DR. LEE S CUMMINGS M.D.
NPI 1548416969
Transplant Surgery in Metairie, LA

Active since August 18, 2008PECOS EnrolledAccepts Medicare Assignment
77.28/100
CMS Quality Rating
4320 HOUMA BLVD STE 700, METAIRIE, LA 70006(504) 988-5344 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2025, Oct 2, 2023, Nov 16, 2017 (3 updates tracked since 2017).

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

NPI1548416969
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameDR. LEE S CUMMINGSCredential: M.D.
Location Address4320 HOUMA BLVD STE 700Metairie, LA 70006-2673
Mailing Address4320 Houma Blvd Ste 700Metairie, LA 70006-2673 · (504) 988-5344
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 18, 2008
Last NPPES UpdateApril 2, 20253 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
NPI 1548416969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
Licenses Licensed in LA · 345817 Licensed in MO · 2011016077
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
4320 HOUMA BLVD STE 700, Metairie, LA 70006

Secondary Practice Location 1

Location 1409 Bayshore BlvdTampa, FL 33606-2707 · Phone (813) 844-5544

Other Identifiers 1

Medicaid1548416969MO

Accepted 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

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.

PECOS PAC ID5698944197
PECOS Enrollment IDI20250410002469
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 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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
72 services72 patients
Transplantation of donor kidney 50360
Transplantation of a donor kidney involves replacing a non-functioning kidney with a healthy one from a donor. This procedure can significantly improve the quality of life for those with serious kidney disease. The new kidney can perform the essential task of filtering blood and removing waste.
31 services31 patients
Preparation of donor kidney for transplantation 50323
Preparation of a kidney for transplantation involves careful evaluation of the donor organ. It includes checking for diseases, ensuring compatibility, and preserving the organ in a cold solution until transplantation. This process ensures the best outcome for the recipient.
27 services27 patients
Preparation of donor kidney and veins for transplantation 50327
In kidney transplantation, a healthy kidney is taken from a donor. The kidney is carefully prepared, cleaned, and preserved. Veins are also prepared to ensure smooth blood flow to the new kidney. This process is done under strict medical protocols.
18 services18 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
17 services17 patients

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, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Ochsner Medical Center - Baton Rouge

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190202
Location17000 Medical Center DrBaton Rouge, LA 70816 · E. Baton Rouge County
Emergency services Birthing friendly

Singing River Gulfport

Acute Care Hospitals · Gulfport, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250123
Location15200 Community RoadGulfport, MS 39503 · Harrison County
Emergency services

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.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

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.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier14 claims350 services$11.27 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier14 claims76 services$8.04 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier14 claims76 services$25.11 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 3

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

Nurse Practitioner
4320 HOUMA BLVD STE 700
METAIRIE, LA 70006
Nurse Practitioner (Family)
4320 HOUMA BLVD STE 700
METAIRIE, LA 70006
Transplant Surgery
4320 HOUMA BLVD STE 700
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.

What insurance does Lee Cummings accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and Medica and 2 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 16 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.