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DR. THERESA J CUMPSTONE M.D.
NPI 1023180320
Anesthesiology in Orange Park, FL

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment
1665 KINGSLEY AVE, SUITE 105, ORANGE PARK, FL 32073(904) 215-7015 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theresa J Cumpstone M.d. NPPES

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

DR. THERESA J CUMPSTONE M.D. (NPI 1023180320) is an individual anesthesiology provider in Orange Park, Florida, licensed in Florida (ME103838) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Orange Park Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2005).

NPPES Registry Identity

NPI1023180320
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDR. THERESA J CUMPSTONECredential: M.D.
Location Address1665 KINGSLEY AVE, SUITE 105Orange Park, FL 32073-4490
Mailing Address1665 Kingsley Ave, Suite 105Orange Park, FL 32073-4490 · (904) 215-7015
Phone(904) 215-7015
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2005
Enumeration DateNovember 14, 2006
Last NPPES UpdateJanuary 19, 2016
✔ NPI 1023180320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in FL · ME103838
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1665 KINGSLEY AVE, Orange Park, FL 32073
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theresa J Cumpstone M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305983917
PECOS Enrollment IDI20091029000561
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
119 services110 patients
Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
75 services75 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
43 services41 patients
Anesthesia for other closed procedure on chest 00520
Anesthesia for a closed chest procedure involves the use of medications to block sensation, ensuring you don't feel pain during the procedure. It can be general (you're asleep) or regional (part of your body is numbed). This helps maintain comfort and safety.
40 services35 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
31 services29 patients
Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope 00732
This procedure involves using an endoscope, a flexible tube with a light and camera, to examine or treat your gallbladder, pancreas, or liver. Anesthesia is administered to ensure you're comfortable and pain-free during the procedure.
21 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Orange Park Hospital

Acute Care Hospitals · Orange Park, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100226
Location2001 Kingsley AveOrange Park, FL 32073 · Clay County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
91%35 patients4/55-star benchmark: 100%
Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
100%86 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

ANTHONY VALACHOVIC MD
Anesthesiology
1665 KINGSLEY AVE, SUITE 105
ORANGE PARK, FL 32073
Clay County (904) 215-7015
ALBERT L HENRY, MD
Durable Medical Equipment & Medical Supplies
1665 KINGSLEY AVE, STE 107
ORANGE PARK, FL 32073
Clay County (904) 269-6565
MR. DARREL ANTHONY KALINSKI MSN, CRNA
Nurse Anesthetist, Certified Registered
1665 KINGSLEY AVE, STE 105
ORANGE PARK, FL 32073
Clay County (904) 276-5400
ANESTHESIA ASSOCIATES OF CLAY COUNTY
Anesthesiology
1665 KINGSLEY AVE, SUITE 105
ORANGE PARK, FL 32073
Clay County (904) 215-7015
WALTER G GARNER III MD
Specialist
1665 KINGSLEY AVE, SUITE 107
ORANGE PARK, FL 32073
Clay County (904) 269-6565
CHRIS CAMPBELL MD
Anesthesiology
1665 KINGSLEY AVE, SUITE 105
ORANGE PARK, FL 32073
Clay County (904) 215-7015
MRS. ANNA PIRGOUSIS
Nurse Anesthetist, Certified Registered
1665 KINGSLEY AVE, 105
ORANGE PARK, FL 32073
Clay County (904) 215-7015
NICHOLAS GRAY
Hearing Instrument Specialist
1665 KINGSLEY AVE, SUITE 108
ORANGE PARK, FL 32073
Clay County (904) 579-3704

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 Theresa Cumpstone's NPI number?

The NPI number for Theresa Cumpstone is 1023180320. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Theresa Cumpstone located?

Theresa Cumpstone practices at 1665 Kingsley Ave Suite 105, Orange Park, FL 32073. The listed phone number is (904) 215-7015.

What is Theresa Cumpstone's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Theresa Cumpstone enrolled in Medicare?

Yes. Theresa Cumpstone is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theresa Cumpstone accept?

Health plans from Oscar Health Maintenance Organization of Florida list Theresa Cumpstone 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.

Is Theresa Cumpstone affiliated with any hospitals?

According to CMS data, Theresa Cumpstone is affiliated with Hca Florida Orange Park Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Cumpstone was last updated on January 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.