Active NPI 1265483184 Individual Practitioner Male Practitioner

Dr. William T Cummins , MD

Surgery • Abingdon, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Cummins, MD is a certified Surgery practicing in Abingdon, VA. With approximately 28 years of clinical experience since graduating from East Tennessee State University Quillen College Of Medicine in 1998, Dr. Cummins delivers high-quality medical care to the local community at 16000 JOHNSTON MEMORIAL DR.

Dr. Cummins is affiliated with Abingdon Physician Partners and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic exam of large bowel using a flexible endoscope, diagnostic exam 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

16000 Johnston Memorial Dr
Suite 101

Abingdon, VA 242117659

Telephone 2762581777

Fax 2762581778

Associated Practice Facility / Clinic

🏢 Johnston Memorial Hospital, Inc Facility NPI 1104812684

Medicare Profile & Education

Medical School

East Tennessee State University Quillen College Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Abingdon, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +4.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

7 Specialists

Practicing in Abingdon, VA (909 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cummins (28 Years) 28 Yrs

Abingdon Specialty Average (24.0 Years) 24.0 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	44	40	$203.00	$87.79
45378 Diagnostic exam of large bowel using a flexible endoscope	39	39	$419.77	$170.08
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	31	$279.58	$82.24
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	31	$314.81	$90.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$283.48	$119.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$392.31	$163.97
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	21	21	$512.00	$209.31
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$416.00	$176.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$301.70	$126.34
45380 Biopsy of large bowel using an endoscope	19	19	$456.79	$187.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$131.71	$55.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$260.13	$109.13
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	14	$416.00	$177.83
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$750.86	$296.00
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$578.92	$243.24
47562 Removal of gallbladder using an endoscope	12	12	$1510.92	$613.81
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$41.00	$17.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	55	52	$193.00	$87.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	27	$167.27	$78.08
45378 Diagnostic exam of large bowel using a flexible endoscope	32	31	$404.63	$165.87
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	30	$301.03	$85.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$274.61	$120.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$244.89	$110.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$364.63	$159.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$293.15	$128.34
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$267.18	$96.76
45380 Biopsy of large bowel using an endoscope	17	17	$437.65	$169.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$122.38	$56.12
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$205.60	$81.77
47562 Removal of gallbladder using an endoscope	14	14	$1432.71	$649.80
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$404.86	$180.03
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	13	13	$497.69	$221.67
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$406.00	$172.84
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$558.09	$247.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	92	84	$188.76	$90.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	30	$148.36	$69.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	45	$266.09	$124.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	43	38	$283.53	$100.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$345.02	$165.76
45378 Diagnostic exam of large bowel using a flexible endoscope	37	37	$379.30	$174.79
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	23	$254.32	$97.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$280.84	$126.67
45380 Biopsy of large bowel using an endoscope	23	23	$412.70	$197.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$232.27	$113.22
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	16	16	$465.38	$211.63
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$208.00	$100.22
47562 Removal of gallbladder using an endoscope	15	15	$1358.60	$676.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$115.77	$57.28
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$685.83	$331.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	68	62	$165.35	$92.90
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	39	38	$293.92	$101.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	37	$243.66	$128.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$346.97	$166.32
45378 Diagnostic exam of large bowel using a flexible endoscope	29	28	$391.31	$177.45
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	26	$254.89	$101.08
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	15	$535.00	$250.85
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	15	15	$486.67	$232.09
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$379.50	$189.71
45380 Biopsy of large bowel using an endoscope	14	13	$429.07	$150.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$105.46	$54.77
47562 Removal of gallbladder using an endoscope	13	13	$1372.54	$584.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	67	$158.00	$73.69
45378 Diagnostic exam of large bowel using a flexible endoscope	34	33	$496.29	$189.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	27	$233.00	$108.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	28	$469.63	$104.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	25	$95.00	$46.24
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$376.91	$101.15
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	18	18	$502.00	$237.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$233.53	$104.97
47562 Removal of gallbladder using an endoscope	12	12	$1403.00	$642.49
45380 Biopsy of large bowel using an endoscope	11	11	$561.09	$173.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	90	74	$153.87	$72.67
45378 Diagnostic exam of large bowel using a flexible endoscope	51	51	$805.94	$192.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	42	$79.35	$44.84
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	33	$776.40	$99.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$230.94	$104.03
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	20	$649.27	$106.92
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$1324.82	$240.32
47562 Removal of gallbladder using an endoscope	19	19	$1889.32	$674.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$218.24	$108.46
45380 Biopsy of large bowel using an endoscope	15	15	$1222.67	$183.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$350.38	$155.16
49568 Placement of mesh to repair incisional or abdominal hernia	13	12	$586.54	$274.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	85	$147.42	$71.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	43	$73.26	$43.51
45378 Diagnostic exam of large bowel using a flexible endoscope	45	45	$864.80	$182.61
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	38	$758.80	$98.22
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	33	$674.80	$111.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	30	$223.89	$100.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$340.23	$163.42
47562 Removal of gallbladder using an endoscope	21	21	$2003.71	$631.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$89.29	$38.98
45380 Biopsy of large bowel using an endoscope	13	13	$1244.62	$177.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$204.00	$107.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	133	106	$146.29	$70.55
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	70	62	$750.00	$110.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	56	$70.13	$42.97
45378 Diagnostic exam of large bowel using a flexible endoscope	59	58	$856.00	$183.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	35	$219.00	$102.00
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	34	32	$670.00	$109.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$181.90	$101.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$336.00	$161.73
47562 Removal of gallbladder using an endoscope	26	26	$1980.00	$657.16
45380 Biopsy of large bowel using an endoscope	17	17	$1225.00	$182.87
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$2720.00	$341.54
49505 Repair of groin hernia (5 years or older)	11	11	$1042.00	$566.81

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101241143

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License TN MD37429

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1265483184 (VA)

Medicaid State Provider ID

3885348 (TN)

Commercial Insurance / Payer ID Railroad Medicare

P00408045 (VA)

Hospital & Practice Group Affiliations

Abingdon Physician Partners

16000 Johnson Memorial Dr, Abingdon, VA 242117664

Abingdon Physician Partners

1205 Snider St, Marion, VA 243544221

Phone: 2762581777

Abingdon Physician Partners

613 Campus Dr, Abingdon, VA 242109703

Phone: 2766281186

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. David Smith , MD

Surgery

NPI 1033190905

Doctor of Medicine (M.D.)

Mckenzie Burke , APRN, FNP-BC

Nurse Practitioner - Family

NPI 1154041853

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Kimberly Boyd , ARPN, FNP-C

Nurse Practitioner - Family

NPI 1356972954

ARPN, Family Nurse Practitioner (Certified)

Christy Herndon , NP

Nurse Practitioner - Family

NPI 1366820508

Nurse Practitioner

Scott Hunter , PA-C

Physician Assistant - Surgical

NPI 1376577494

Physician Assistant (Certified)

Catrina Ratliff , FNP

Nurse Practitioner - Family

NPI 1558350322

Family Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 01, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 01, 2017

Registered at 16000 JOHNSTON MEMORIAL DR, SUITE 101, ABINGDON, VA 242117659 (Tel: 2762581777)

📍

Updated Business Mailing Address February 01, 2017

Registered at 16000 JOHNSTON MEMORIAL DR, SUITE 101, ABINGDON, VA 242117659 (Tel: 2762581777)

👤

Provider Name / Credentials Updated February 01, 2017

Recorded as WILLIAM CUMMINS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2017

Surgery (License #0101241143 in VA)

✅

NPI Profile Active May 17, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 17, 2012

Registered at 16000 JOHNSTON MEMORIAL DR, SUITE 101, ABINGDON, VA 242117659 (Tel: 2762581777)

📍

Updated Business Mailing Address May 17, 2012

Registered at 16000 JOHNSTON MEMORIAL DR, SUITE 101, ABINGDON, VA 242117659 (Tel: 2762581777)

👤

Provider Name / Credentials Updated May 17, 2012

Recorded as WILLIAM CUMMINS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2012

Surgery (License #MD37429 in TN)

🟢

Initial NPI Registration & Enumeration May 15, 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: 1265483184

Entity Type:

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

Enumeration Date: May 15, 2006

Last Update: February 01, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

16000 Johnston Memorial Dr, Suite 101

Abingdon, VA 242117659

Phone: 2762581777

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.