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LORRAINE MARIE CUMMINGS M.D.
NPI 1942332424
Obstetrics & Gynecology in York, PA

Active since March 11, 2007PECOS EnrolledAccepts Medicare Assignment
36.85/100
CMS Quality Rating
1101 EDGAR ST, SUITE E, YORK, PA 17403(717) 812-4602(717) 812-3499 Get Directions Write a Review

NPPES record last updated: June 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lorraine Marie Cummings M.d. NPPES

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

LORRAINE MARIE CUMMINGS M.D. (NPI 1942332424) is an individual obstetrics & gynecology provider in York, Pennsylvania, licensed in Pennsylvania (MD453713) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1942332424
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLORRAINE MARIE CUMMINGSCredential: M.D.
Location Address1101 EDGAR ST, SUITE EYork, PA 17403-2862
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 812-4602 · Fax (717) 812-3499
Phone(717) 812-4602
Fax(717) 812-3499
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 11, 2007
Last NPPES UpdateJune 10, 2016
✔ NPI 1942332424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD453713
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1101 EDGAR ST, York, PA 17403
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINF88263NC
Medicaid103000624PA

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

Lorraine Marie 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 ID5496888570
PECOS Enrollment IDI20150428002028
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.

Hospital Affiliations CMS Care Compare

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17403 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

36.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.45
Improvement Activities20
Cost60.35

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.

ROSHNE DAVIDSON
Counselor (Professional)
1101 EDGAR ST
YORK, PA 17403
York County (717) 851-1500
BETH M REILEY CRNP
Nurse Practitioner (Psychiatric/Mental Health)
1101 EDGAR ST
YORK, PA 17403
York County (717) 851-1500
MARIA IOANNIS TSOUKALOS-NTZANIS LPC
Counselor (Addiction (Substance Use Disorder))
1101 EDGAR ST
YORK, PA 17403
York County (717) 851-1500
PATRICIA A MUELLER
Registered Nurse
1101 EDGAR ST, SUITE A
YORK, PA 17403
York County (717) 851-1500
NELSON YUEN M.D.
Family Medicine
1101 EDGAR ST, SUITE E
YORK, PA 17403
York County (717) 851-1566
PATRICK GALLAGHER MS, LPC
Counselor (Professional)
1101 EDGAR ST, SUITE A
YORK, PA 17403
York County (717) 851-1500
NICOLE LEA THOMAS
Nurse Practitioner (Women's Health)
1101 EDGAR ST
YORK, PA 17403
York County (717) 812-4602
DEBORAH G KRZEMINSKI LPC
Counselor (Professional)
1101 EDGAR ST, STE A
YORK, PA 17403
York County (717) 851-1500

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 Lorraine Cummings's NPI number?

The NPI number for Lorraine Cummings is 1942332424. It was assigned to this individual provider in the NPPES registry on March 11, 2007.

Where is Lorraine Cummings located?

Lorraine Cummings practices at 1101 Edgar St Suite E, York, PA 17403. The listed phone number is (717) 812-4602.

What is Lorraine Cummings's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lorraine Cummings enrolled in Medicare?

Yes. Lorraine 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.

Is Lorraine Cummings affiliated with any hospitals?

According to CMS data, Lorraine Cummings is affiliated with Wellspan York Hospital.

When was this NPI record last updated?

The NPPES record for Lorraine Cummings was last updated on June 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.