Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEFFREY CUMMINGS
NPI 1740271238
Orthopaedic Surgery in Gardnerville, NV

Q: What is Jeffrey Cummings's NPI number?

The NPI number for Jeffrey Cummings is 1740271238. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Q: What is Jeffrey Cummings's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Cummings was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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 November 02, 2005PECOS EnrolledAccepts Medicare Assignment

91.59/100

CMS Quality Rating

1520 VIRGINIA RANCH RD STE 1B, GARDNERVILLE, NV 89410(530) 543-5554(530) 541-3016 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 21, 2026, Jul 20, 2021 (2 updates tracked since 2021).

On this page

About Jeffrey Cummings NPPES

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

JEFFREY CUMMINGS (NPI 1740271238) is an individual orthopaedic surgery provider in Gardnerville, Nevada, licensed in Nevada (10469) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and maintains a secondary practice location in Carson City.

NPPES Registry Identity

NPI1740271238

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameJEFFREY CUMMINGS

Location Address1520 VIRGINIA RANCH RD STE 1BGardnerville, NV 89410-5732

Mailing Address2170 South AveSouth Lake Tahoe, CA 96150-7026 · (530) 541-3420

Phone(530) 543-5554

Fax(530) 541-3016

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 1994

Enumeration DateNovember 2, 2005

Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2026

✔ NPI 1740271238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in NV · 10469✔ Licensed in CA · A55471

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1520 VIRGINIA RANCH RD STE 1B, Gardnerville, NV 89410

Open in Google Maps ↗

Secondary Practice Location 1

Location 1935 Mica Dr Ste 13Carson City, NV 89705-7181 · Phone (775) 783-3065 · Fax (775) 267-1829

Other Identifiers 5

OtherP00042485CA · Medicare Railroad

Medicaid100500928NV

OtherCC5609NV · Bcbs

OtherP00042503NV · Medicare Railroad

Other00A554710CA · Medi-cal

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Jeffrey Cummings 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 ID4981507852

PECOS Enrollment IDI20060426000403, I20081124000097

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 Jeffrey Cummings reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barton Healthcare System

12 mi

Emergency Medicine

3860 SADDLE RD
South Lake Tahoe, CA 96150

Reassigned Medicare billing, California and Nevada enrollments
Also billed through NPI 1700963725 (Nevada)
126 clinicians in this Medicare group

NPI 1306931357 (530) 543-5575

Barton Medical Foundation

15 mi

Family Medicine

2170 SOUTH AVE
South Lake Tahoe, CA 96150

Reassigned Medicare billing, California and Nevada enrollments
148 clinicians in this Medicare group

NPI 1750950499 (530) 541-3420

James J Lynch MD Ltd

36 mi

Specialist

9480 DOUBLE DIAMOND PKWY STE 200
Reno, NV 89521

Reassigned Medicare billing, Nevada enrollment
Medicare enrollment name: James J Lynch M D Ltd
83 clinicians in this Medicare group

NPI 1285649608 (775) 348-8800

Sky Lakes Medical Center Inc

254 mi

General Acute Care Hospital

2865 DAGGETT AVE
Klamath Falls, OR 97601

Reassigned Medicare billing, Oregon enrollment
355 clinicians in this Medicare group

NPI 1659340370 (541) 274-6221

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 15

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,156 services96 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.

209 services161 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

134 services98 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

122 services88 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.

111 services111 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.

104 services95 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

102 services83 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

27 services27 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

26 services26 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

26 services26 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

22 services20 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.

18 services18 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

16 services15 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

14 services14 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Renown Regional Medical Center

Acute Care Hospitals · Reno, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290001

Location1155 Mill StreetReno, NV 89502 · Washoe County

Emergency services Birthing friendly

Carson Tahoe Regional Medical Center

Acute Care Hospitals · Carson City, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290019

Location1600 Medical ParkwayCarson City, NV 89703 · Carson City County

Emergency services Birthing friendly

Carson Valley Health

Critical Access Hospitals · Gardnerville, NV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number291306

Location1107 Highway 395Gardnerville, NV 89410 · Douglas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89410 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

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.

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.

91.59/100

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

Scored through an Alternative Payment Model

Quality

85.05

Promoting Interoperability

96.88

Improvement Activities

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

53%198 patients3/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

86%1,421 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%501 patients1/55-star benchmark: 100%

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

86%945 patients4/55-star benchmark: 100%

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

0%1,396 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 85% · 763 patients

Patients screened: 85% · 763 patients

98%61 patients4/55-star benchmark: 100%

Tobacco Use and Help with Quitting Among Adolescents

100%33 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 521 patients

Patients totalRate: 4% · 523 patients

4%523 patients4/55-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 3

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

Continuous passive motion exercise device for use on knee only E0935

DME-Other DME · category DE000N

2 suppliers43 claims845 services$18.70 avg. paid by Medicare

Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833

DME-Orthotic Devices · category DF011N

3 suppliers19 claims19 services$466.52 avg. paid by Medicare

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

3 suppliers24 claims24 services$115.12 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 3

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

SCOTT WILSON SOUTHARD M.D.

Orthopaedic Surgery

1520 VIRGINIA RANCH RD STE 1B
GARDNERVILLE, NV 89410

Douglas County (530) 541-4119

RHIANNON BROERSMA PAC

Physician Assistant (Surgical)

1520 VIRGINIA RANCH RD STE 1B
GARDNERVILLE, NV 89410

Douglas County (530) 543-5554

SCOTT W SOUTHARD MD INC

Orthopaedic Surgery

1520 VIRGINIA RANCH RD STE 1B
GARDNERVILLE, NV 89410

Douglas County (530) 541-4119

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 Jeffrey Cummings's NPI number?

The NPI number for Jeffrey Cummings is 1740271238. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Jeffrey Cummings located?

Jeffrey Cummings practices at 1520 Virginia Ranch Rd Ste 1B, Gardnerville, NV 89410. The listed phone number is (530) 543-5554.

What is Jeffrey Cummings's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jeffrey Cummings enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Cummings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Cummings reassigns Medicare benefits to 4 organizations: Barton Healthcare System (South Lake Tahoe, CA), Barton Medical Foundation (South Lake Tahoe, CA), James J Lynch MD Ltd (Reno, NV) and Sky Lakes Medical Center Inc (Klamath Falls, OR). 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 Jeffrey Cummings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Cummings accept?

Health plans from Moda Health Plan, Inc. list Jeffrey Cummings 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 Jeffrey Cummings affiliated with any hospitals?

According to CMS data, Jeffrey Cummings is affiliated with Renown Regional Medical Center, Carson Tahoe Regional Medical Center and Carson Valley Health.

When was this NPI record last updated?

The NPPES record for Jeffrey Cummings was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.