NPIMap

Individual provider Active NPI

David Andrew Kummerfeld, MD

  • Orthopaedic Surgery Physician
  • Tyler, TX
National Provider Identifier
1821257130
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
BP1-0032051 Issued in TX
Practice address
8101 S Broadway Ave
Tyler, TX 75703-5469
Phone
(903) 939-7501
Fax
(903) 939-7755
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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 BP1-0032051 TX Primary

Addresses

Primary practice location

8101 S Broadway Ave
Tyler, TX 75703-5469

Mailing address

PO Box 20817
Belfast, ME 04915-4105
Phone (903) 393-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140920000048 TX Practitioner - Orthopedic Surgery 9830318005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical Branch at Galveston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

3414 Golden Rd
Tyler, TX 75701-8336
Phone (903) 939-7500

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Tyler, TX, CCN 459457
  • Enhabit Home Health Home health agency, Longview, TX, CCN 679079
  • Enhabit Home Health Home health agency, Palestine, TX, CCN 678197
  • Enhabit Home Health Home health agency, Nacogdoches, TX, CCN 679432
  • Enhabit Home Health Home health agency, Allen, TX, CCN 457789
  • Baylor Scott & White Texas Spine & Joint Hospital Hospital, Tyler, TX, CCN 450864
  • Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083
  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
  • Ut Health East Texas Athens Hospital Hospital, Athens, TX, CCN 450389
  • Titus Regional Medical Center Hospital, Mount Pleasant, TX, CCN 450080
  • Ut Health East Texas Rehabilitation Hospital Inpatient rehabilitation facility, Tyler, TX, CCN 453072

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as individual
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0032051TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC Orthopaedic Surgery CurrentSince Oct 1, 2020 Accepting new patients
Ortholonestar, PLLC Orthopaedic Surgery CurrentSince Oct 1, 2020 Accepting new patients

Locations

1123 S Palestine St
Ste 300
Athens, TX 75751
Phone (903) 937-7500

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

925 W Loop 281
Longview, TX 75604
Phone (430) 240-6029

305 W 20th St
Mt Pleasant, TX 75455
Phone (903) 572-2222

8101 S Broadway Ave
Tyler, TX 75703
Phone (903) 525-3300

3414 Golden Rd
Tyler, TX 75701
Phone (903) 590-3050

8101 S Broadway Ave
Ste 200
Tyler, TX 75703
Phone (903) 561-2495

Organizations & group practices 2

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 12

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1821257130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20817",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154105",
            "telephone_number": "903-393-7770",
            "fax_number": "903-939-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035469",
            "telephone_number": "903-939-7501",
            "fax_number": "903-939-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMMERFELD",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "BP1-0032051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.