MELISHA CUMBERLAND
NPI 1073704813
Internal Medicine in Waterbury, CT

Active since August 07, 2007PECOS EnrolledAccepts Medicare Assignment
92.22/100
CMS Quality Rating
56 FRANKLIN ST, WATERBURY, CT 06706(203) 709-6000 Get Directions Write a Review

NPPES record last updated: July 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melisha Cumberland NPPES

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

MELISHA CUMBERLAND (NPI 1073704813) is an individual internal medicine provider in Waterbury, Connecticut, licensed in Connecticut (50051) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2007).

NPPES Registry Identity

NPI1073704813
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMELISHA CUMBERLAND
Location Address56 FRANKLIN STWaterbury, CT 06706-1253
Mailing Address56 Franklin StWaterbury, CT 06706-1253 · (203) 709-6000
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2007
Enumeration DateAugust 7, 2007
Last NPPES UpdateJuly 14, 2014
NPI 1073704813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 50051
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

56 FRANKLIN ST, Waterbury, CT 06706

Other Identifiers 5

Other635099CT · Wellcare
OtherP01117224CT · Railroad Medicare
Medicare PIND400053632CT
OtherP4387957CT · Oxford
Other1156121CT · Usa

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

Melisha Cumberland 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 ID2769652254
PECOS Enrollment IDI20110818000547
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
170 services80 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
98 services93 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
89 services84 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
83 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06706 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

92.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.15
Promoting Interoperability100
Improvement Activities40
Cost58.82

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$18.78 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier16 claims16 services$95.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Critical Care Medicine)
56 FRANKLIN ST
WATERBURY, CT 06706
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Physician Assistant (Medical)
56 FRANKLIN ST
WATERBURY, CT 06706
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Nurse Practitioner
56 FRANKLIN ST
WATERBURY, CT 06706
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Emergency Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST
WATERBURY, CT 06706

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 Melisha Cumberland's NPI number?

The NPI number for Melisha Cumberland is 1073704813. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Melisha Cumberland located?

Melisha Cumberland practices at 56 Franklin St, Waterbury, CT 06706. The listed phone number is (203) 709-6000.

What is Melisha Cumberland's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Melisha Cumberland enrolled in Medicare?

Yes. Melisha Cumberland 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.

When was this NPI record last updated?

The NPPES record for Melisha Cumberland was last updated on July 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.