TERRY L CUMMINGS M.D.
NPI 1861531287
Internal Medicine in New Orleans, LA
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 Ochsner Medical Center Acute, and is a graduate of Tulane University School Of Medicine (1988).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Terry Cummings reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Orleans, LA 70112
- Reassigned Medicare billing, Louisiana enrollment
- Medicare enrollment name: Administrators Of The Tulane Educational Fund
- 851 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ochsner Medical Center Acute
Acute Care Hospitals · New Orleans, LATouro Infirmary
Acute Care Hospitals · New Orleans, LAEast Jefferson General Hospital
Acute Care Hospitals · Metairie, LAPhysician 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.
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.
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.
Which organization bills Medicare for Terry Cummings's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terry Cummings reassigns Medicare benefits to Administrators Of The Tulane Education Fund (New Orleans, LA). The 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 Terry Cummings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Terry Cummings accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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 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 11 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.
# Terry L Cummings, M.D. · NPI 1861531287
Internal Medicine physician in New Orleans, Louisiana. Individual provider, active in the CMS NPPES registry since February 5, 2007.
## Identity
- **NPI:** 1861531287 (Entity type: Individual)
- **Enumerated:** February 5, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 020231 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 BROADWAY ST STE 230, New Orleans, LA 70118-3544
- **Phone:** (504) 988-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Administrators Of The Tulane Education Fund (NPI 1790354595, New Orleans, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tulane University School Of Medicine, class of 1988
## Record status
- **NPPES last updated:** November 18, 2025
- **Other identifiers:** Medicaid 1944386 (LA); Medicaid 1966380 (LA); Other 720423889 (LA); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1861531287) · Data from the CMS NPPES public registry.