CATHERINE CUMMINGS MD
NPI 1609890540
Emergency Medicine in Providence, RI

Q: What is Catherine Cummings's NPI number?

The NPI number for Catherine Cummings is 1609890540. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Catherine Cummings's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment

97.91/100

CMS Quality Rating

164 SUMMIT AVE, PROVIDENCE, RI 02906(401) 854-2504(401) 854-2519 Get Directions Write a Review

NPPES record last updated: September 17, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Catherine Cummings Md NPPES

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

CATHERINE CUMMINGS MD (NPI 1609890540) is an individual emergency medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD11712) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1609890540

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameCATHERINE CUMMINGSCredential: MD

Location Address164 SUMMIT AVEProvidence, RI 02906-2853

Mailing AddressPo Box 9484Providence, RI 02940-9484 · (401) 854-2504 · Fax (401) 854-2519

Phone(401) 854-2504

Fax(401) 854-2519

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJuly 26, 2006

Last NPPES UpdateSeptember 17, 2013

✔ NPI 1609890540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in RI · MD11712

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

164 SUMMIT AVE, Providence, RI 02906

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Other Identifiers 8

Other09/24/2005RI · Nhpri

Medicare UPINH54067RI

Medicare ID-Type Unspecified007057461RI

Other939025129RI · Ri Medicare Group Number

Medicaid7057461RI

Other01/27/2009RI · Tufts

Other1609890540RI · Npi

Medicaid2098831MA

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

Catherine Cummings 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.

PECOS PAC ID5597712398

PECOS Enrollment IDI20050404001103

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

171 services170 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

53 services53 patients

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.

19 services19 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

18 services17 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

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.

97.91/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.97

Promoting Interoperability

100

Improvement Activities

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.

MRS. HALINA KUC-MAZGAJ

Nurse Practitioner (Family)

164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906

Providence County (401) 793-3902

KARL HERMAN M.D.

Internal Medicine

164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MUHAMMAD BAIG M.D.

Internal Medicine (Cardiovascular Disease)

164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MS. LEANNE LAPARLE LICSW

Social Worker (Clinical)