Active NPI 1306887971 Individual Practitioner Male Practitioner

Robert W. Cummings , PA-C

Physician Assistant • Oak Ridge, TN

Professional Overview & Biography Verified Profile Summary

Robert Cummings, PA-C is a registered healthcare professional specializing in Physician Assistant in Oak Ridge, TN. Practice services are available at 990 OAK RIDGE TPKE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

990 Oak Ridge Tpke

Oak Ridge, TN 378306976

Telephone 8654811000

Associated Practice Facility / Clinic

🏢 Covenant Anesthesia Group, Pc Facility NPI 1639148117

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Oak Ridge, TN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.2 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

39 Specialists

Practicing in Oak Ridge, TN (3096 Statewide)

Telehealth Adoption Rate

5.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

91.5% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	133	133	$1614.82	$136.70
99284 Emergency department visit with moderate level of medical decision making	92	92	$1098.47	$94.42
99283 Emergency department visit with low level of medical decision making	24	24	$658.00	$55.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	119	117	$1113.53	$95.69
99285 Emergency department visit for life threatening or functioning severity	96	96	$1617.02	$138.55
99283 Emergency department visit with low level of medical decision making	22	22	$682.32	$56.90
99291 Critical care, first 30-74 minutes	14	14	$1820.29	$168.93
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	14	14	$365.57	$34.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	82	82	$1086.27	$97.24
99283 Emergency department visit with low level of medical decision making	78	75	$687.91	$57.60
99285 Emergency department visit for life threatening or functioning severity	70	70	$1574.06	$138.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	81	81	$1052.07	$98.92
99285 Emergency department visit for life threatening or functioning severity	69	69	$1529.00	$146.36
99283 Emergency department visit with low level of medical decision making	44	44	$686.80	$59.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	107	106	$1478.44	$141.51
99284 Emergency department visit with moderate level of medical decision making	79	78	$1021.32	$97.39
99283 Emergency department visit with low level of medical decision making	43	42	$653.44	$53.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	199	191	$1379.48	$140.40
99284 Emergency department visit with moderate level of medical decision making	110	108	$934.02	$95.39
99283 Emergency department visit with low level of medical decision making	52	51	$617.83	$50.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	164	158	$1317.03	$139.80
99284 Emergency department visit with moderate level of medical decision making	139	137	$888.81	$94.08
99283 Emergency department visit with low level of medical decision making	86	84	$588.20	$49.78
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	25	25	$334.04	$33.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	110	108	$888.28	$94.63
99285 Emergency department visit for life threatening or functioning severity	108	108	$1303.30	$139.93
99283 Emergency department visit with low level of medical decision making	60	56	$568.03	$49.99

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TN 00782

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 Blue Cross

4013052 (TN)

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Helen Bidawid , MD

Internal Medicine

NPI 1114968856

Doctor of Medicine (M.D.)

Dr. James Eppert , MD

Emergency Medicine

NPI 1184752024

Doctor of Medicine (M.D.)

Dr. Srini Eranki , MD

Internal Medicine

NPI 1205873007

Doctor of Medicine (M.D.)

Dr. Nawras Baban , MD

Internal Medicine

NPI 1225075021

Doctor of Medicine (M.D.)

Dr. Harry Ogden , MD

Emergency Medicine

NPI 1376580282

Doctor of Medicine (M.D.)

Dr. Jeffrey Zurosky , MD

Emergency Medicine

NPI 1508813700

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 29, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 29, 2007

Registered at 990 OAK RIDGE TPKE, OAK RIDGE, TN 378306976 (Tel: 8654811000)

📍

Updated Business Mailing Address November 29, 2007

Registered at PO BOX 634760, CINCINNATI, OH 452630001

👤

Provider Name / Credentials Updated November 29, 2007

Recorded as ROBERT CUMMINGS, P.A.-C.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2007

Physician Assistant (License #00782 in TN)

🟢

Initial NPI Registration & Enumeration June 08, 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: 1306887971

Entity Type:

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

Enumeration Date: June 08, 2006

Last Update: November 29, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 634760

Cincinnati, OH 452630001

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.