JUSTIN JAMES CUMMINGS
NPI 1174905384
Nurse Practitioner in Tomball, TX

Active since June 24, 2015PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
506 GRAHAM DRIVE, SUITE 290, TOMBALL, TX 77375(281) 357-1934(281) 357-1230 Get Directions Write a Review

NPPES record last updated: June 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin James Cummings NPPES

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

JUSTIN JAMES CUMMINGS (NPI 1174905384) is an individual nurse practitioner in Tomball, Texas, licensed in Texas (AP128197) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1174905384
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJUSTIN JAMES CUMMINGS
Location Address506 GRAHAM DRIVE, SUITE 290Tomball, TX 77375
Mailing Address506 Graham Drive, Suite 290Tomball, TX 77375 · (281) 357-1934 · Fax (281) 357-1230
Fax(281) 357-1230
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 24, 2015
NPI 1174905384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TX · AP128197
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

506 GRAHAM DRIVE, Tomball, TX 77375

Other Identifiers 1

OtherAP128197TX · Aprn

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

Justin James Cummings 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 ID840589883
PECOS Enrollment IDI20160516000822
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.

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.
157 services108 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
60 services51 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
40 services36 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
26 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77375 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

Other Providers at the Same Location NPPES 2

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

General Practice
506 GRAHAM DRIVE, SUITE 290
TOMBALL, TX 77375
Internal Medicine (Gastroenterology)
506 GRAHAM DRIVE, SUITE 100
TOMBALL, TX 77375

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 Justin Cummings's NPI number?

The NPI number for Justin Cummings is 1174905384. It was assigned to this individual provider in the NPPES registry on June 24, 2015.

Where is Justin Cummings located?

Justin Cummings practices at 506 Graham Drive Suite 290, Tomball, TX 77375. The listed phone number is (281) 357-1934.

What is Justin Cummings's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Justin Cummings enrolled in Medicare?

Yes. Justin 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.

When was this NPI record last updated?

The NPPES record for Justin Cummings was last updated on June 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.