KARL M CUMMING
NPI 1275129199
Nurse Anesthetist, Certified Registered in American Fork, UT
About Karl M Cumming NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARL M CUMMING (NPI 1275129199) is an individual nurse anesthetist, certified registered in American Fork, Utah, licensed in Utah (8359171-4406) and active in the NPI registry since December 2020. He is affiliated with American Fork Hospital and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Karl M Cumming 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.
Medicare Billing Reassignments
2Medicare enrollment records show Karl Cumming reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lehi, UT 84043
- Reassigned Medicare billing, Utah enrollment
- 79 clinicians in this Medicare group
Ogden, UT 84405
- Reassigned Medicare billing, Utah enrollment
- 164 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
American Fork Hospital
Acute Care Hospitals · American Fork, UTOrem Community Hospital
Acute Care Hospitals · Orem, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
AMERICAN FORK, UT 84003
AMERICAN FORK, UT 84003
AMERICAN FORK, UT 84003
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 Karl Cumming's NPI number?
The NPI number for Karl Cumming is 1275129199. It was assigned to this individual provider in the NPPES registry on December 15, 2020.
Where is Karl Cumming located?
Karl Cumming practices at 170 N 1100 E, American Fork, UT 84003. The listed phone number is (210) 900-0084.
What is Karl Cumming's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Karl Cumming enrolled in Medicare?
Yes. Karl Cumming 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.
Which organizations bill Medicare for Karl Cumming's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karl Cumming reassigns Medicare benefits to 2 organizations: Utah Gastroenterology, LLC (Lehi, UT) and Nph Anesthesia Of Utah, LLC (Ogden, UT). 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 Karl Cumming's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karl Cumming accept?
Health plans from Blue Cross and Blue Shield of Texas and Select Health list Karl Cumming 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 Karl Cumming affiliated with any hospitals?
According to CMS data, Karl Cumming is affiliated with American Fork Hospital and Orem Community Hospital.
When was this NPI record last updated?
The NPPES record for Karl Cumming was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Karl M Cumming · NPI 1275129199
Nurse Anesthetist, Certified Registered physician in American Fork, Utah. Individual provider, active in the CMS NPPES registry since December 15, 2020.
## Identity
- **NPI:** 1275129199 (Entity type: Individual)
- **Enumerated:** December 15, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 8359171-4406 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 170 N 1100 E, American Fork, UT 84003-2096
- **Phone:** (210) 900-0084
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Utah Gastroenterology, LLC (NPI 1225853575, Lehi, UT); Nph Anesthesia Of Utah, LLC (NPI 1366077273, Ogden, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1275129199) · Data from the CMS NPPES public registry.