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TERRY L CUMMINGS M.D.
NPI 1861531287
Internal Medicine in New Orleans, LA

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
200 BROADWAY ST STE 230, NEW ORLEANS, LA 70118(504) 988-9000 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Terry L Cummings M.d. NPPES

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

TERRY L CUMMINGS M.D. (NPI 1861531287) is an individual internal medicine provider in New Orleans, Louisiana, licensed in Louisiana (020231) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and is a graduate of Tulane University School Of Medicine (1988).

NPPES Registry Identity

NPI1861531287
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTERRY L CUMMINGSCredential: M.D.
Location Address200 BROADWAY ST STE 230New Orleans, LA 70118-3544
Mailing Address200 Broadway St Ste 230New Orleans, LA 70118-3544 · (504) 988-1940 · Fax (504) 588-1992
Phone(504) 988-9000
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1988
Enumeration DateFebruary 5, 2007
Last NPPES UpdateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1861531287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 020231
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 020231 (LA)
200 BROADWAY ST STE 230, New Orleans, LA 70118
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Other Identifiers 4

Medicaid1944386LA
Medicaid1966380LA
Other720423889LA · Group
Medicaid009913264AL

Accepted Insurance

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

Terry L 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 ID7810902376
PECOS Enrollment IDI20060221000056
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 3

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.
146 services77 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.
35 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients

Hospital Affiliations CMS Care Compare 4

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Touro Infirmary

Acute Care Hospitals · New Orleans, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190046
Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County
Emergency services Birthing friendly

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70118 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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 3

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

TIMOTHY RUGILE MD, MPH
Family Medicine
200 BROADWAY ST STE 230
NEW ORLEANS, LA 70118
Orleans Parish (504) 988-9000
MS. RENEA BRAY LPN
Licensed Practical Nurse
200 BROADWAY ST STE 230
NEW ORLEANS, LA 70118
Orleans Parish (504) 988-9000
ANH VY MAI M.D.
Pediatrics
200 BROADWAY ST STE 230
NEW ORLEANS, LA 70118
Orleans Parish (504) 988-9000

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 Terry Cummings's NPI number?

The NPI number for Terry Cummings is 1861531287. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Terry Cummings located?

Terry Cummings practices at 200 Broadway St Ste 230, New Orleans, LA 70118. The listed phone number is (504) 988-9000.

What is Terry Cummings's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Terry Cummings enrolled in Medicare?

Yes. Terry 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 Terry Cummings accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Terry 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 Terry Cummings affiliated with any hospitals?

According to CMS data, Terry Cummings is affiliated with University Medical Center New Orleans, Ochsner Medical Center Acute, Touro Infirmary and East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for Terry Cummings was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.