KATHERINE A CUMMINGS PA-C
NPI 1316217706
Physician Assistant in Falls Church, VA

Active since January 03, 2012PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-4001(703) 776-7113 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katherine A Cummings Pa-c NPPES

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

KATHERINE A CUMMINGS PA-C (NPI 1316217706) is an individual physician assistant in Falls Church, Virginia, licensed in Virginia (0110004951) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1316217706
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHERINE A CUMMINGSCredential: PA-C
Location Address3300 GALLOWS RDFalls Church, VA 22042-3300
Mailing Address3300 Gallows RdFalls Church, VA 22042-3300 · (703) 776-4001 · Fax (703) 776-7113
Fax(703) 776-7113
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 3, 2012
Last NPPES UpdateJune 15, 2021
NPPES CertifiedJune 15, 2021
NPI 1316217706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110004951
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MA055333 (PA)
3300 GALLOWS RD, Falls Church, VA 22042

Secondary Practice Location 1

Location 151 N 39th St, 1 CuppPhiladelphia, PA 19104-2640 · Phone (215) 349-8862

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

Katherine A Cummings Pa-c 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 ID1759558273
PECOS Enrollment IDI20150928001535
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 3

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.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
74 services73 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.
59 services51 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22042 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

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.

Psychiatry & Neurology (Psychiatry)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Obstetrics & Gynecology
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Nurse Practitioner (Acute Care)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pediatrics
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Nurse Anesthetist, Certified Registered
3300 GALLOWS RD
FALLS CHURCH, VA 22042

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 Katherine Cummings's NPI number?

The NPI number for Katherine Cummings is 1316217706. It was assigned to this individual provider in the NPPES registry on January 3, 2012.

Where is Katherine Cummings located?

Katherine Cummings practices at 3300 Gallows Rd, Falls Church, VA 22042. The listed phone number is (703) 776-4001.

What is Katherine Cummings's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katherine Cummings enrolled in Medicare?

Yes. Katherine Cummings 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.

Is Katherine Cummings affiliated with any hospitals?

According to CMS data, Katherine Cummings is affiliated with Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Cummings was last updated on June 15, 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.