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DR. MARK D CUMINGS M.D.
NPI 1629132584
Internal Medicine - Gastroenterology in Olympia, WA

Active since December 21, 2006PECOS EnrolledAccepts Medicare Assignment
209LILLY RD NE, OLYMPIA, WA 98506(360) 413-8250(360) 413-8830 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2021, Oct 29, 2020, Jun 21, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Mark D Cumings M.d. NPPES

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

DR. MARK D CUMINGS M.D. (NPI 1629132584) is an individual gastroenterology provider in Olympia, Washington, licensed in Washington (MD00042468) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and maintains a secondary practice location in Olympia..

NPPES Registry Identity

NPI1629132584
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MARK D CUMINGSCredential: M.D.
Location Address209LILLY RD NEOlympia, WA 98506
Mailing Address209lilly Rd NeOlympia, WA 98506 · (360) 413-8250 · Fax (360) 413-8830
Phone(360) 413-8250
Fax(360) 413-8830
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1995
Enumeration DateDecember 21, 2006
Last NPPES UpdateApril 21, 20214 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1629132584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in WA · MD00042468
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License MD00042468 (WA)
Also ListedSpecialistTaxonomy 174400000X · License MD00042468 (WA)
209LILLY RD NE, Olympia, WA 98506
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Secondary Practice Location 1

Location 1500 Lilly Rd NE, Suite 204Olympia., WA 98506-5197 · Phone (360) 413-8250 · Fax (360) 413-8830

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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. Mark D Cumings 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 ID5294839361
PECOS Enrollment IDI20070329000214
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

2

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

Gastroenterology Associates Clinical Practice, PLLC
0.1 mi
Gastroenterology
209 LILLY ROAD NE
Olympia, WA 98506
  • Reassigned Medicare billing, Washington enrollment
  • 59 clinicians in this Medicare group
NPI 1811556442 (360) 413-8250
Puget Sound Gastroenterology, PLLC
0.1 mi
Gastroenterology
209 LILLY RD NE STE B
Olympia, WA 98506
  • Reassigned Medicare billing, Washington enrollment
  • 83 clinicians in this Medicare group
NPI 1386340164 (360) 413-8250

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

Areas of Expertise CMS Part B claims 10

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
174 services174 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
71 services71 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
61 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.
48 services41 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 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.
37 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500019
Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County
Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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 Mark Cumings's NPI number?

The NPI number for Mark Cumings is 1629132584. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Mark Cumings located?

Mark Cumings practices at 209lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 413-8250.

What is Mark Cumings's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mark Cumings enrolled in Medicare?

Yes. Mark Cumings 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 Mark Cumings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Cumings reassigns Medicare benefits to 2 organizations: Gastroenterology Associates Clinical Practice, PLLC (Olympia, WA) and Puget Sound Gastroenterology, PLLC (Olympia, WA). 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 Mark Cumings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Cumings accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mark Cumings 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 Mark Cumings affiliated with any hospitals?

According to CMS data, Mark Cumings is affiliated with Providence Centralia Hospital and Providence St Peter Hospital.

When was this NPI record last updated?

The NPPES record for Mark Cumings was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.