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

Active since November 28, 2006Opted out of Medicare · through Aug 10, 2027
1310 E DIMOND BLVD, SUITE 1, ANCHORAGE, AK 99515(907) 344-2400(907) 344-2404 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shane W Cummings M D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE W CUMMINGS M D (NPI 1013083286) is an individual family medicine provider in Anchorage, Alaska, licensed in Alaska (5887) and active in the NPI registry since November 2006. He has opted out of Medicare through August 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013083286
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHANE W CUMMINGSCredential: M D
Location Address1310 E DIMOND BLVD, SUITE 1Anchorage, AK 99515-2031
Mailing Address1310 E Dimond Blvd, Suite 1Anchorage, AK 99515-2031 · (907) 344-2400 · Fax (907) 344-2404
Phone(907) 344-2400
Fax(907) 344-2404
Sole ProprietorNo
Enumeration DateNovember 28, 2006
Last NPPES UpdateFebruary 16, 2015
✔ NPI 1013083286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AK · 5887
Definition
Family 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.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 5887 (AK)
1310 E DIMOND BLVD, Anchorage, AK 99515
Open in Google Maps ↗

Other Identifiers 1

Medicaid1012003AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shane W Cummings M D has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 10, 2019 through August 10, 2027.

Opt-Out Effective DateAugust 10, 2019
Opt-Out In Effect ThroughAugust 10, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99515 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBERYL SKY DELL LMT
Massage Therapist
1310 E DIMOND BLVD
ANCHORAGE, AK 99515
Anchorage Municipality (907) 677-6345
ANCHORAGE DOCTORS INCORPORATED
Clinic/Center (Urgent Care)
1310 E DIMOND BLVD, SUITE #1
ANCHORAGE, AK 99515
Anchorage Municipality (907) 344-2404
MR. KEVIN CHARLES REED
Massage Therapist
1310 E DIMOND BLVD, #2
ANCHORAGE, AK 99515
Anchorage Municipality (907) 677-6345
NEIL TIESZEN D.C.
Chiropractor
1310 E DIMOND BLVD, SUITE 2
ANCHORAGE, AK 99515
Anchorage Municipality (907) 677-6345
TIESZEN CHIROPRACTIC LLC
Chiropractor
1310 E DIMOND BLVD, SUITE 2
ANCHORAGE, AK 99515
Anchorage Municipality (907) 677-6345

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Cummings's NPI number?

The NPI number for Shane Cummings is 1013083286. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Shane Cummings located?

Shane Cummings practices at 1310 E Dimond Blvd Suite 1, Anchorage, AK 99515. The listed phone number is (907) 344-2400.

What is Shane Cummings's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shane Cummings enrolled in Medicare?

No. Shane Cummings has opted out of Medicare through August 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Shane Cummings accept?

Health plans from Moda Health Plan, Inc. list Shane Cummings as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Cummings was last updated on February 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.