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

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: July 26, 2026.

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, 2026, 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
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

Other Identifiers 3

Other001617152CA · Ptan, Individual
OtherZZZ05516ZCA · Ptan, Group
Medicare UPING77470CA

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. 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.

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, 2026
CLIA Number05D1088256
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
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

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
Quality96.33
Promoting Interoperability100
Improvement Activities40
Cost65.96

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.

Specialist
1300 S ELISEO DR, SUITE 104
GREENBRAE, CA 94904
Dermatology (Procedural Dermatology)
1300 S ELISEO DR, SUITE 207
GREENBRAE, CA 94904
Dentist (Pediatric Dentistry)
1300 S ELISEO DR, SUITE 100
GREENBRAE, CA 94904
Dentist (Pediatric Dentistry)
1300 S ELISEO DR, SUITE 100
GREENBRAE, CA 94904
Internal Medicine (Nephrology)
1300 S ELISEO DR, SUITE 104
GREENBRAE, CA 94904
Internal Medicine (Nephrology)
1300 S ELISEO DR, SUITE 104
GREENBRAE, CA 94904
Colon & Rectal Surgery
1300 S ELISEO DR, SUITE 203
GREENBRAE, CA 94904
Internal Medicine
1300 S ELISEO DR, SUITE 201
GREENBRAE, CA 94904

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.

Does Anne Cummings hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1088256) is associated with this NPI, valid through August 19, 2026. 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 with the weekly NPPES data releases published by CMS.