KRISTOPHER MICHAEL CUMBERMACK MD
NPI 1356526156
Pediatrics - Pediatric Cardiology in Lexington, KY
About Kristopher Michael Cumbermack Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTOPHER MICHAEL CUMBERMACK MD (NPI 1356526156) is an individual pediatric cardiology provider in Lexington, Kentucky, licensed in Kentucky (44022) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of University Of Vermont College Of Medicine (2003).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Kristopher Michael Cumbermack 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.
Medicare Billing Reassignment
Medicare enrollment records show Kristopher Cumbermack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, KY 40517
- Reassigned Medicare billing, Kentucky enrollment
- 1,502 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Kentucky Hospital
Acute Care Hospitals · Lexington, KYMedicare 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.
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 Kristopher Cumbermack's NPI number?
The NPI number for Kristopher Cumbermack is 1356526156. It was assigned to this individual provider in the NPPES registry on December 31, 2007. The provider is also known as K.C. Cumbermack M.D..
Where is Kristopher Cumbermack located?
Kristopher Cumbermack practices at 800 Rose Street Mn 150 Kentucky Children's Hospital, Lexington, KY 40536. The listed phone number is (859) 323-5494.
What is Kristopher Cumbermack's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Kristopher Cumbermack enrolled in Medicare?
Yes. Kristopher Cumbermack 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 organization bills Medicare for Kristopher Cumbermack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristopher Cumbermack reassigns Medicare benefits to Kentucky Medical Services Foundation, Inc (Lexington, KY). The 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 Kristopher Cumbermack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristopher Cumbermack accept?
Health plans from Anthem Blue Cross and Blue Shield list Kristopher Cumbermack 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 Kristopher Cumbermack affiliated with any hospitals?
According to CMS data, Kristopher Cumbermack is affiliated with University Of Kentucky Hospital.
When was this NPI record last updated?
The NPPES record for Kristopher Cumbermack was last updated on November 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kristopher Michael Cumbermack, MD · NPI 1356526156
Pediatric Cardiology physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since December 31, 2007.
## Identity
- **NPI:** 1356526156 (Entity type: Individual)
- **Enumerated:** December 31, 2007
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 44022 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 ROSE STREET MN 150, KENTUCKY CHILDREN'S HOSPITAL, Lexington, KY 40536-0298
- **Phone:** (859) 323-5494 · **Fax:** (859) 323-3499
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kentucky Medical Services Foundation, Inc (NPI 1326091448, Lexington, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Vermont College Of Medicine, class of 2003
## Record status
- **NPPES last updated:** November 4, 2011
---
Source: [NPI Profile](https://npiprofile.com/npi/1356526156) · Data from the CMS NPPES public registry.