JOEL D CUMMINGS MD
NPI 1356370720
Orthopaedic Surgery in Wenatchee, WA

Q: What is Joel Cummings's NPI number?

The NPI number for Joel Cummings is 1356370720. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Q: What is Joel Cummings's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Joel Cummings was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment

820 N CHELAN AVE, WENATCHEE, WA 98801(509) 663-8711 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Joel D Cummings Md NPPES

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

JOEL D CUMMINGS MD (NPI 1356370720) is an individual orthopaedic surgery provider in Wenatchee, Washington, licensed in Washington (MD00043338) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Confluence Health Hospital, and is a graduate of University Of Washington School Of Medicine (1999).

NPPES Registry Identity

NPI1356370720

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameJOEL D CUMMINGSCredential: MD

Location Address820 N CHELAN AVEWenatchee, WA 98801-2028

Mailing Address820 N Chelan AveWenatchee, WA 98801-2028

Phone(509) 663-8711

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 1999

Enumeration DateJune 30, 2006

Last NPPES UpdateJune 15, 2022

NPPES CertifiedJune 15, 2022

✔ NPI 1356370720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in WA · MD00043338

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

820 N CHELAN AVE, Wenatchee, WA 98801

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Other Identifiers 4

Other315949WA · L&i Post 7/21/13

Other0183782WA · L&i

Medicaid1356370720WA

OtherP01257567WA · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Joel D Cummings 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 ID9335138080

PECOS Enrollment IDI20040508000320

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 18

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.

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.

262 services234 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

220 services168 patients

X-ray of thigh bone, 1 view 73551

An X-ray of the thigh bone, 1 view, is a quick, painless procedure that uses a small amount of radiation to create images of the inside of your thigh. It helps doctors to diagnose and monitor conditions like fractures, infections, or tumors.

220 services137 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

204 services168 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

167 services144 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

111 services104 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

107 services87 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

77 services73 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

65 services65 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

35 services35 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

28 services27 patients

X-ray of thigh bone, 1 view 73551

22 services16 patients

X-ray of hip, 2-3 views 73502

20 services20 patients

X-ray of knee, 1-2 views 73560

20 services19 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

19 services18 patients

X-ray of knee, 3 views 73562

19 services18 patients

X-ray of knee, 4 or more views 73564

17 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Confluence Health Hospital

Acute Care Hospitals · Wenatchee, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500016

Location1201 S Miller StreetWenatchee, WA 98807 · Chelan County

Emergency services Birthing friendly

Quincy Valley Medical Center

Critical Access Hospitals · Quincy, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501320

Location908 10th Avenue SouthwestQuincy, WA 98848 · Grant County

Emergency services

North Valley Hospital

Critical Access Hospitals · Tonasket, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501321

Location203 South WesternTonasket, WA 98855 · Okanogan County

Emergency services

Lake Chelan Community Hospital

Critical Access Hospitals · Chelan, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501334

Location110 S Apple Blossom DrChelan, WA 98816 · Chelan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98801 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers17 claims17 services$55.32 avg. paid by Medicare

Continuous passive motion exercise device for use on knee only E0935

DME-Other DME · category DE000N

1 supplier68 claims1,280 services$21.94 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RICHARD A HESNER PT

Physical Therapist