DR. KEVIN FRANCIS CUMPER M.D.
NPI 1285072454
Internal Medicine - Infectious Disease in South Bend, IN

Active since June 11, 2013PECOS EnrolledAccepts Medicare Assignment
621 MEMORIAL DR STE 624, SOUTH BEND, IN 46601(574) 647-8177(574) 647-8536 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2021, Jul 31, 2018, Jul 11, 2018 (3 updates tracked since 2018).

About Dr. Kevin Francis Cumper M.d. NPPES

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

DR. KEVIN FRANCIS CUMPER M.D. (NPI 1285072454) is an individual infectious disease provider in South Bend, Indiana, licensed in Indiana (01080202A) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and maintains a secondary practice location in Mishawaka.

NPPES Registry Identity

NPI1285072454
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. KEVIN FRANCIS CUMPERCredential: M.D.
Location Address621 MEMORIAL DR STE 624South Bend, IN 46601-1063
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610 · Fax (574) 237-6069
Fax(574) 647-8536
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 11, 2013
Last NPPES UpdateMarch 31, 20213 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1285072454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in IN · 01080202A
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
621 MEMORIAL DR STE 624, South Bend, IN 46601

Secondary Practice Location 1

Location 15314 Lincolnway EMishawaka, IN 46544-4249 · Phone (574) 256-9032 · Fax (574) 256-9049

Other Identifiers 3

Medicaid300013875IN
Other236040284IN · Medicare Ptan
Other261970098IN · Medicare Ptan

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. Kevin Francis Cumper M.d. 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 ID8224322318
PECOS Enrollment IDI20180725001339
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 4

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.

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.
68 services68 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
59 services45 patients
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.
30 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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 2

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

Physical Medicine & Rehabilitation
621 MEMORIAL DR STE 624
SOUTH BEND, IN 46601
Internal Medicine (Infectious Disease)
621 MEMORIAL DR STE 624
SOUTH BEND, IN 46601

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 Cumper's NPI number?

The NPI number for Kevin Cumper is 1285072454. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Where is Kevin Cumper located?

Kevin Cumper practices at 621 Memorial Dr Ste 624, South Bend, IN 46601. The listed phone number is (574) 647-8177.

What is Kevin Cumper's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Kevin Cumper enrolled in Medicare?

Yes. Kevin Cumper 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 Kevin Cumper accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kevin Cumper 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 Kevin Cumper affiliated with any hospitals?

According to CMS data, Kevin Cumper is affiliated with Elkhart General Hospital and Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Kevin Cumper was last updated on March 31, 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.