DR. LEE S CUMMINGS M.D.
NPI 1548416969
Transplant Surgery in Metairie, LA
About Dr. Lee S Cummings M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LEE S CUMMINGS M.D. (NPI 1548416969) is an individual transplant surgery provider in Metairie, Louisiana, licensed in Louisiana (345817) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with East Jefferson General Hospital, and maintains a secondary practice location in Tampa.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 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
Dr. Lee S Cummings 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.
Medicare Billing Reassignments
3Medicare enrollment records show Lee Cummings reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Orleans, LA 70112
- Reassigned Medicare billing, Louisiana enrollment
- Medicare enrollment name: Administrators Of The Tulane Educational Fund
- 851 clinicians in this Medicare group
Seminole, FL 33772
- Reassigned Medicare billing, Florida enrollment
- 419 clinicians in this Medicare group
Blue Springs, MO 64014
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Saint Lukes Physician Group Inc
- 1,339 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.
Areas of Expertise CMS Part B claims 5
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 Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
East Jefferson General Hospital
Acute Care Hospitals · Metairie, LAOchsner Medical Center - Baton Rouge
Acute Care Hospitals · Baton Rouge, LASinging River Gulfport
Acute Care Hospitals · Gulfport, MSMedicare 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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
METAIRIE, LA 70006
METAIRIE, LA 70006
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 Lee Cummings's NPI number?
The NPI number for Lee Cummings is 1548416969. It was assigned to this individual provider in the NPPES registry on August 18, 2008.
Where is Lee Cummings located?
Lee Cummings practices at 4320 Houma Blvd Ste 700, Metairie, LA 70006. The listed phone number is (504) 988-5344.
What is Lee Cummings's specialty?
The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.
Is Lee Cummings enrolled in Medicare?
Yes. Lee 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.
Which organizations bill Medicare for Lee Cummings's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lee Cummings reassigns Medicare benefits to 3 organizations: Administrators Of The Tulane Education Fund (New Orleans, LA), Tampa General Medical Group Inc (Seminole, FL) and Saint Luke's Physician Group Inc (Blue Springs, MO). Each 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 Lee Cummings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lee Cummings accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Anthem Blue Cross and Blue Shield and 5 other insurers list Lee 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.
Is Lee Cummings affiliated with any hospitals?
According to CMS data, Lee Cummings is affiliated with East Jefferson General Hospital, Ochsner Medical Center - Baton Rouge and Singing River Gulfport.
When was this NPI record last updated?
The NPPES record for Lee Cummings was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Dr. Lee S Cummings, M.D. · NPI 1548416969
Transplant Surgery physician in Metairie, Louisiana. Individual provider, active in the CMS NPPES registry since August 18, 2008.
## Identity
- **NPI:** 1548416969 (Entity type: Individual)
- **Enumerated:** August 18, 2008
- **Primary specialty:** Transplant Surgery · taxonomy 204F00000X
- **State license:** 345817 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4320 HOUMA BLVD STE 700, Metairie, LA 70006-2673
- **Phone:** (504) 988-5344
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Administrators Of The Tulane Education Fund (NPI 1790354595, New Orleans, LA); Tampa General Medical Group Inc (NPI 1598316366, Seminole, FL); Saint Luke's Physician Group Inc (NPI 1376257220, Blue Springs, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** April 2, 2025
- **Other identifiers:** Medicaid 1548416969 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1548416969) · Data from the CMS NPPES public registry.