DR. WILLIAM GAINES CUMBIE DO
NPI 1043709553
Orthopaedic Surgery in Cumming, GA

Active since May 09, 2018PECOS EnrolledAccepts Medicare Assignment
2000 HOWARD FARM DR STE 200, CUMMING, GA 30041(770) 844-3295 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2023, May 22, 2023, May 9, 2018 (3 updates tracked since 2018).

About Dr. William Gaines Cumbie Do NPPES

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

DR. WILLIAM GAINES CUMBIE DO (NPI 1043709553) is an individual orthopaedic surgery provider in Cumming, Georgia, licensed in Georgia (95462) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1043709553
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. WILLIAM GAINES CUMBIECredential: DO
Location Address2000 HOWARD FARM DR STE 200Cumming, GA 30041-6081
Mailing Address2000 Howard Farm Dr Ste 200Cumming, GA 30041-6081 · (770) 844-3295
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2018
Enumeration DateMay 9, 2018
Last NPPES UpdateOctober 30, 20233 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
NPI 1043709553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in GA · 95462
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2000 HOWARD FARM DR STE 200, Cumming, GA 30041

Accepted 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. William Gaines Cumbie Do 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 ID3971849720
PECOS Enrollment IDI20230705000265
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

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.

X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 10

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

Orthopaedic Surgery
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041
Orthopaedic Surgery
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041
Orthopaedic Surgery
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041
Orthopaedic Surgery
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041
Physician Assistant
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041
Physician Assistant
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041
Physician Assistant (Surgical)
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041

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 William Cumbie's NPI number?

The NPI number for William Cumbie is 1043709553. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Where is William Cumbie located?

William Cumbie practices at 2000 Howard Farm Dr Ste 200, Cumming, GA 30041. The listed phone number is (770) 844-3295.

What is William Cumbie's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is William Cumbie enrolled in Medicare?

Yes. William Cumbie 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 William Cumbie accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list William Cumbie 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 William Cumbie affiliated with any hospitals?

According to CMS data, William Cumbie is affiliated with Piedmont Fayette Hospital and Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for William Cumbie was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.