DR. ANNE MARIE CUMMINGS M.D.
NPI 1619917028
Internal Medicine in Greenbrae, CA

Q: What is Anne Cummings's NPI number?

The NPI number for Anne Cummings is 1619917028. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Anne Cummings's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Anne Cummings was last updated on September 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 June 07, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D1088256 · Waiver

88.69/100

CMS Quality Rating

1300 S ELISEO DR, STE. 201, GREENBRAE, CA 94904(415) 461-5552(415) 464-8964 Get Directions Write a Review

NPPES record last updated: September 26, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Anne Marie Cummings M.d. NPPES

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

DR. ANNE MARIE CUMMINGS M.D. (NPI 1619917028) is an individual internal medicine provider in Greenbrae, California, licensed in California (A61715) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 19, 2028, and is a graduate of Medical College Of Pennsylvania (1995).

NPPES Registry Identity

NPI1619917028

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. ANNE MARIE CUMMINGSCredential: M.D.

Location Address1300 S ELISEO DR, STE. 201Greenbrae, CA 94904-2023

Mailing Address1300 S Eliseo Dr, Ste. 201Greenbrae, CA 94904-2023 · (415) 461-5552 · Fax (415) 464-8964

Phone(415) 461-5552

Fax(415) 464-8964

Sole ProprietorYes

Medical School CMSMedical College Of PennsylvaniaGraduated 1995

Enumeration DateJune 7, 2006

Last NPPES UpdateSeptember 26, 2011

✔ NPI 1619917028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A61715

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1300 S ELISEO DR, Greenbrae, CA 94904

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Other Identifiers 3

Other001617152CA · Ptan, Individual

OtherZZZ05516ZCA · Ptan, Group

Medicare UPING77470CA

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. Anne Marie 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 ID6002809175

PECOS Enrollment IDI20040405001528

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.

Medicare Billing Reassignments

Medicare enrollment records show Anne Cummings reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marin Medical Concierge

Same address

Internal Medicine

1300 S ELISEO DR STE 203
Greenbrae, CA 94904

Reassigned Medicare billing, California enrollment

NPI 1629885728 (415) 461-5552

Anne M. Cummings, M.D. A Medical Corporation

Same address

Internal Medicine

1300 S ELISEO DR, SUITE 201
Greenbrae, CA 94904

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1699974899 (415) 461-5552

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1088256

Anne Cummings, MD Apc · Greenbrae, CA

Active · expires Aug 19, 2028

CLIA Number05D1088256

Laboratory TypePhysician Office

Certificate Effective DateAugust 20, 2026

Certificate Expiration DateAugust 19, 2028

Laboratory DirectorAnne M. Cummings, MD

Laboratory Phone(415) 461-5552

Laboratory LocationAnne Cummings, MD Apc1300 S Eliseo Dr Ste 201, Greenbrae, CA 94904

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 22

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

1,500 services19 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

621 services251 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

543 services191 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

352 services136 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

193 services64 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

185 services79 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

166 services71 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

137 services137 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

115 services112 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

115 services112 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

87 services64 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

80 services60 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.

75 services63 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

73 services68 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

42 services38 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

35 services35 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

35 services11 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

28 services28 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

26 services26 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

26 services26 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

19 services18 patients

Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets 87631

This test identifies different respiratory viruses by examining their nucleic acid, the building blocks of their genetic material. It can detect multiple types or subtypes, specifically 3-5 targets. This helps in diagnosing your respiratory illness accurately.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94904 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

$154.04 typical visit price

range $69.07 – $202.63

Typical copayment $38.51 (range $17.26 – $50.65)

Most-billed visit code 99204

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

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.

88.69/100

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

Individually scored

Quality

96.33

Promoting Interoperability

100

Improvement Activities

Cost

65.96

Reported Quality Measures

Advance Care Plan

93%309 patients4/55-star benchmark: 100%

Breast Cancer Screening

80%103 patients4/55-star benchmark: 93%

Cervical Cancer Screening

44%66 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

23%241 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

66%165 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

69%98 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

95%1,379 patients4/55-star benchmark: 100%

e-Prescribing

92%426 patients2/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

71%306 patients3/55-star benchmark: 100%

HIV Screening

24%123 patients2/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

58%400 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

31%542 patients3/55-star benchmark: 61%

Provide Patients Electronic Access to Their Health Information

92%339 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

85%143 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 4% · 295 patients

Patients totalRate: 15% · 307 patients

14%307 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$215.29 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 12

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

JAMES E SHEPARD MARK C LAMBERT & LAWRENCE A LEVY PTRS

Specialist

1300 S ELISEO DR, SUITE 104
GREENBRAE, CA 94904

Marin County (415) 925-3075

CHERYL ANN TANASOVICH M.D.

Dermatology (Procedural Dermatology)

1300 S ELISEO DR, SUITE 207
GREENBRAE, CA 94904

Marin County (415) 925-0550

CICELY BROOKE SMITH D.D.S.

Dentist (Pediatric Dentistry)

1300 S ELISEO DR, SUITE 100
GREENBRAE, CA 94904

Marin County (415) 461-0414

GILA C. DOROSTKAR, DDS, PC

Dentist (Pediatric Dentistry)

1300 S ELISEO DR, SUITE 100
GREENBRAE, CA 94904

Marin County (415) 461-0414

MARIN NEPHROLOGY

Internal Medicine (Nephrology)

1300 S ELISEO DR, SUITE 104
GREENBRAE, CA 94904

Marin County (415) 925-3075

GENEVIEVE ESTILO MD

Internal Medicine (Nephrology)

1300 S ELISEO DR, SUITE 104
GREENBRAE, CA 94904

Marin County (415) 925-3075

MARK BAZALGETTE, M.D., INC.

Colon & Rectal Surgery

1300 S ELISEO DR, SUITE 203
GREENBRAE, CA 94904

Marin County (415) 461-3300

ANNE M. CUMMINGS, M.D. A MEDICAL CORPORATION

Internal Medicine

1300 S ELISEO DR, SUITE 201
GREENBRAE, CA 94904

Marin County (415) 461-5552

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 Anne Cummings's NPI number?

The NPI number for Anne Cummings is 1619917028. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Anne Cummings located?

Anne Cummings practices at 1300 S Eliseo Dr Ste. 201, Greenbrae, CA 94904. The listed phone number is (415) 461-5552.

What is Anne Cummings's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anne Cummings enrolled in Medicare?

Yes. Anne 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 Anne Cummings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anne Cummings reassigns Medicare benefits to 2 organizations: Marin Medical Concierge (Greenbrae, CA) and Anne M. Cummings, M.D. A Medical Corporation (Greenbrae, CA). 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 Anne Cummings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Anne Cummings hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1088256) is associated with this NPI, valid through August 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anne Cummings was last updated on September 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

About Dr. Anne Marie Cummings M.d. NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 3

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Medicare Billing Reassignments

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 05D1088256

Areas of Expertise CMS Part B claims 22

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Reported Quality Measures

Referred Medical Equipment & Supplies CMS DME claims

Other Providers at the Same Location NPPES 12

Frequently Asked Questions NPPES & CMS

What is Anne Cummings's NPI number?

Where is Anne Cummings located?

What is Anne Cummings's specialty?

Is Anne Cummings enrolled in Medicare?

Which organizations bill Medicare for Anne Cummings's services?

Does Anne Cummings hold a CLIA laboratory certificate?

When was this NPI record last updated?

Certificate of Waiver 05D1088256