PETER D CUMMINGS MD
NPI 1942285978
Orthopaedic Surgery in Phoenix, AZ

Q: What is Peter Cummings's NPI number?

The NPI number for Peter Cummings is 1942285978. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Q: What is Peter Cummings'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 Peter Cummings was last updated on November 5, 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.

Active since December 13, 2005PECOS EnrolledAccepts Medicare Assignment

80.02/100

CMS Quality Rating

2222 E HIGHLAND AVE, STE 300, PHOENIX, AZ 85016(602) 277-6211(866) 846-8709 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Peter D Cummings Md NPPES

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

PETER D CUMMINGS MD (NPI 1942285978) is an individual orthopaedic surgery provider in Phoenix, Arizona, licensed in Arizona (26142) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1989).

NPPES Registry Identity

NPI1942285978

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NamePETER D CUMMINGSCredential: MD

Location Address2222 E HIGHLAND AVE, STE 300Phoenix, AZ 85016-4872

Mailing Address13203 N 103rd Ave Ste H5Sun City, AZ 85351-3032 · (623) 777-4747 · Fax (623) 777-4748

Phone(602) 277-6211

Fax(866) 846-8709

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1989

Enumeration DateDecember 13, 2005

Last NPPES UpdateNovember 5, 2025

NPPES CertifiedNovember 5, 2025

✔ NPI 1942285978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in AZ · 26142

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.

2222 E HIGHLAND AVE, Phoenix, AZ 85016

Open in Google Maps ↗

Other Identifiers 1

Medicaid409111AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Peter D Cummings 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 ID3779773510

PECOS Enrollment IDI20111107000428

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 12

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, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

382 services64 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.

191 services106 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.

171 services142 patients

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324

Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.

132 services33 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.

83 services80 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.

79 services79 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

77 services76 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

46 services12 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.

31 services31 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.

22 services22 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

15 services14 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

80.02/100

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

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Cost

37.07

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 suppliers17 claims17 services$112.50 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 20

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

THE ORTHOPEDIC CLINIC ASSOCIATION, INC

Orthopaedic Surgery

2222 E HIGHLAND AVE, STE 300
PHOENIX, AZ 85016

Maricopa County (602) 277-6211

ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC

Orthopaedic Surgery

2222 E HIGHLAND AVE, STE 425
PHOENIX, AZ 85016

Maricopa County (602) 667-6640

DESERT FOOT SURGEONS P L L C

Podiatrist (Primary Podiatric Medicine)

2222 E HIGHLAND AVE, SUITE 206
PHOENIX, AZ 85016

Maricopa County (602) 995-1169

JON H WHISLER MD

Orthopaedic Surgery

2222 E HIGHLAND AVE, STE 300
PHOENIX, AZ 85016

Maricopa County (602) 277-6211

LYNDSAY JEAN WILLMOTT MD

Obstetrics & Gynecology (Gynecologic Oncology)

2222 E HIGHLAND AVE, SUITE 400
PHOENIX, AZ 85016

Maricopa County (602) 277-4868

JONATHAN SEIDBERG DPT

Physical Therapist

2222 E HIGHLAND AVE, SUITE 200
PHOENIX, AZ 85016

Maricopa County (602) 595-6180

HARRISON WILLIAMS DPT

Physical Therapist

2222 E HIGHLAND AVE, SUITE 200
PHOENIX, AZ 85016

Maricopa County (602) 595-6180

KEERAT SINGH MD

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

2222 E HIGHLAND AVE
PHOENIX, AZ 85016

Maricopa County (602) 277-6211

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 Peter Cummings's NPI number?

The NPI number for Peter Cummings is 1942285978. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Peter Cummings located?

Peter Cummings practices at 2222 E Highland Ave Ste 300, Phoenix, AZ 85016. The listed phone number is (602) 277-6211.

What is Peter Cummings's specialty?

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

Is Peter Cummings enrolled in Medicare?

Yes. Peter 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 Peter Cummings accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Peter 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.

When was this NPI record last updated?

The NPPES record for Peter Cummings was last updated on November 5, 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.