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OSCAR CUMMINGS M.D.
NPI 1235181918
Pathology - Anatomic Pathology & Clinical Pathology in Indianapolis, IN

Active since May 17, 2006PECOS Enrolled
635 BARNHILL DR, A128, INDIANAPOLIS, IN 46202(317) 274-4806 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2021, Dec 27, 2019 (2 updates tracked since 2019).

About Oscar Cummings M.d. NPPES

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

OSCAR CUMMINGS M.D. (NPI 1235181918) is an individual anatomic pathology & clinical pathology provider in Indianapolis, Indiana, licensed in Indiana (01038414A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235181918
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameOSCAR CUMMINGSCredential: M.D.
Location Address635 BARNHILL DR, A128Indianapolis, IN 46202-5126
Mailing Address250 N Shadeland Ave, Ste 200Indianapolis, IN 46219-4959 · (317) 963-2720 · Fax (317) 962-4343
Phone(317) 274-4806
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 4, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
✔ NPI 1235181918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in IN · 01038414A
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X · License 01038414A (IN)
635 BARNHILL DR, Indianapolis, IN 46202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oscar Cummings M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Oscar Cummings reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Family Physicians, Inc.
1.1 mi
Family Medicine
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 737 clinicians in this Medicare group
NPI 1043275787 (317) 962-2000
Iu Health Medical Group, LLC
1.2 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

ZOE G ORRELL
Student in an Organized Health Care Education/Training Program
635 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4556
MR. H R SAGARA WIJERATNE
Student in an Organized Health Care Education/Training Program
635 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 278-2369
SARAH NAWAR
Student in an Organized Health Care Education/Training Program
635 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-3441
DR. BENOIT PATRICK HERBERT M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
635 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-8282
LISBETH LARSSON M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
635 BARNHILL DR, A128
INDIANAPOLIS, IN 46202
Marion County (317) 274-4806
TAYLOR MARQUEZ
Student in an Organized Health Care Education/Training Program
635 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-8282
ELIZABETH LORRAINE ZENNI
Student in an Organized Health Care Education/Training Program
635 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-3772
JACKSON A TOWNSEND MD
Emergency Medicine
635 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-8282

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 Oscar Cummings's NPI number?

The NPI number for Oscar Cummings is 1235181918. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Oscar Cummings located?

Oscar Cummings practices at 635 Barnhill Dr A128, Indianapolis, IN 46202. The listed phone number is (317) 274-4806.

What is Oscar Cummings's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Oscar Cummings enrolled in Medicare?

Yes. Oscar Cummings is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Oscar Cummings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oscar Cummings reassigns Medicare benefits to 2 organizations: University Family Physicians, Inc. (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). Each 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 Oscar Cummings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Oscar Cummings accept?

Health plans from CareSource and Cigna Healthcare list Oscar 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.

When was this NPI record last updated?

The NPPES record for Oscar Cummings was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.