Active NPI 1235225111 Individual Practitioner Male Practitioner

Dr. George William Cummings Iii , DO

Surgery • Roaring Spring, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. George Cummings Iii, DO is a certified Surgery practicing in Roaring Spring, PA. With approximately 27 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 1999, Dr. Cummings Iii delivers high-quality medical care to the local community at 102 HILLCREST DRIVE.

Dr. Cummings Iii is affiliated with Dlp Conemaugh Physician Practices 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, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

102 Hillcrest Drive

Roaring Spring, PA 166731210

Telephone 8142242215

Fax 8142242011

Associated Practice Facility / Clinic

🏢 Cove Surgical Associates Ltd Facility NPI 1154451334

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Roaring Spring, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -12.0 yrs vs City Avg

City Avg: 39.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Roaring Spring, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cummings Iii (27 Years) 27 Yrs

Roaring Spring Specialty Average (39.0 Years) 39.0 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	164	123	$142.00	$85.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	61	$84.00	$53.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	21	$143.00	$74.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	47	$211.26	$121.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	49	48	$665.00	$80.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$211.00	$105.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$322.00	$158.76
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	31	31	$736.00	$165.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$271.00	$123.76
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	28	28	$835.00	$232.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	13	$401.00	$155.37
45380 Biopsy of large bowel using an endoscope	16	16	$790.00	$186.73
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$735.00	$165.79
47562 Removal of gallbladder using an endoscope	12	12	$1332.00	$628.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	136	34	$142.00	$64.19
99213 Established patient office or other outpatient visit, typically 15 minutes	110	87	$142.00	$86.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	77	$209.00	$121.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	58	$84.00	$54.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$211.00	$108.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$322.00	$161.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	26	$143.00	$77.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	43	$271.00	$126.82
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	41	41	$665.00	$78.39
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$735.00	$173.44
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$835.00	$244.16
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$736.00	$177.61
47562 Removal of gallbladder using an endoscope	16	16	$1332.00	$663.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	12	$78.00	$48.42
43249 Balloon dilation of esophagus using an endoscope	12	12	$1945.00	$147.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$401.00	$169.07
45380 Biopsy of large bowel using an endoscope	12	12	$790.00	$133.75
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	11	11	$878.00	$202.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	138	$144.89	$88.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$214.86	$109.70
99213 Established patient office or other outpatient visit, typically 15 minutes	109	32	$71.68	$66.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	59	$217.77	$124.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	58	32	$128.28	$38.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	40	$2078.22	$85.07
99221 Initial hospital inpatient care per day, typically 30 minutes	31	29	$184.55	$98.41
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	31	31	$613.16	$183.00
11042 Removal of skin and tissue, 20.0 sq cm or less	30	14	$164.80	$58.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$84.00	$55.48
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	20	20	$1400.00	$199.18
45380 Biopsy of large bowel using an endoscope	18	18	$1426.56	$177.50
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$1504.38	$251.87
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$820.69	$182.19
47562 Removal of gallbladder using an endoscope	12	12	$3152.75	$662.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$142.82	$82.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	167	167	$215.00	$110.36
99213 Established patient office or other outpatient visit, typically 15 minutes	166	132	$145.00	$89.78
99213 Established patient office or other outpatient visit, typically 15 minutes	164	43	$69.00	$67.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	66	$220.00	$127.19
99221 Initial hospital inpatient care per day, typically 30 minutes	45	39	$184.00	$99.63
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	39	39	$2378.00	$97.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	30	$132.00	$37.91
11042 Removal of skin and tissue, 20.0 sq cm or less	38	11	$158.00	$60.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	29	$84.00	$55.29
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	27	25	$1400.00	$227.25
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$834.00	$173.82
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$583.33	$185.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$86.00	$83.18
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$1600.00	$253.24
47562 Removal of gallbladder using an endoscope	14	14	$3174.00	$664.00
45380 Biopsy of large bowel using an endoscope	11	11	$1500.00	$200.31
49650 Repair of groin hernia using an endoscope	11	11	$1854.55	$457.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	223	46	$69.00	$51.62
99213 Established patient office or other outpatient visit, typically 15 minutes	121	92	$145.00	$74.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$215.00	$105.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	82	$220.00	$107.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	95	59	$132.00	$39.62
99221 Initial hospital inpatient care per day, typically 30 minutes	36	32	$184.00	$103.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$252.00	$138.87
45380 Biopsy of large bowel using an endoscope	21	20	$1500.00	$205.62
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$2378.00	$112.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$84.00	$44.81
47562 Removal of gallbladder using an endoscope	18	18	$3174.00	$661.97
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$834.00	$175.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$86.00	$72.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	132	43	$69.00	$50.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	108	$220.00	$106.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$215.00	$106.02
99213 Established patient office or other outpatient visit, typically 15 minutes	109	94	$145.00	$72.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	76	52	$132.00	$38.88
11042 Removal of skin and tissue, 20.0 sq cm or less	23	13	$158.00	$62.00
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$834.00	$191.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$40.00	$25.48
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$2378.00	$119.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$84.00	$44.01
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	18	18	$1400.00	$215.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$252.00	$136.70
47562 Removal of gallbladder using an endoscope	16	16	$3471.56	$678.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$86.00	$71.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	144	50	$40.00	$24.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	102	$147.95	$103.11
99213 Established patient office or other outpatient visit, typically 15 minutes	115	93	$113.23	$70.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$159.20	$101.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	29	$132.00	$38.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	38	$2378.00	$110.34
11042 Removal of skin and tissue, 20.0 sq cm or less	37	17	$158.00	$61.72
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$69.00	$50.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$84.00	$41.99
47562 Removal of gallbladder using an endoscope	24	24	$3306.25	$666.28
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$834.00	$189.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$233.95	$154.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	12	$252.00	$135.11
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$600.00	$188.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$304.00	$200.07
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	12	12	$1400.00	$234.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	155	41	$40.00	$24.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	102	$142.00	$103.36
99213 Established patient office or other outpatient visit, typically 15 minutes	115	92	$103.00	$69.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$153.00	$102.35
99213 Established patient office or other outpatient visit, typically 15 minutes	49	35	$69.00	$48.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	33	$132.00	$38.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$252.00	$134.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	21	$84.00	$41.83
11042 Removal of skin and tissue, 20.0 sq cm or less	28	18	$158.00	$61.04
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$2378.00	$99.26
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	27	27	$1400.00	$232.51
45378 Diagnostic exam of large bowel using a flexible endoscope	22	22	$834.00	$183.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$304.00	$198.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$207.00	$159.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$86.00	$75.35
47562 Removal of gallbladder using an endoscope	14	14	$3514.07	$672.57

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA OS013019

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

1010208980001 (PA)

Hospital & Practice Group Affiliations

Dlp Conemaugh Physician Practices Llc

111 Nason Dr, Roaring Spring, PA 166731212

Phone: 8145349194

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Howard Black , MD

Surgery

NPI 1215047626

Doctor of Medicine (M.D.)

Dr. Stephen Schmidt , MD

Surgery

NPI 1295760478

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, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 102 HILLCREST DRIVE, ROARING SPRING, PA 166731210 (Tel: 8142242215)

📍

Updated Business Mailing Address July 08, 2007

Registered at 102 HILLCREST DRIVE, P.O. BOX 253, ROARING SPRING, PA 166731210 (Tel: 8142242215)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as GEORGE CUMMINGS III, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #OS013019 in PA)

🟢

Initial NPI Registration & Enumeration October 05, 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: 1235225111

Entity Type:

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

Enumeration Date: October 05, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

102 Hillcrest Drive, P.o. Box 253

Roaring Spring, PA 166731210

Phone: 8142242215

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.