KYLE T CUMMISFORD PA-C
NPI 1548754153
Physician Assistant - Medical in Lake Forest, IL

Active since June 18, 2018PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045(847) 234-5600 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 9, 2022, Jun 18, 2018 (2 updates tracked since 2018).

About Kyle T Cummisford Pa-c NPPES

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

KYLE T CUMMISFORD PA-C (NPI 1548754153) is an individual medical provider in Lake Forest, Illinois, licensed in Illinois (085006665) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1548754153
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKYLE T CUMMISFORDCredential: PA-C
Location Address1000 N WESTMORELAND RDLake Forest, IL 60045-1658
Mailing Address1000 N Westmoreland RdLake Forest, IL 60045-1658
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 18, 2018
Last NPPES UpdateMay 9, 20222 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
NPI 1548754153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IL · 085006665
Also ListedPhysician AssistantTaxonomy 363A00000X
1000 N WESTMORELAND RD, Lake Forest, IL 60045

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

Kyle T Cummisford Pa-c 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 ID3375894181
PECOS Enrollment IDI20180918001931
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

Pathology (Anatomic Pathology & Clinical Pathology)
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Hospitalist
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Physical Therapist
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Physician Assistant
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Physician Assistant
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Hospitalist
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Hospitalist
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Physician Assistant
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045

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 Kyle Cummisford's NPI number?

The NPI number for Kyle Cummisford is 1548754153. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Kyle Cummisford located?

Kyle Cummisford practices at 1000 N Westmoreland Rd, Lake Forest, IL 60045. The listed phone number is (847) 234-5600.

What is Kyle Cummisford's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kyle Cummisford enrolled in Medicare?

Yes. Kyle Cummisford 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.

Is Kyle Cummisford affiliated with any hospitals?

According to CMS data, Kyle Cummisford is affiliated with Northwestern Lake Forest Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Cummisford was last updated on May 9, 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.