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RHETT JAMES CUMMINGS MD
NPI 1174525844
Internal Medicine - Pulmonary Disease in Portland, OR

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment
1111 NE 99TH AVE, SUITE 200, PORTLAND, OR 97220(503) 963-3030(503) 963-3140 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2024, Nov 17, 2023, Nov 16, 2021 (3 updates tracked since 2021).

About Rhett James Cummings Md NPPES

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

RHETT JAMES CUMMINGS MD (NPI 1174525844) is an individual pulmonary disease provider in Portland, Oregon, licensed in Oregon (MD25144) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (1997).

NPPES Registry Identity

NPI1174525844
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameRHETT JAMES CUMMINGSCredential: MD
Location Address1111 NE 99TH AVE, SUITE 200Portland, OR 97220-9428
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825
Phone(503) 963-3030
Fax(503) 963-3140
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1997
Enumeration DateAugust 12, 2005
Last NPPES UpdateNovember 22, 20243 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1174525844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in OR · MD25144
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD25144 (OR)
1111 NE 99TH AVE, Portland, OR 97220
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Other Identifiers 2

Medicaid022497OR
Medicaid8399529WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.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

Rhett James 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 ID4587644646
PECOS Enrollment IDI20040721000443
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 11

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.
73 services50 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.
69 services43 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.
22 services14 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
18 services14 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
17 services14 patients
Blood count, hemoglobin 85018
A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97220 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers15 claims15 services$32.52 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers18 claims92 services$1.61 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers50 claims50 services$15.52 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims15 services$3.25 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers36 claims36 services$29.53 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
6 suppliers71 claims71 services$69.20 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.

LOUIS SAMUELS LIBBY MD
Internal Medicine (Pulmonary Disease)
1111 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220
Multnomah County (503) 963-3030
DOUGLAS CRAIG WALTA MD
Internal Medicine (Gastroenterology)
1111 NE 99TH AVE, SUITE 301
PORTLAND, OR 97220
Multnomah County (503) 963-2707
ALYSSA MARIE O'BRIEN RD
Dietitian, Registered
1111 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 963-2707
JERZY O GIEDWOYN MD
Internal Medicine (Cardiovascular Disease)
1111 NE 99TH AVE, SUITE 201
PORTLAND, OR 97220
Multnomah County (503) 962-1000
DR. AMY LI RONG ZHU MD
Internal Medicine (Gastroenterology)
1111 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 963-2707
MISS JACKIE MARCELLA WOLF PT
Physical Therapist
1111 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 216-5410
STEPHEN JOHN YERMAL
Nurse Anesthetist, Certified Registered
1111 NE 99TH AVE, SUITE 302
PORTLAND, OR 97220
Multnomah County (503) 963-2763
THE OREGON CLINIC PC
Clinic/Center (Endoscopy)
1111 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 963-2801

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 Rhett Cummings's NPI number?

The NPI number for Rhett Cummings is 1174525844. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Rhett Cummings located?

Rhett Cummings practices at 1111 NE 99th Ave Suite 200, Portland, OR 97220. The listed phone number is (503) 963-3030.

What is Rhett Cummings's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rhett Cummings enrolled in Medicare?

Yes. Rhett 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 Rhett Cummings accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Rhett 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 Rhett Cummings affiliated with any hospitals?

According to CMS data, Rhett Cummings is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Rhett Cummings was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.