SHANE W CUMMINGS M D NPI 1013083286
Family Medicine in Anchorage, AK

About SHANE W CUMMINGS M D

Shane Cummings is a primary care provider established in Anchorage, Alaska and his medical specialization is Family Medicine. The NPI number of Shane Cummings is 1013083286 and was assigned on November 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 5887 (AK). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1013083286
Provider Name SHANE W CUMMINGS M D
Location Address1310 E DIMOND BLVD SUITE 1 ANCHORAGE, AK 99515
Location Phone(907) 344-2400
Mailing Address1310 E DIMOND BLVD SUITE 1 ANCHORAGE, AK 99515
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date11-28-2006
Last Update Date02-16-2015

A primary care provider (PCP) like Shane W Cummings M D sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Shane Cummings is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Shane Cummings opted out of Medicare effective on 08-10-2019 until 08-10-2023. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.5887
License StateAK
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

SHANE W CUMMINGS M D
1310 E DIMOND BLVD
SUITE 1
ANCHORAGE, AK
ZIP 99515
Phone: (907) 344-2400
Fax: (907) 344-2404

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Mailing Address

SHANE W CUMMINGS M D
1310 E DIMOND BLVD
SUITE 1
ANCHORAGE, AK
ZIP 99515
Phone: (907) 344-2400
Fax: (907) 344-2404


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Opted-Out of MedicareYes
Opt-Out Effective Date08-10-2019
Opt-Out End Date08-10-2023
Eligible to Order and ReferYes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine5887AKNo

Taxonomy Description: a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1012003MEDICAID (05)AK

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013083286
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023086216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 6 + 2 + 1 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1013083286 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467720151ANCHORAGE DOCTORS INCORPORATED
Organization
Clinic/Center (Urgent Care)1310 E DIMOND BLVD SUITE #1
ANCHORAGE, AK 99515
(907) 344-2404
1871649681TIESZEN CHIROPRACTIC LLC
Organization
Chiropractor1310 E DIMOND BLVD SUITE 2
ANCHORAGE, AK 99515
(907) 677-6345
1669510673 NEIL TIESZEN D.C.
Individual
Chiropractor1310 E DIMOND BLVD SUITE 2
ANCHORAGE, AK 99515
(907) 677-6345
1578016192MR. KEVIN CHARLES REED
Individual
Massage Therapist1310 E DIMOND BLVD #2
ANCHORAGE, AK 99515
(907) 677-6345
1144729740 AMBERYL SKY DELL LMT
Individual
Massage Therapist1310 E DIMOND BLVD
ANCHORAGE, AK 99515
(907) 677-6345

Frequently Asked Questions

What is Shane Cummings M D NPI number?

The NPI number assigned to Shane Cummings M D is 1013083286, registered as an "individual" on November 28, 2006

Where is Shane Cummings M D located?

The provider is located at 1310 E Dimond Blvd Suite 1 Anchorage, Ak 99515 and the phone number is (907) 344-2400

Which is Shane Cummings M D specialty?

The provider's speciality is Family Medicine

What insurance does Shane Cummings M D accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Shane Cummings M D registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Shane Cummings M D?

Medicare beneficiaries should expect a typical cost of $116.68 with an average copayment of $29.17 for new patient appointments. Established patients should expect a typical charge of $135.84 and an average copayment of 33.96. Please review your insurance plan or contact the provider directly to determine your specific costs.

Does Shane Cummings M D accepts Medicare?

No, the provider signed an affidavit on August 10, 2019 to opt-out of the Medicare program. The provider is excluded from the Medicare program until August 10, 2023.

How do I update my NPI information?

The NPI record of Shane Cummings M D was last updated on November 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]