Active NPI 1215985213 Individual Practitioner Male Practitioner

Dr. Robert David Cummiskey , MD

Surgery • Marrero, LA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Cummiskey, MD is a certified Surgery practicing in Marrero, LA. With approximately 32 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 1994, Dr. Cummiskey delivers high-quality medical care to the local community at 1200 AVENUE G.

Dr. Cummiskey is affiliated with Southern Surgical Specialists, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 Avenue G

Marrero, LA 700723765

Telephone 5043496713

Fax 5043496733

Associated Practice Facility / Clinic

🏢 Gulf Coast Medical Management Facility NPI 1225200298

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Marrero, LA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +7.2 yrs vs City Avg

City Avg: 24.8 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Marrero, LA (474 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cummiskey (32 Years) 32 Yrs

Marrero Specialty Average (24.8 Years) 24.8 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
99213 Established patient office or other outpatient visit, typically 15 minutes	48	29	$176.56	$86.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	17	$240.00	$114.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$320.00	$120.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$390.00	$156.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$250.00	$116.59

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	71	27	$240.00	$117.26
99213 Established patient office or other outpatient visit, typically 15 minutes	31	21	$175.00	$87.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$320.00	$128.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$390.00	$162.49

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	42	15	$240.00	$101.55
99213 Established patient office or other outpatient visit, typically 15 minutes	38	25	$175.00	$89.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$319.12	$135.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$390.00	$167.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	40	$175.00	$91.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	18	$240.00	$103.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	16	$165.00	$72.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$320.00	$137.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$390.00	$168.97

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	71	28	$240.00	$104.49
99213 Established patient office or other outpatient visit, typically 15 minutes	64	42	$175.00	$74.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	16	$165.00	$73.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	23	$320.00	$141.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$390.00	$154.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	52	$175.00	$73.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	64	38	$240.00	$104.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$320.00	$137.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$390.00	$164.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$165.00	$73.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$475.00	$192.28
47562 Removal of gallbladder using an endoscope	11	11	$1701.82	$481.49

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	148	45	$240.00	$101.02
99213 Established patient office or other outpatient visit, typically 15 minutes	73	45	$175.00	$69.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	44	$320.00	$137.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$390.00	$164.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$257.37	$107.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$475.00	$204.22

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	117	49	$240.00	$105.11
99213 Established patient office or other outpatient visit, typically 15 minutes	82	52	$176.32	$71.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	30	$165.00	$72.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	54	$320.00	$138.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$390.57	$160.73
47562 Removal of gallbladder using an endoscope	17	17	$1722.35	$469.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$253.55	$106.75

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License LA 022089

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1675181 (LA)

Medicaid State Provider ID

09255751 (MS)

Hospital & Practice Group Affiliations

Southern Surgical Specialists, Llc

1151 Barataria Blvd, Marrero, LA 700723084

Phone: 5043496713

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Malachi Sheahan, Iii , MD

Surgery - Vascular Surgery

NPI 1093726515

Doctor of Medicine (M.D.)

Dr. Sarah Baker , MD

Colon & Rectal Surgery

NPI 1134482706

Doctor of Medicine (M.D.)

Dr. Charles Thomas , MD

Surgery

NPI 1326043084

Doctor of Medicine (M.D.)

Dr. Frank Divincenti , MD

Surgery

NPI 1508861642

Doctor of Medicine (M.D.)

Jayme Boudreaux , NP

Nurse Practitioner - Family

NPI 1598010589

Nurse Practitioner

Dr. Robert Batson , MD

Surgery - Vascular Surgery

NPI 1790780823

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 July 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2016

Registered at 1200 AVENUE G, MARRERO, LA 700723765 (Tel: 5043496713)

📍

Updated Business Mailing Address July 08, 2016

Registered at 1200 AVENUE G, MARRERO, LA 700723765 (Tel: 5048340626)

👤

Provider Name / Credentials Updated July 08, 2016

Recorded as ROBERT CUMMISKEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2016

Surgery (License #022089 in LA)

🟢

Initial NPI Registration & Enumeration May 04, 2006

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: 1215985213

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: July 08, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1200 Avenue G

Marrero, LA 700723765

Phone: 5048340626

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.