorded as EDGARD CUMPA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2009

Internal Medicine (License #036107283 in IL)

🟢

Initial NPI Registration & Enumeration October 12, 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: 1497743488

Entity Type:

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

Enumeration Date: October 12, 2005

Last Update: October 23, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2239 E Cook St

Springfield, IL 627031944

Phone: 2177882300

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.