MATTHEW J CUMMINGS
NPI 1801031547
Radiology - Diagnostic Radiology in Chicago, IL

Q: What is Matthew Cummings's NPI number?

The NPI number for Matthew Cummings is 1801031547. It was assigned to this individual provider in the NPPES registry on December 9, 2008.

Q: Where is Matthew Cummings located?

Matthew Cummings practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (773) 702-1000.

Q: What is Matthew Cummings's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: Is Matthew Cummings enrolled in Medicare?

Yes. Matthew 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.

Q: Which organizations bill Medicare for Matthew Cummings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Cummings reassigns Medicare benefits to 9 organizations: The University Of Chicago Medical Center (Chicago, IL), University Of Chicago (Chicago, IL), Beacon Dowagiac Inc (Dowagiac, MI), Beacon Kalamazoo Inc (Three Rivers, MI), Beacon Allegan Inc (Allegan, MI) and 4 more organizations, listed in the Medicare section above. 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 Matthew Cummings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Q: What insurance does Matthew Cummings accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health and 3 other insurers list Matthew 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.

Q: Is Matthew Cummings affiliated with any hospitals?

According to CMS data, Matthew Cummings is affiliated with Promedica Coldwater Regional Hospital, Hillsdale Hospital, University Of Michigan Health System, Borgess Medical Center and Ascension Borgess Lee Hospital.

Q: When was this NPI record last updated?

The NPPES record for Matthew Cummings was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 December 09, 2008PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

5841 S MARYLAND AVE, CHICAGO, IL 60637(773) 702-1000 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2025, Apr 5, 2024, May 16, 2018 (3 updates tracked since 2018).

On this page

About Matthew J Cummings NPPES

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

MATTHEW J CUMMINGS (NPI 1801031547) is an individual diagnostic radiology provider in Chicago, Illinois, licensed in Illinois (036-120198) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Promedica Coldwater Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801031547

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameMATTHEW J CUMMINGS

Location Address5841 S MARYLAND AVEChicago, IL 60637-1443

Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965 · (773) 702-1061

Phone(773) 702-1000

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateDecember 9, 2008

Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration

NPPES CertifiedMarch 4, 2025

✔ NPI 1801031547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in IL · 036-120198✔ Licensed in FL · ME164142

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License ME164142 (FL), 036-120198 (IL)

5841 S MARYLAND AVE, Chicago, IL 60637

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1676 N Saint Clair St, Suite 1400Chicago, IL 60611-2927 · Phone (312) 695-1292

Location 210855 Virginia StCrown Point, IN 46307-0210 · Phone (888) 824-0200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Cigna Healthcare and more.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

Matthew J 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 ID1456406594

PECOS Enrollment IDI20090826000180, I20230217001740, I20250313002226

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 Matthew Cummings reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center

Same address

General Acute Care Hospital

5841 S MARYLAND AVE
Chicago, IL 60637

Reassigned Medicare billing, Illinois enrollment
1,905 clinicians in this Medicare group

NPI 1033218128 (773) 702-1530

University Of Chicago

Same address

Multi-Specialty

5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637

Reassigned Medicare billing, Illinois and Indiana enrollments
Also billed through NPI 1477262046 (Illinois)
2,237 clinicians in this Medicare group

NPI 1821048786 (773) 702-9200

Beacon Dowagiac Inc

78 mi

Critical Access

420 W HIGH ST
Dowagiac, MI 49047

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Ascension Borgess Lee Hospital
133 clinicians in this Medicare group

NPI 1194771030 (269) 782-8681

Beacon Kalamazoo Inc

101 mi

Emergency Medicine

701 S HEALTH PKWY
Three Rivers, MI 49093

Reassigned Medicare billing, Michigan and Illinois enrollments
Medicare enrollment name: Ascension Borgess Hospital
Also billed through NPI 1518753441 (Michigan)
247 clinicians in this Medicare group

NPI 1629495320 (269) 273-8557

Beacon Allegan Inc

103 mi

Hospitalist

555 LINN ST
Allegan, MI 49010

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Ascension Borgess Allegan Hospital
11 clinicians in this Medicare group

NPI 1992668925 (269) 673-8424

Ascension Medical Group Promed

105 mi

Counselor

8001 ANGLING RD
Portage, MI 49024

Reassigned Medicare billing, Michigan enrollment
465 clinicians in this Medicare group

NPI 1063542165 (269) 321-7090

Hillsdale Community Health Center

147 mi

Rural Health

535 MARSHALL ST
Litchfield, MI 49252

Reassigned Medicare billing, Michigan and Illinois enrollments
Also billed through NPI 1730115940 (Illinois)
108 clinicians in this Medicare group

NPI 1073114682 (517) 330-3000

Mori Bean And Brooks Inc

994 mi

Diagnostic Radiology

1 TAMPA GENERAL CIR
Tampa, FL 33606

Reassigned Medicare billing, Florida and Illinois enrollments
1,130 clinicians in this Medicare group

NPI 1093782070 (904) 236-5884

Baptist Outpatient Services Inc

1,185 mi

Diagnostic Radiology

8950 N KENDALL DR
Miami, FL 33176

Reassigned Medicare billing, Florida enrollment
318 clinicians in this Medicare group

NPI 1437127529 (786) 596-7200

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 28

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.

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

314 services255 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

124 services118 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

84 services76 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

79 services73 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

63 services63 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

63 services57 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

53 services53 patients

Mri scan of lower spinal canal without contrast 72148

46 services46 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

45 services45 patients

Mri scan of lower spinal canal before and after contrast 72158

An MRI scan of the lower spinal canal with contrast is a non-invasive imaging procedure. It uses magnetic fields to generate detailed images of your lower spine. A contrast agent is injected to enhance these images, helping doctors see issues more clearly.

44 services43 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

40 services39 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

39 services39 patients

Ct scan of soft tissue of neck with contrast 70491

A CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.

38 services37 patients

Mri scan of brain before and after contrast 70553

32 services32 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

28 services28 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

22 services22 patients

Mri scan of brain without contrast 70551

21 services21 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

21 services21 patients

Mri scan of middle spinal canal without contrast 72146

An MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.

20 services19 patients

Mri scan of middle spinal canal before and after contrast 72157

An MRI scan of the middle spinal canal with contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your spine, both before and after a contrast dye is injected. The dye helps to highlight certain structures, providing a clearer picture for diagnosis.

20 services20 patients

Ct scan of soft tissue of neck with contrast 70491

18 services17 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

18 services18 patients

Mri scan of blood vessels of head without contrast 70544

An MRI scan of the head's blood vessels without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the blood vessels in your head. This helps doctors diagnose conditions such as stroke, aneurysm, or other vascular disorders.

17 services17 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

16 services16 patients

Mri scan of upper spinal canal without contrast 72141

15 services15 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

15 services15 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

14 services14 patients

Mri scan of upper spinal canal before and after contrast 72156

An MRI scan of the upper spinal canal before and after contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. Contrast dye is injected to enhance these images, providing clearer visuals for accurate diagnosis.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Promedica Coldwater Regional Hospital

Acute Care Hospitals · Coldwater, MI

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number230022

Location274 E Chicago StColdwater, MI 49036 · Branch County

Emergency services Birthing friendly

Hillsdale Hospital

Acute Care Hospitals · Hillsdale, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230037

Location168 S Howell StreetHillsdale, MI 49242 · Hillsdale County

Emergency services Birthing friendly

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230046

Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County

Emergency services Birthing friendly

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230117

Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County

Emergency services Birthing friendly

Ascension Borgess Lee Hospital

Critical Access Hospitals · Dowagiac, MI

OwnershipVoluntary non-profit - Church

CMS Certification Number231315

Location420 W High StDowagiac, MI 49047 · Cass County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

100/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions

Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…

Lower rates are better for this measure.

0%127 patients

Appropriate Follow-up Imaging for Incidental Thyroid Nodules in Patients

Percentage of final reports for computed tomography (CT), CT angiography (CTA) or magnetic resonance imaging (MRI) or magnetic resonance angiogram (MRA) studies of the chest or neck for patients aged 18 years and older with no known thyroid disease with a…

Lower rates are better for this measure.

0%22 patients

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

100%1,271 patients

Radiology: Stenosis Measurement in Carotid Imaging Reports

Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…

100%161 patients

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.

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.

DR. DON MARTINEZ M.D.

Radiology (Diagnostic Radiology)