DR. ALLISON GRACE CUMMINGS MD
NPI 1154828028
Family Medicine in Shoreline, WA

Active since April 09, 2018PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
1355 N 205TH ST, SHORELINE, WA 98133(206) 520-5000 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2021, Apr 9, 2018 (2 updates tracked since 2018).

About Dr. Allison Grace Cummings Md NPPES

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

DR. ALLISON GRACE CUMMINGS MD (NPI 1154828028) is an individual family medicine provider in Shoreline, Washington, licensed in Washington (MD61195078) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2018).

NPPES Registry Identity

NPI1154828028
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALLISON GRACE CUMMINGSCredential: MD
Location Address1355 N 205TH STShoreline, WA 98133-3215
Mailing AddressPo Box 50095Seattle, WA 98145-5095
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2018
Enumeration DateApril 9, 2018
Last NPPES UpdateAugust 27, 20212 updates tracked since enumeration
NPPES CertifiedAugust 27, 2021
NPI 1154828028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD61195078
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.
1355 N 205TH ST, Shoreline, WA 98133

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. Allison Grace Cummings Md 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 ID8628326139
PECOS Enrollment IDI20210902003172
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
171 services101 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
153 services120 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
92 services92 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services49 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
47 services32 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services27 patients

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98133 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
1355 N 205TH ST
SHORELINE, WA 98133
Obstetrics & Gynecology
1355 N 205TH ST, BOX 356460
SHORELINE, WA 98133
Physician Assistant (Medical)
1355 N 205TH ST
SHORELINE, WA 98133
Nurse Practitioner
1355 N 205TH ST
SHORELINE, WA 98133
Internal Medicine
1355 N 205TH ST
SHORELINE, WA 98133
Nurse Practitioner (Family)
1355 N 205TH ST
SHORELINE, WA 98133
Pediatrics
1355 N 205TH ST
SHORELINE, WA 98133
Nurse Practitioner (Family)
1355 N 205TH ST
SHORELINE, WA 98133

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 Allison Cummings's NPI number?

The NPI number for Allison Cummings is 1154828028. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Allison Cummings located?

Allison Cummings practices at 1355 N 205th St, Shoreline, WA 98133. The listed phone number is (206) 520-5000.

What is Allison Cummings's specialty?

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

Is Allison Cummings enrolled in Medicare?

Yes. Allison Cummings 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 Allison Cummings accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Allison 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.

Is Allison Cummings affiliated with any hospitals?

According to CMS data, Allison Cummings is affiliated with University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for Allison Cummings was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.