DAVID ANDREW KUMMERFELD MD
NPI 1821257130
Orthopaedic Surgery in Tyler, TX

Q: What is David Kummerfeld's NPI number?

The NPI number for David Kummerfeld is 1821257130. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Q: What is David Kummerfeld'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 David Kummerfeld was last updated on April 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 03, 2008PECOS EnrolledAccepts Medicare Assignment

75.54/100

CMS Quality Rating

8101 S BROADWAY AVE, TYLER, TX 75703(903) 939-7501(903) 939-7755 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About David Andrew Kummerfeld Md NPPES

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

DAVID ANDREW KUMMERFELD MD (NPI 1821257130) is an individual orthopaedic surgery provider in Tyler, Texas, licensed in Texas (BP1-0032051) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Titus Regional Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (2008).

NPPES Registry Identity

NPI1821257130

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDAVID ANDREW KUMMERFELDCredential: MD

Location Address8101 S BROADWAY AVETyler, TX 75703-5469

Mailing AddressPo Box 20817Belfast, ME 04915-4105 · (903) 393-7770 · Fax (903) 939-7728

Phone(903) 939-7501

Fax(903) 939-7755

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2008

Enumeration DateJune 3, 2008

Last NPPES UpdateApril 24, 2018

✔ NPI 1821257130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TX · BP1-0032051

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.

8101 S BROADWAY AVE, Tyler, TX 75703

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

David Andrew Kummerfeld Md 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 ID9830318005

PECOS Enrollment IDI20140920000048

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 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, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

765 services82 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

522 services83 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.

299 services210 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.

250 services179 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.

118 services107 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

101 services101 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.

95 services84 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

78 services38 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.

39 services39 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.

35 services25 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

24 services22 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.

22 services22 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.

18 services18 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.

15 services15 patients

Revision of total shoulder repair, total shoulder 23474

A revision of total shoulder repair is a procedure performed if an initial shoulder replacement surgery didn't achieve desired results or complications have arisen. The surgeon replaces the previously implanted artificial shoulder joint with a new one, aiming to restore function and relieve pain.

13 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Titus Regional Medical Center

Acute Care Hospitals · Mount Pleasant, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450080

Location2001 N JeffersonMount Pleasant, TX 75455 · Titus County

Emergency services Birthing friendly

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number450083

Location1000 South Beckham AveTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450389

Location2000 South Palestine StAthens, TX 75751 · Henderson County

Emergency services Birthing friendly

Baylor Scott & White Texas Spine & Joint Hospital

Acute Care Hospitals · Tyler, TX

OwnershipPhysician

CMS Certification Number450864

Location1814 Roseland BoulevardTyler, TX 75701 · Smith County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

75.54/100

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

Individually scored

Quality

57.17

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

55%595 patients3/55-star benchmark: 100%

Cervical Cancer Screening

32%269 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

59%299 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

46%826 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

33%42 patients2/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

93%46 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%1,745 patients4/55-star benchmark: 100%

e-Prescribing

98%128 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

50%575 patients3/55-star benchmark: 100%

Osteoporosis Management in Women Who Had a Fracture

11%28 patients

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

17%1,210 patients1/55-star benchmark: 98%

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

10%1,548 patients1/55-star benchmark: 61%

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

Patients combinedPopulations: 57% · 869 patients

Patients screened: 67% · 869 patients

6%94 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

84%482 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

41%298 patients2/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

69%75 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 607 patients

Patients totalRate: 1% · 607 patients

1%607 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

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

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

DME-Orthotic Devices · category DF000N

4 suppliers38 claims38 services$89.72 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 10

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

JORDAN FAYTH COOKE PA-C

Physician Assistant (Surgical)

8101 S BROADWAY AVE
TYLER, TX 75703

Smith County (903) 939-7500

ORTHOLONESTAR, PLLC

Orthopaedic Surgery

8101 S BROADWAY AVE
TYLER, TX 75703

Smith County (903) 939-7500

MR. KIM ALAN FOREMAN MD

Orthopaedic Surgery (Sports Medicine)

8101 S BROADWAY AVE, SUITE 200
TYLER, TX 75703

Smith County (903) 561-2495

KRISTI D SMITH FNP-C

Nurse Practitioner (Family)

8101 S BROADWAY AVE
TYLER, TX 75703

Smith County (903) 525-3300

MR. JASON BRADLEY JOHNSON NP-C

Nurse Practitioner (Family)

8101 S BROADWAY AVE
TYLER, TX 75703

Smith County (903) 939-7500

DR. WILLIAM EDWARD SCHREIBER MD

Orthopaedic Surgery

8101 S BROADWAY AVE, SUITE 200
TYLER, TX 75703

Smith County (903) 561-2495

MR. PATRICK LEE WUPPERMAN MD

Orthopaedic Surgery

8101 S BROADWAY AVE, SUITE 200
TYLER, TX 75703

Smith County (903) 939-7500

JONATHAN TREVOR MATTHEWS FNP-C

Nurse Practitioner (Family)

8101 S BROADWAY AVE
TYLER, TX 75703

Smith County (903) 939-7500

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 David Kummerfeld's NPI number?

The NPI number for David Kummerfeld is 1821257130. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is David Kummerfeld located?

David Kummerfeld practices at 8101 S Broadway Ave, Tyler, TX 75703. The listed phone number is (903) 939-7501.

What is David Kummerfeld's specialty?

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

Is David Kummerfeld enrolled in Medicare?

Yes. David Kummerfeld 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 David Kummerfeld accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list David Kummerfeld 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 David Kummerfeld affiliated with any hospitals?

According to CMS data, David Kummerfeld is affiliated with Titus Regional Medical Center, Ut Health East Texas Tyler Regional Hospital, Christus Mother Frances Hospital, Ut Health East Texas Athens Hospital and Baylor Scott & White Texas Spine & Joint Hospital.

When was this NPI record last updated?

The NPPES record for David Kummerfeld was last updated on April 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.