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KIMBERLY ANN CUMMINGS M.D.
NPI 1407173040
Pediatrics in Beaverton, OR

Active since April 21, 2010PECOS Enrolled
2935 SW CEDAR HILLS BLVD, BEAVERTON, OR 97005(503) 352-6000(503) 352-6080 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly Ann Cummings M.d. NPPES

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

KIMBERLY ANN CUMMINGS M.D. (NPI 1407173040) is an individual pediatrics provider in Beaverton, Oregon, licensed in Oregon (MD163817) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407173040
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKIMBERLY ANN CUMMINGSCredential: M.D.
Location Address2935 SW CEDAR HILLS BLVDBeaverton, OR 97005-1342
Mailing Address2935 Sw Cedar Hills BlvdBeaverton, OR 97005-1342 · (503) 352-6000 · Fax (503) 352-6080
Phone(503) 352-6000
Fax(503) 352-6080
Sole ProprietorNo
Enumeration DateApril 21, 2010
Last NPPES UpdateAugust 6, 2013
✔ NPI 1407173040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OR · MD163817
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2935 SW CEDAR HILLS BLVD, Beaverton, OR 97005
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Ann Cummings M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Cummings reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Virginia Garcia Memorial Health Center
0.3 mi
Federally Qualified Health Center (FQHC)
2725 SW CEDAR HILLS BLVD STE 200
Beaverton, OR 97005
  • Reassigned Medicare billing, Oregon enrollment
  • 111 clinicians in this Medicare group
NPI 1902067861 (503) 352-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97005 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 20

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

DR. CAROLYN LEE GOEBEL M.D.
Family Medicine
2935 SW CEDAR HILLS BLVD
BEAVERTON, OR 97005
Washington County (503) 352-6000
MS. JUDY ELLEN FLYNN PA
Physician Assistant
2935 SW CEDAR HILLS BLVD
BEAVERTON, OR 97005
Washington County (503) 352-8562
VANESSA H MCKIEL MD
Family Medicine
2935 SW CEDAR HILLS BLVD
BEAVERTON, OR 97005
Washington County (503) 352-6000
MR. JONATHAN RICHARD TARDIFF PA-C
Physician Assistant
2935 SW CEDAR HILLS BLVD
BEAVERTON, OR 97005
Washington County (503) 352-6000
JUAN GABRIEL LOPEZ PHARM.D.
Pharmacist
2935 SW CEDAR HILLS BLVD
BEAVERTON, OR 97005
Washington County (503) 352-6006
JENNIFER STANISLAW
Pharmacist
2935 SW CEDAR HILLS BLVD
BEAVERTON, OR 97005
Washington County (503) 352-6000
SARAH LARIMER RD
Dietitian, Registered
2935 SW CEDAR HILLS BLVD
BEAVERTON, OR 97005
Washington County (503) 352-6000
PETYA GUEORDJEVA M.D.
Family Medicine
2935 SW CEDAR HILLS BLVD
BEAVERTON, OR 97005
Washington County (503) 352-6000

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 Kimberly Cummings's NPI number?

The NPI number for Kimberly Cummings is 1407173040. It was assigned to this individual provider in the NPPES registry on April 21, 2010.

Where is Kimberly Cummings located?

Kimberly Cummings practices at 2935 SW Cedar Hills Blvd, Beaverton, OR 97005. The listed phone number is (503) 352-6000.

What is Kimberly Cummings's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kimberly Cummings enrolled in Medicare?

Yes. Kimberly Cummings is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Cummings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Cummings reassigns Medicare benefits to Virginia Garcia Memorial Health Center (Beaverton, OR). 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 Kimberly Cummings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Cummings accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kimberly Cummings 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.

When was this NPI record last updated?

The NPPES record for Kimberly Cummings was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.