Active NPI 1356370720 Individual Practitioner Male Practitioner

Dr. Joel D Cummings , MD

Orthopaedic Surgery • Wenatchee, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joel Cummings, MD is a certified Orthopaedic Surgery practicing in Wenatchee, WA. With approximately 27 years of clinical experience since graduating from University Of Washington School Of Medicine in 1999, Dr. Cummings delivers high-quality medical care to the local community at 820 N CHELAN AVE.

Dr. Cummings is affiliated with Central Washington Health Services Association and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, x-ray of hip, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

820 N Chelan Ave

Wenatchee, WA 988012028

Telephone 5096638711

Associated Practice Facility / Clinic

🏢 Wenatchee Clinic Pharmacy Facility NPI 1104901495

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Wenatchee, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -5.1 yrs vs City Avg

City Avg: 32.1 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

14 Specialists

Practicing in Wenatchee, WA (707 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cummings (27 Years) 27 Yrs

Wenatchee Specialty Average (32.1 Years) 32.1 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
J1010 Injection, methylprednisolone acetate, 1 mg	1,160	12	$0.79	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	262	234	$235.99	$70.20
73502 X-ray of hip, 2-3 views	220	168	$65.95	$19.71
73551 X-ray of thigh bone, 1 view	220	137	$55.13	$15.86
73564 X-ray of knee, 4 or more views	204	168	$68.67	$20.94
73562 X-ray of knee, 3 views	167	144	$65.57	$18.39
27447 Replacement of knee joint, both sides of knee	111	104	$4176.00	$1227.83
20610 Aspiration and/or injection of fluid from large joint	107	87	$181.27	$53.60
27130 Replacement of thigh bone and hip joint with prosthesis	77	73	$4193.57	$1259.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$303.38	$88.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$349.37	$103.94
73560 X-ray of knee, 1-2 views	28	27	$26.00	$7.86
73551 X-ray of thigh bone, 1 view	22	16	$26.00	$7.91
73502 X-ray of hip, 2-3 views	20	20	$36.00	$10.54
73560 X-ray of knee, 1-2 views	20	19	$43.60	$12.32
72170 X-ray of pelvis, 1-2 views	19	18	$27.00	$8.23
73562 X-ray of knee, 3 views	19	18	$30.00	$8.90
73564 X-ray of knee, 4 or more views	17	12	$36.00	$10.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$150.50	$45.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73551 X-ray of thigh bone, 1 view	324	182	$48.72	$15.42
73564 X-ray of knee, 4 or more views	268	223	$67.60	$21.43
73502 X-ray of hip, 2-3 views	209	151	$70.63	$22.47
73562 X-ray of knee, 3 views	204	179	$62.00	$19.15
99213 Established patient office or other outpatient visit, typically 15 minutes	180	164	$228.10	$72.23
27447 Replacement of knee joint, both sides of knee	170	154	$4141.14	$1265.33
20610 Aspiration and/or injection of fluid from large joint	94	75	$178.89	$54.40
73560 X-ray of knee, 1-2 views	86	81	$25.00	$8.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	75	$309.58	$100.14
27130 Replacement of thigh bone and hip joint with prosthesis	66	64	$4134.00	$1289.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$293.92	$92.22
J1030 Injection, methylprednisolone acetate, 40 mg	47	18	$29.52	$7.31
72170 X-ray of pelvis, 1-2 views	35	30	$26.00	$8.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$421.00	$135.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	22	$128.50	$40.01
73560 X-ray of knee, 1-2 views	21	17	$45.00	$14.70
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	13	13	$511.00	$133.82
73521 X-ray of both hips, 2 views	11	11	$60.73	$19.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73502 X-ray of hip, 2-3 views	180	130	$32.00	$11.08
73564 X-ray of knee, 4 or more views	169	132	$32.00	$11.07
73551 X-ray of thigh bone, 1 view	148	83	$24.00	$8.28
99213 Established patient office or other outpatient visit, typically 15 minutes	126	110	$195.00	$67.09
27447 Replacement of knee joint, both sides of knee	126	115	$3774.77	$1265.71
73562 X-ray of knee, 3 views	122	106	$27.00	$9.32
73564 X-ray of knee, 4 or more views	121	99	$120.51	$42.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	92	$288.98	$98.64
20610 Aspiration and/or injection of fluid from large joint	84	73	$149.49	$49.65
73551 X-ray of thigh bone, 1 view	81	51	$81.56	$27.45
73560 X-ray of knee, 1-2 views	73	61	$24.00	$8.06
73502 X-ray of hip, 2-3 views	70	58	$122.19	$40.35
J1030 Injection, methylprednisolone acetate, 40 mg	65	26	$29.52	$6.28
99213 Established patient office or other outpatient visit, typically 15 minutes	61	58	$256.38	$86.30
27130 Replacement of thigh bone and hip joint with prosthesis	57	56	$3808.77	$1293.20
20610 Aspiration and/or injection of fluid from large joint	35	33	$195.01	$67.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$242.00	$83.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$370.73	$124.04
73562 X-ray of knee, 3 views	33	30	$108.73	$34.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	21	$104.00	$36.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$394.00	$135.39
72170 X-ray of pelvis, 1-2 views	23	20	$25.00	$8.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$318.95	$110.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$483.14	$152.61
73521 X-ray of both hips, 2 views	13	11	$32.00	$11.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73502 X-ray of hip, 2-3 views	203	154	$33.00	$11.25
73564 X-ray of knee, 4 or more views	200	168	$33.00	$11.24
99213 Established patient office or other outpatient visit, typically 15 minutes	154	140	$151.00	$68.13
73551 X-ray of thigh bone, 1 view	142	90	$25.00	$8.41
73562 X-ray of knee, 3 views	119	103	$28.00	$9.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	105	$289.57	$100.06
20610 Aspiration and/or injection of fluid from large joint	99	85	$152.08	$50.70
27447 Replacement of knee joint, both sides of knee	86	82	$4041.00	$1297.28
73560 X-ray of knee, 1-2 views	67	65	$25.00	$8.42
27130 Replacement of thigh bone and hip joint with prosthesis	58	54	$4101.81	$1296.66
73564 X-ray of knee, 4 or more views	57	45	$130.00	$46.82
73551 X-ray of thigh bone, 1 view	53	34	$86.00	$30.03
J1030 Injection, methylprednisolone acetate, 40 mg	51	19	$29.52	$5.60
99213 Established patient office or other outpatient visit, typically 15 minutes	48	42	$221.00	$89.81
73502 X-ray of hip, 2-3 views	47	38	$134.00	$46.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$224.00	$84.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$383.09	$137.28
72170 X-ray of pelvis, 1-2 views	29	23	$26.00	$8.78
73562 X-ray of knee, 3 views	27	26	$116.00	$41.87
20610 Aspiration and/or injection of fluid from large joint	25	23	$193.52	$75.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$320.00	$131.99
73521 X-ray of both hips, 2 views	19	19	$33.00	$11.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$75.00	$36.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$482.00	$170.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$316.00	$109.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	206	177	$90.48	$52.30
73502 X-ray of hip, 2-3 views	155	117	$29.00	$11.62
73564 X-ray of knee, 4 or more views	154	127	$37.00	$11.62
73551 X-ray of thigh bone, 1 view	119	80	$22.00	$8.70
73562 X-ray of knee, 3 views	110	90	$32.00	$9.79
27447 Replacement of knee joint, both sides of knee	95	90	$3627.10	$1375.94
20610 Aspiration and/or injection of fluid from large joint	80	65	$78.02	$49.58
73564 X-ray of knee, 4 or more views	67	53	$272.75	$40.60
73551 X-ray of thigh bone, 1 view	66	43	$147.08	$28.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$132.00	$77.33
73560 X-ray of knee, 1-2 views	53	48	$30.00	$8.72
J1030 Injection, methylprednisolone acetate, 40 mg	52	20	$29.38	$5.54
27130 Replacement of thigh bone and hip joint with prosthesis	51	49	$3646.40	$1353.55
73502 X-ray of hip, 2-3 views	46	29	$151.43	$40.92
99213 Established patient office or other outpatient visit, typically 15 minutes	42	34	$189.00	$73.31
73562 X-ray of knee, 3 views	40	35	$155.82	$37.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$280.00	$110.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	22	$45.00	$26.24
20610 Aspiration and/or injection of fluid from large joint	27	25	$181.41	$73.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$145.09	$78.44
72170 X-ray of pelvis, 1-2 views	23	20	$30.00	$8.87
73030 X-ray of shoulder, minimum of 2 views	15	13	$32.00	$9.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$279.00	$96.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$113.00	$42.68
73521 X-ray of both hips, 2 views	11	11	$30.00	$11.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	226	204	$90.44	$51.76
73502 X-ray of hip, 2-3 views	199	139	$29.00	$11.51
73564 X-ray of knee, 4 or more views	160	133	$37.00	$11.51
73551 X-ray of thigh bone, 1 view	157	100	$22.00	$8.63
73562 X-ray of knee, 3 views	145	115	$32.00	$9.72
20610 Aspiration and/or injection of fluid from large joint	108	86	$83.58	$50.75
27447 Replacement of knee joint, both sides of knee	106	102	$3625.33	$1363.67
27130 Replacement of thigh bone and hip joint with prosthesis	63	61	$3639.66	$1393.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$134.55	$77.14
73560 X-ray of knee, 1-2 views	52	49	$30.00	$8.54
73564 X-ray of knee, 4 or more views	47	37	$274.83	$40.72
73502 X-ray of hip, 2-3 views	46	35	$148.65	$40.80
73551 X-ray of thigh bone, 1 view	43	28	$143.09	$26.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	26	$45.00	$25.86
99213 Established patient office or other outpatient visit, typically 15 minutes	35	33	$189.00	$73.25
73562 X-ray of knee, 3 views	34	30	$159.00	$36.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$275.65	$107.71
20610 Aspiration and/or injection of fluid from large joint	32	24	$184.97	$70.46
J1040 Injection, methylprednisolone acetate, 80 mg	24	14	$50.98	$11.74
73030 X-ray of shoulder, minimum of 2 views	21	18	$32.00	$9.72
72170 X-ray of pelvis, 1-2 views	18	15	$30.00	$8.99
73521 X-ray of both hips, 2 views	15	15	$30.00	$11.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$139.00	$79.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	187	174	$87.77	$51.39
73502 X-ray of hip, 2-3 views	172	124	$28.68	$11.36
73564 X-ray of knee, 4 or more views	169	136	$36.42	$11.37
73562 X-ray of knee, 3 views	131	103	$31.06	$9.58
73551 X-ray of thigh bone, 1 view	121	83	$21.51	$8.50
20610 Aspiration and/or injection of fluid from large joint	95	76	$81.47	$50.11
27447 Replacement of knee joint, both sides of knee	94	84	$3521.48	$1356.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$128.48	$76.82
99213 Established patient office or other outpatient visit, typically 15 minutes	73	59	$192.91	$71.66
73564 X-ray of knee, 4 or more views	67	53	$273.42	$37.93
27130 Replacement of thigh bone and hip joint with prosthesis	57	54	$3523.29	$1364.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$273.25	$103.37
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	52	11	$6.67	$1.82
73502 X-ray of hip, 2-3 views	45	33	$147.17	$37.90
73030 X-ray of shoulder, minimum of 2 views	42	38	$31.06	$9.60
20610 Aspiration and/or injection of fluid from large joint	38	32	$202.36	$65.06
73562 X-ray of knee, 3 views	34	28	$155.06	$33.44
73560 X-ray of knee, 1-2 views	32	30	$28.92	$8.22
J1040 Injection, methylprednisolone acetate, 80 mg	29	22	$48.61	$12.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$43.43	$25.48
73551 X-ray of thigh bone, 1 view	23	16	$145.51	$26.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$135.70	$78.60
73552 X-ray of thigh bone, minimum 2 views	19	12	$28.71	$9.57
73030 X-ray of shoulder, minimum of 2 views	12	11	$155.06	$26.82
72170 X-ray of pelvis, 1-2 views	12	11	$28.92	$8.85
73552 X-ray of thigh bone, minimum 2 views	11	11	$148.19	$33.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	202	181	$87.75	$50.39
73564 X-ray of knee, 4 or more views	155	131	$36.42	$11.26
73502 X-ray of hip, 2-3 views	132	95	$28.68	$11.25
20610 Aspiration and/or injection of fluid from large joint	100	87	$80.22	$50.74
27447 Replacement of knee joint, both sides of knee	90	83	$3531.26	$1317.05
73562 X-ray of knee, 3 views	87	73	$31.06	$9.48
73552 X-ray of thigh bone, minimum 2 views	67	45	$24.19	$9.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$130.64	$75.46
73030 X-ray of shoulder, minimum of 2 views	51	42	$31.06	$9.48
73552 X-ray of thigh bone, minimum 2 views	46	32	$72.82	$28.21
73551 X-ray of thigh bone, 1 view	44	35	$21.51	$8.40
73502 X-ray of hip, 2-3 views	38	28	$86.12	$32.06
27130 Replacement of thigh bone and hip joint with prosthesis	38	38	$3578.92	$1316.53
73564 X-ray of knee, 4 or more views	35	28	$119.06	$34.24
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$184.58	$64.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	20	$43.43	$25.12
J1040 Injection, methylprednisolone acetate, 80 mg	27	19	$41.95	$10.97
20610 Aspiration and/or injection of fluid from large joint	26	22	$171.57	$64.34
73562 X-ray of knee, 3 views	26	23	$92.12	$27.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$273.25	$103.61
73030 X-ray of shoulder, minimum of 2 views	19	16	$91.96	$27.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$144.26	$77.82
73560 X-ray of knee, 1-2 views	15	14	$28.92	$8.40

Medical Specialties & State Licenses

CMS Verified: 2022-06-15

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WA MD00043338

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1356370720 (WA)

Commercial Insurance / Payer ID Rr Medicare

P01257567 (WA)

Commercial Insurance / Payer ID L&i Post 7/21/13

315949 (WA)

Commercial Insurance / Payer ID L&i

0183782 (WA)

Hospital & Practice Group Affiliations

Central Washington Health Services Association

1201 S Miller St, Wenatchee, WA 988013201

Phone: 5096622208

Practice Associates & Co-Workers

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

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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 February 17, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2014

Registered at 820 N CHELAN AVE, WENATCHEE, WA 988012028 (Tel: 5096638711)

📍

Updated Business Mailing Address February 17, 2014

Registered at 820 N CHELAN AVE, WENATCHEE, WA 988012028

👤

Provider Name / Credentials Updated February 17, 2014

Recorded as JOEL CUMMINGS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2014

Orthopaedic Surgery (License #MD00043338 in WA)

🟢

Initial NPI Registration & Enumeration June 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1356370720

Entity Type:

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

Enumeration Date: June 30, 2006

Last Update: June 15, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

820 N Chelan Ave

Wenatchee, WA 988012028

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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