Individual provider Active NPI

Kevin Scott Cummins

  • Physician Assistant
  • Morehead, KY
National Provider Identifier
1174139380
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC968 Issued in KY
Practice address
333 Beacon Hill Rd Ste 201
Morehead, KY 40351-6182
Phone
(606) 780-0444
NPI assigned
Sep 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TC968 KY Primary

Addresses

Primary practice location

333 Beacon Hill Rd Ste 201
Morehead, KY 40351-6182

Mailing address

333 Beacon Hill Rd Ste 201
Morehead, KY 40351-6182
Phone (606) 780-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929000812 KY Practitioner - Physician Assistant 0244659068

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 Beacon Hill Rd
Suite 201
Morehead, KY 40351-6120

Hospital & facility affiliations

  • St Claire Medical Center Home Health Home health agency, Morehead, KY, CCN 187037

Merit-based Incentive Payment System (MIPS)

Final score
98.82 of 100Reported as group
Quality
97.88
Improvement activities
40
Cost
83.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1174139380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BEACON HILL RD STE 201",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403516182",
            "telephone_number": "606-780-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BEACON HILL RD STE 201",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403516182",
            "telephone_number": "606-780-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.