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DR. ROBERT DAVID CUMMISKEY III MD
NPI 1215985213
Surgery in Marrero, LA

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
1200 AVENUE G, MARRERO, LA 70072(504) 349-6713(504) 349-6733 Get Directions Write a Review

NPPES record last updated: July 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert David Cummiskey Iii Md NPPES

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

DR. ROBERT DAVID CUMMISKEY III MD (NPI 1215985213) is an individual surgery provider in Marrero, Louisiana, licensed in Louisiana (022089) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with West Jefferson Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1994).

NPPES Registry Identity

NPI1215985213
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ROBERT DAVID CUMMISKEY IIICredential: MD
Location Address1200 AVENUE GMarrero, LA 70072-3765
Mailing Address1200 Avenue GMarrero, LA 70072-3765 · (504) 834-0626 · Fax (504) 833-9480
Phone(504) 349-6713
Fax(504) 349-6733
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1994
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 8, 2016
✔ NPI 1215985213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in LA · 022089
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1200 AVENUE G, Marrero, LA 70072
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Other Identifiers 4

Medicare PIN5W631C067LA
Medicaid1675181LA
Medicaid09255751MS
Medicare PIN358776YH3ULA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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. Robert David Cummiskey Iii 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 ID2163433483
PECOS Enrollment IDI20060525000024
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 5

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 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.
48 services29 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.
30 services17 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.
20 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70072 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
$86.76 typical visit price
range $55.50 – $170.30
Typical copayment $21.69 (range $13.87 – $42.57)
Most-billed visit code 99203
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

GULF COAST MEDICAL MANAGEMENT
Family Medicine
1200 AVENUE G, SUITE# 201
MARRERO, LA 70072
Jefferson Parish (504) 708-2726
DR. CHARLES W. THOMAS M.D.
Surgery
1200 AVENUE G
MARRERO, LA 70072
Jefferson Parish (504) 349-6713
JAYME L BOUDREAUX NP
Nurse Practitioner (Family)
1200 AVENUE G
MARRERO, LA 70072
Jefferson Parish (504) 349-6713
DR. WILLIAM STEWART STEINHARDT JR. MD
Surgery
1200 AVENUE G
MARRERO, LA 70072
Jefferson Parish (504) 349-6713
OTHOLINO REMEDIOS M.D.
Pediatrics (Adolescent Medicine)
1200 AVENUE G, SUITE # 101,
MARRERO, LA 70072
Jefferson Parish (504) 347-0202

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 Robert Cummiskey's NPI number?

The NPI number for Robert Cummiskey is 1215985213. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Robert Cummiskey located?

Robert Cummiskey practices at 1200 Avenue G, Marrero, LA 70072. The listed phone number is (504) 349-6713.

What is Robert Cummiskey's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robert Cummiskey enrolled in Medicare?

Yes. Robert Cummiskey 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 Robert Cummiskey accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Robert Cummiskey 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 Robert Cummiskey affiliated with any hospitals?

According to CMS data, Robert Cummiskey is affiliated with West Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Cummiskey was last updated on July 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.