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: July 19, 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
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

Other Identifiers 4

Medicare PIN5W631C067LA
Medicaid1675181LA
Medicaid09255751MS
Medicare PIN358776YH3ULA

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. 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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 35 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.
42 services15 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
38 services25 patients
Initial hospital inpatient care per day, typically 50 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.
17 services17 patients
New patient office or other outpatient visit, 45-59 minutes 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.
11 services11 patients
Mastectomy NAN04
A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.
0 services1 patient
Upper gastrointestinal (GI) endoscopy for acid reflux NAN12
An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.
0 services1 patient

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.

Pediatrics (Adolescent Medicine)
1200 AVENUE G, SUITE # 101,
MARRERO, LA 70072
Family Medicine
1200 AVENUE G, SUITE# 201
MARRERO, LA 70072
Nurse Practitioner (Family)
1200 AVENUE G
MARRERO, LA 70072
Surgery
1200 AVENUE G
MARRERO, LA 70072
Surgery
1200 AVENUE G
MARRERO, LA 70072

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215985213, enumerated as an "individual" on May 04, 2006.

The provider is located at 1200 AVENUE G MARRERO, LA 70072 and the phone number is (504) 349-6713.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.

Robert Cummiskey is affiliated with: WEST JEFFERSON MEDICAL CENTER.