MARY CUMMINS DO
NPI 1922492248
Hospitalist in Knoxville, TN

Q: What is Mary Cummins's NPI number?

The NPI number for Mary Cummins is 1922492248. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Q: What is Mary Cummins's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Cummins was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 25, 2015PECOS EnrolledAccepts Medicare Assignment

1924 ALCOA HWY # U56, KNOXVILLE, TN 37920(865) 305-9081(865) 305-8769 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2022, Oct 12, 2020, Sep 24, 2018 (3 updates tracked since 2018).

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About Mary Cummins Do NPPES

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

MARY CUMMINS DO (NPI 1922492248) is an individual hospitalist provider in Knoxville, Tennessee, licensed in Tennessee (3788) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Lincoln Memorial University Medical Department (2015).

NPPES Registry Identity

NPI1922492248

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameMARY CUMMINSCredential: DO

Location Address1924 ALCOA HWY # U56Knoxville, TN 37920-1511

Mailing AddressPo Box 415000-msc8135Nashville, TN 37241-8135 · (865) 670-6199 · Fax (865) 670-6198

Phone(865) 305-9081

Fax(865) 305-8769

Sole ProprietorNo

Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2015

Enumeration DateMarch 25, 2015

Last NPPES UpdateJanuary 6, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2022

✔ NPI 1922492248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in TN · 3788✔ Licensed in VA · 0102205116

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 0102205116 (VA), 3788 (TN)

1924 ALCOA HWY # U56, Knoxville, TN 37920

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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

Mary Cummins Do 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 ID1052642881

PECOS Enrollment IDI20191009002231

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 Mary Cummins reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Health System, Inc

Same address

Dermatology

1924 ALCOA HWY
Knoxville, TN 37920

Reassigned Medicare billing, Tennessee enrollment
832 clinicians in this Medicare group

NPI 1083332951 (865) 305-9410

Wellmont Medical Associates, Inc.

61 mi

Internal Medicine

405 SCENIC DR, SUITE A
Rogersville, TN 37857

Reassigned Medicare billing, Tennessee enrollment
861 clinicians in this Medicare group

NPI 1689032575 (423) 921-3490

Blue Ridge Medical Management Corporation

62 mi

Obstetrics & Gynecology

900 W MAIN ST, HEALTH LINK OF ROGERSVILLE
Rogersville, TN 37857

Reassigned Medicare billing, Tennessee and Virginia enrollments
Also billed through NPI 1962434068 (Virginia)
496 clinicians in this Medicare group

NPI 1134139017 (423) 272-0542

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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

336 services327 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440015

Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

CHELSEA NICOLE RYAN

Hospitalist