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THOMAS CUMMINGS M.D.
NPI 1740363993
Pathology - Anatomic Pathology & Clinical Pathology in Durham, NC

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
DUKE UNIVERSITY MEDICAL CTR, DURHAM, NC 27710(919) 620-4467 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas Cummings M.d. NPPES

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

THOMAS CUMMINGS M.D. (NPI 1740363993) is an individual anatomic pathology & clinical pathology provider in Durham, North Carolina and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1991).

NPPES Registry Identity

NPI1740363993
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameTHOMAS CUMMINGSCredential: M.D.
Location AddressDUKE UNIVERSITY MEDICAL CTRDurham, NC 27710-0001
Mailing AddressDuke University Medical Ctr, Dumc 3712Durham, NC 27710-0001
Phone(919) 620-4467
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1991
Enumeration DateOctober 23, 2006
Last NPPES UpdateApril 1, 2008
✔ NPI 1740363993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
DUKE UNIVERSITY MEDICAL CTR, Durham, NC 27710
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Other Identifiers 3

Medicare UPINH37547
Medicare PIN2286864NC
Medicaid891284KNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Thomas 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 ID8426183021
PECOS Enrollment IDI20100322000521
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 8

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
298 services65 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
163 services118 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
148 services94 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
112 services29 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
83 services74 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
54 services34 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

MEGAN MCVAY PHD
Psychologist (Clinical)
DUKE UNIVERSITY MEDICAL CTR, DEPARTMENT OF PSYCHIATRY
DURHAM, NC 27710
Durham County (919) 668-7216
MICHELLE BAILEY M.D.
Pediatrics
DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
Durham County (919) 620-4467
JEFFREY CRAWFORD M.D.
Internal Medicine (Hematology & Oncology)
DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
Durham County (919) 620-4467
CHARLES GERARDO M.D.
Emergency Medicine
DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
Durham County (919) 620-4467
KALEY TASH
Internal Medicine
DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
Durham County (727) 510-0883
REID CAMERON CHAMBERLAIN M.D.
Pediatrics (Pediatric Cardiology)
DUKE UNIVERSITY MEDICAL CTR, BOX 3951
DURHAM, NC 27710
Durham County (919) 684-3491
MEGAN CLOWSE
Internal Medicine (Rheumatology)
DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
Durham County (919) 620-4467
NICOLE CALAKOS M.D., PH.D
Neurological Surgery
DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
Durham County (919) 620-4467

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 Thomas Cummings's NPI number?

The NPI number for Thomas Cummings is 1740363993. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Thomas Cummings located?

Thomas Cummings practices at Duke University Medical Ctr, Durham, NC 27710. The listed phone number is (919) 620-4467.

What is Thomas Cummings's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Thomas Cummings enrolled in Medicare?

Yes. Thomas 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.

What insurance does Thomas Cummings accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Thomas 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 Thomas Cummings affiliated with any hospitals?

According to CMS data, Thomas Cummings is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Cummings was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.