NPIMap

Individual provider Active NPI

William T Cummins, MD

  • Surgery Physician
  • Abingdon, VA
National Provider Identifier
1265483184
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101241143 Issued in VA
Practice address
16000 Johnston Memorial Dr
Suite 101
Abingdon, VA 24211-7659
Phone
(276) 258-1777
Fax
(276) 258-1778
NPI assigned
May 15, 2006
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD37429 TN
Surgery Physician 208600000X 0101241143 VA Primary

Addresses

Primary practice location

16000 Johnston Memorial Dr
Suite 101
Abingdon, VA 24211-7659

Mailing address

16000 Johnston Memorial Dr
Suite 101
Abingdon, VA 24211-7659
Phone (276) 258-1777

Other identifiers 3

IdentifierTypeStateIssuer
P00408045OtherVARAILROAD MEDICARE
3885348MedicaidTN
1265483184MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070605000493 VA Practitioner - General Surgery 2365489978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
East Tennessee State University Quillen College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abingdon Physician PartnersGroup PAC ID 5991705667, 39 clinicians

Practice addresses (Care Compare)

1205 Snider St
B
Marion, VA 24354-4221
Phone (276) 258-1777

16000 Johnson Memorial Dr
Abingdon, VA 24211-7664

613 Campus Dr
Suite 200
Abingdon, VA 24210-9703
Phone (276) 628-1186

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.04 of 100Reported as individual
Quality
68.01
Promoting interoperability
100
Improvement activities
40
Cost
82.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy71
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux43
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD37429TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abingdon Physician Partners CurrentSince Mar 14, 2007 Accepting new patients
Crossville Medical Group PA Past Accepting new patients
Covenant Medical Group, Inc Past Accepting new patients

Locations

16000 Johnston Memorial Dr
Ste 101
Abingdon, VA 24211
Phone (276) 258-1777

1205 Snider St
#B
Marion, VA 24354
Phone (276) 258-1777

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1265483184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR",
            "address_2": "SUITE 101",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117659",
            "telephone_number": "276-258-1777",
            "fax_number": "276-258-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR",
            "address_2": "SUITE 101",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117659",
            "telephone_number": "276-258-1777",
            "fax_number": "276-258-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD37429",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101241143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00408045",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3885348",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265483184",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.