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SHAUN CUMM PA
NPI 1669476065
Physician Assistant - Medical in Queensbury, NY

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment
93.92/100
CMS Quality Rating
6 HEARTS WAY, ADIRONDACK CARDIOLOGY, QUEENSBURY, NY 12804(518) 792-1233(518) 792-6854 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2021, Mar 12, 2020 (2 updates tracked since 2020).

About Shaun Cumm Pa NPPES

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

SHAUN CUMM PA (NPI 1669476065) is an individual medical provider in Queensbury, New York, licensed in New York (010236) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1669476065
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSHAUN CUMMCredential: PA
Location Address6 HEARTS WAY, ADIRONDACK CARDIOLOGYQueensbury, NY 12804-5925
Mailing Address100 Park Street, Glens Falls Hospital - CredentialngGlens Falls, NY 12801-4413 · (518) 926-5924 · Fax (518) 926-6983
Phone(518) 792-1233
Fax(518) 792-6854
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 13, 2005
Last NPPES UpdateJune 17, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1669476065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 010236
6 HEARTS WAY, Queensbury, NY 12804
Open in Google Maps ↗

Other Identifiers 1

Medicaid02626180NY

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

Shaun Cumm Pa 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 ID1052374659
PECOS Enrollment IDI20041104001025
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.

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.
221 services210 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
97 services62 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.
87 services82 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

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.

93.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.28
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

JULIE ANDERSON PA
Physician Assistant (Medical)
6 HEARTS WAY, ADIRONDACK CARDIOLOGY
QUEENSBURY, NY 12804
Warren County (518) 792-1233
DAVID A JUDKINS M.D.
Internal Medicine (Cardiovascular Disease)
6 HEARTS WAY, ADIRONDACK CARDIOLOGY
QUEENSBURY, NY 12804
Warren County (518) 792-1233
MICHAEL A LAYDEN M.D.
Internal Medicine (Cardiovascular Disease)
6 HEARTS WAY, ADIRONDACK CARDIOLOGY
QUEENSBURY, NY 12804
Warren County (518) 792-1233
HENRY T TAN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
6 HEARTS WAY, ADIRONDACK CARDIOLOGY
QUEENSBURY, NY 12804
Warren County (518) 792-1233
MARK R VANDIEN RPA
Physician Assistant
6 HEARTS WAY, ADIRONDACK CARDIOLOGY
QUEENSBURY, NY 12804
Warren County (518) 792-1233
DR. JORDAN C. A. BLACKWOOD M.D.
Internal Medicine (Cardiovascular Disease)
6 HEARTS WAY
QUEENSBURY, NY 12804
Warren County (518) 792-1233
MEGAN KATHLEEN HILL PA
Physician Assistant
6 HEARTS WAY, ADIRONDACK CARDIOLOGY
QUEENSBURY, NY 12804
Warren County (518) 792-1233
ERIN SHOOSHAN PA
Physician Assistant (Medical)
6 HEARTS WAY, ADIRONDACK CARDIOLOGY
QUEENSBURY, NY 12804
Warren County (518) 792-1233

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 Shaun Cumm's NPI number?

The NPI number for Shaun Cumm is 1669476065. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Shaun Cumm located?

Shaun Cumm practices at 6 Hearts Way Adirondack Cardiology, Queensbury, NY 12804. The listed phone number is (518) 792-1233.

What is Shaun Cumm's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shaun Cumm enrolled in Medicare?

Yes. Shaun Cumm 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.

Is Shaun Cumm affiliated with any hospitals?

According to CMS data, Shaun Cumm is affiliated with Albany Medical Center Hospital and Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Shaun Cumm was last updated on June 17, 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.