DR. DAVID CUMMINS M.D.
NPI 1043475445
Emergency Medicine in Valparaiso, IN

Active since July 24, 2008PECOS EnrolledAccepts Medicare Assignment
85 E US HIGHWAY 6, VALPARAISO, IN 46383(219) 983-8300 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Cummins M.d. NPPES

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

DR. DAVID CUMMINS M.D. (NPI 1043475445) is an individual emergency medicine provider in Valparaiso, Indiana, licensed in Indiana (01068420A) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and is a graduate of Indiana University School Of Medicine (2008).

NPPES Registry Identity

NPI1043475445
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DAVID CUMMINSCredential: M.D.
Location Address85 E US HIGHWAY 6Valparaiso, IN 46383-8947
Mailing Address2410 Nottingham DrValparaiso, IN 46383-9181
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2008
Enumeration DateJuly 24, 2008
Last NPPES UpdateOctober 29, 2015
NPI 1043475445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IN · 01068420A
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 01068420A (IN)
85 E US HIGHWAY 6, Valparaiso, IN 46383

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. David Cummins 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 ID7618091745
PECOS Enrollment IDI20100826000598
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
326 services315 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
175 services174 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
48 services47 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
37 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46383 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

Registered Nurse
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Internal Medicine (Critical Care Medicine)
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Student in an Organized Health Care Education/Training Program
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Student in an Organized Health Care Education/Training Program
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Radiology (Vascular & Interventional Radiology)
85 E US HIGHWAY 6, DEPARTMENT OF RADIOLOGY
VALPARAISO, IN 46383
Nurse Practitioner
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Nurse Anesthetist, Certified Registered
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Occupational Therapy Assistant
85 E US HIGHWAY 6
VALPARAISO, IN 46383

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 David Cummins's NPI number?

The NPI number for David Cummins is 1043475445. It was assigned to this individual provider in the NPPES registry on July 24, 2008.

Where is David Cummins located?

David Cummins practices at 85 E Us Highway 6, Valparaiso, IN 46383. The listed phone number is (219) 983-8300.

What is David Cummins's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is David Cummins enrolled in Medicare?

Yes. David Cummins 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.

Is David Cummins affiliated with any hospitals?

According to CMS data, David Cummins is affiliated with Franciscan Health Michigan City and Franciscan Health Crown Point.

When was this NPI record last updated?

The NPPES record for David Cummins was last updated on October 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.