Individual provider Active NPI

Brock Cummings, MD

  • Orthopaedic Surgery Physician
  • Paradise, CA
National Provider Identifier
1285636308
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A70205 Issued in CA
Practice address
6283 Clark Rd
Ste 15
Paradise, CA 95969-4100
Phone
(530) 876-0410
Fax
(530) 876-0423
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A70205 CA Primary

Addresses

Primary practice location

6283 Clark Rd
Ste 15
Paradise, CA 95969-4100

Mailing address

6283 Clark Rd
Ste 15
Paradise, CA 95969-4100
Phone (530) 876-0410

Other identifiers 2

IdentifierTypeStateIssuer
00A702050MedicaidCA
P00052511OtherMEDICARE RAILROAD #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031201000837 CA Practitioner - Orthopedic Surgery 4183529308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loma Linda University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brock S Cummings MD IncGroup PAC ID 4880742022, 5 clinicians

Practice addresses (Care Compare)

251 Cohasset Rd
Suite 130
Chico, CA 95926-2235
Phone (530) 332-6045

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.14 of 100Reported as individual
Quality
14.29
Improvement activities
0
Cost
68.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement147
Knee replacement218
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70205CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brock S Cummings MD Inc Orthopaedic Surgery CurrentSince May 15, 2009 Accepting new patients

Locations

251 Cohasset Rd
Ste 130
Chico, CA 95926
Phone (530) 332-6021

6283 Clark Rd
Ste 15
Paradise, CA 95969
Phone (530) 876-0410

Interoperability endpoints

  • Direct secure messaging: brock.cummings@791.chartlogic.direct-ci.com
  • Direct secure messaging: bcummings15212@enloedirect.org

Organizations & group practices 1

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

Hospital & facility affiliations 9

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1285636308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6283 CLARK RD",
            "address_2": "STE 15",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694100",
            "telephone_number": "530-876-0410",
            "fax_number": "530-876-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6283 CLARK RD",
            "address_2": "STE 15",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694100",
            "telephone_number": "530-876-0410",
            "fax_number": "530-876-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "BROCK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A70205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A702050",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "P00052511",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, CA

Sources for this page

Verify at the official NPI Registry.