DR. MATTHEW CUMMOCK DO
NPI 1669869665
Neurological Surgery in Miami, FL

Active since April 17, 2015PECOS EnrolledAccepts Medicare Assignment
1475 NW 12TH AVE, MIAMI, FL 33136(305) 243-4000(305) 243-3337 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Matthew Cummock Do NPPES

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

DR. MATTHEW CUMMOCK DO (NPI 1669869665) is an individual neurological surgery provider in Miami, Florida, licensed in Florida (OS18405) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669869665
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. MATTHEW CUMMOCKCredential: DO
Location Address1475 NW 12TH AVEMiami, FL 33136-1002
Mailing Address1475 Nw 12th AveMiami, FL 33136-1002 · (305) 243-4000 · Fax (305) 243-3337
Fax(305) 243-3337
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 17, 2015
Last NPPES UpdateApril 7, 2022
NPPES CertifiedApril 7, 2022
NPI 1669869665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in FL · OS18405
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1475 NW 12TH AVE, Miami, FL 33136

Accepted 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. Matthew Cummock 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 ID7911371513
PECOS Enrollment IDI20230322001738
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.

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.
74 services37 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.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

Nurse Practitioner (Family)
1475 NW 12TH AVE
MIAMI, FL 33136
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1475 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33136
Dermatology
1475 NW 12TH AVE, BOX 016960
MIAMI, FL 33136
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1475 NW 12TH AVE
MIAMI, FL 33136
Radiology (Vascular & Interventional Radiology)
1475 NW 12TH AVE
MIAMI, FL 33136
Acupuncturist
1475 NW 12TH AVE
MIAMI, FL 33136
Radiology (Radiation Oncology)
1475 NW 12TH AVE, SUITE 1500
MIAMI, FL 33136
Nurse Practitioner (Gerontology)
1475 NW 12TH AVE
MIAMI, FL 33136

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 Matthew Cummock's NPI number?

The NPI number for Matthew Cummock is 1669869665. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Where is Matthew Cummock located?

Matthew Cummock practices at 1475 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-4000.

What is Matthew Cummock's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Matthew Cummock enrolled in Medicare?

Yes. Matthew Cummock 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 Matthew Cummock accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Matthew Cummock 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 Matthew Cummock affiliated with any hospitals?

According to CMS data, Matthew Cummock is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Matthew Cummock was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.