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DR. KEVIN MICHAEL CUMMISFORD M.D.
NPI 1194847723
Anesthesiology in Murray, UT

Active since April 04, 2007PECOS Enrolled
79.72/100
CMS Quality Rating
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER, MURRAY, UT 84157(801) 507-5248 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kevin Michael Cummisford M.d. NPPES

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

DR. KEVIN MICHAEL CUMMISFORD M.D. (NPI 1194847723) is an individual anesthesiology provider in Murray, Utah, licensed in Massachusetts (225977) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2004).

NPPES Registry Identity

NPI1194847723
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. KEVIN MICHAEL CUMMISFORDCredential: M.D.
Location Address5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTERMurray, UT 84157
Mailing Address3340 North Center St, #800Lehi, UT 84043-7406 · (801) 990-1911
Phone(801) 507-5248
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 2004
Enumeration DateApril 4, 2007
Last NPPES UpdateOctober 15, 2012
✔ NPI 1194847723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MA · 225977
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
5121 S COTTONWOOD STREET, Murray, UT 84157
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Michael Cummisford M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496807968
PECOS Enrollment IDI20251027004298
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.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Cummisford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mountain West Anesthesia LLC
16 mi
Anesthesiology
3300 N TRIUMPH BLVD STE G50
Lehi, UT 84043
  • Reassigned Medicare billing, Utah enrollment
  • 355 clinicians in this Medicare group
NPI 1558391763 (801) 990-1911

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
14 services14 patients
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
13 services13 patients

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.

79.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.84
Improvement Activities40
Cost63.86

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.

JUSTIN M ADEN MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
ETHAN K FISHER MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
DR. JAYAPRAKASH MOODALAGIRIAPPA MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
SCOTT NATHAN HURST M.D.
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
DR. BRIAN PAUL MATTHEWS M.D.
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
SCOTT LYLES PROVOST MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
RYAN WILLIAM NELSON MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
DR. GREGORY RANDY RICH D.O.
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248

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 Kevin Cummisford's NPI number?

The NPI number for Kevin Cummisford is 1194847723. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Kevin Cummisford located?

Kevin Cummisford practices at 5121 S Cottonwood Street Intermountain Medical Center, Murray, UT 84157. The listed phone number is (801) 507-5248.

What is Kevin Cummisford's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kevin Cummisford enrolled in Medicare?

Yes. Kevin Cummisford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Cummisford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Cummisford reassigns Medicare benefits to Mountain West Anesthesia LLC (Lehi, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Cummisford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Cummisford accept?

Health plans from Select Health list Kevin Cummisford 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.

When was this NPI record last updated?

The NPPES record for Kevin Cummisford was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.