DR. GALEN ROBERT CUMMINGS DO
NPI 1619479318
Orthopaedic Surgery in Louisville, KY

Q: What is Galen Cummings's NPI number?

The NPI number for Galen Cummings is 1619479318. It was assigned to this individual provider in the NPPES registry on March 8, 2018.

Q: What is Galen Cummings's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Galen Cummings was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 08, 2018PECOS EnrolledAccepts Medicare Assignment

225 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202(502) 562-0312 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 17, 2024, Aug 20, 2023, Mar 8, 2018 (3 updates tracked since 2018).

On this page

About Dr. Galen Robert Cummings Do NPPES

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

DR. GALEN ROBERT CUMMINGS DO (NPI 1619479318) is an individual orthopaedic surgery provider in Louisville, Kentucky, licensed in Kentucky (05551) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2018).

NPPES Registry Identity

NPI1619479318

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. GALEN ROBERT CUMMINGSCredential: DO

Location Address225 ABRAHAM FLEXNER WAYLouisville, KY 40202-1882

Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0328

Phone(502) 562-0312

Sole ProprietorNo

Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2018

Enumeration DateMarch 8, 2018

Last NPPES UpdateMay 17, 20243 updates tracked since enumeration

NPPES CertifiedMay 17, 2024

✔ NPI 1619479318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in KY · 05551

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 05551 (KY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

225 ABRAHAM FLEXNER WAY, Louisville, KY 40202

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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. Galen Robert Cummings Do 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 ID2466991153

PECOS Enrollment IDI20240826003069, I20240911001411

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 2

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 low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services12 patients

Hospital Affiliations CMS Care Compare

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180040

Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

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.

KATLEEN LIBBERECHT MD

Student in an Organized Health Care Education/Training Program

225 ABRAHAM FLEXNER WAY, SUITE 850
LOUISVILLE, KY 40202

Jefferson County (502) 561-4263

LEAH D ASHBY APRN

Nurse Practitioner

225 ABRAHAM FLEXNER WAY, SUITE 305
LOUISVILLE, KY 40202

Jefferson County (502) 585-4321

NEUROSURGICAL GROUP OF GREATER LOUISVILLE AND SO IN PSC

Specialist

225 ABRAHAM FLEXNER WAY, SUITE 505
LOUISVILLE, KY 40202

Jefferson County (502) 584-4121

DR. RICHARD M LEVIN M.D.

Specialist

225 ABRAHAM FLEXNER WAY, SUITE 501
LOUISVILLE, KY 40202

Jefferson County (502) 584-7787

NARESH K SOLANKHI MD

Internal Medicine (Interventional Cardiology)

225 ABRAHAM FLEXNER WAY, SUITE 305
LOUISVILLE, KY 40202

Jefferson County (502) 585-4321

MISS AINHOA COSTAS CHAVARRI M.D.

Surgery (Surgery of the Hand)

225 ABRAHAM FLEXNER WAY, SUITE 850
LOUISVILLE, KY 40202

Jefferson County (502) 562-0312

BETTY J LAY OTR/L

Occupational Therapist (Hand)

225 ABRAHAM FLEXNER WAY, SUITE 650
LOUISVILLE, KY 40202

Jefferson County (502) 561-4295

MICHELLE CARDWELL FNP

Nurse Practitioner (Family)

225 ABRAHAM FLEXNER WAY, OUTPATIENT CARE CENTER - ENDOSCOPY UNIT
LOUISVILLE, KY 40202

Jefferson County (502) 587-4011

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 Galen Cummings's NPI number?

The NPI number for Galen Cummings is 1619479318. It was assigned to this individual provider in the NPPES registry on March 8, 2018.

Where is Galen Cummings located?

Galen Cummings practices at 225 Abraham Flexner Way, Louisville, KY 40202. The listed phone number is (502) 562-0312.

What is Galen Cummings's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Galen Cummings enrolled in Medicare?

Yes. Galen 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 Galen Cummings accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Galen 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 Galen Cummings affiliated with any hospitals?

According to CMS data, Galen Cummings is affiliated with Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Galen Cummings was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.