VIRGINIA K CUMMINGS M.D.
NPI 1972543403
Internal Medicine - Geriatric Medicine in Boston, MA

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
110 FRANCIS ST, SUITE 1A, BOSTON, MA 02215(617) 632-8696 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Virginia K Cummings M.d. NPPES

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

VIRGINIA K CUMMINGS M.D. (NPI 1972543403) is an individual geriatric medicine provider in Boston, Massachusetts, licensed in Massachusetts (81496) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1992).

NPPES Registry Identity

NPI1972543403
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameVIRGINIA K CUMMINGSCredential: M.D.
Location Address110 FRANCIS ST, SUITE 1ABoston, MA 02215-5501
Mailing Address110 Francis St, Suite 1aBoston, MA 02215-5501 · (617) 632-8696
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1992
Enumeration DateJune 6, 2006
Last NPPES UpdateJune 17, 2011
NPI 1972543403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in MA · 81496
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
110 FRANCIS ST, Boston, MA 02215

Accepted 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

Virginia K 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 ID1052484433
PECOS Enrollment IDI20080717000552
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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
184 services91 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
162 services146 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
127 services42 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
30 services29 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
19 services16 patients

Hospital Affiliations CMS Care Compare

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$4.27 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$13.88 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers20 claims20 services$7.07 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.

Physician Assistant (Surgical)
110 FRANCIS ST
BOSTON, MA 02215
Internal Medicine (Geriatric Medicine)
110 FRANCIS ST, LMOB SUITE 1A
BOSTON, MA 02215
Internal Medicine (Rheumatology)
110 FRANCIS ST
BOSTON, MA 02215
Audiologist
110 FRANCIS ST, LOWRY BUILDING 6-E
BOSTON, MA 02215
Internal Medicine (Infectious Disease)
110 FRANCIS ST, LOWRY BUILDING SUITE GB
BOSTON, MA 02215
Internal Medicine (Gastroenterology)
110 FRANCIS ST, SUITE 8E
BOSTON, MA 02215
Internal Medicine (Pulmonary Disease)
110 FRANCIS ST, SUITE 1B
BOSTON, MA 02215
Internal Medicine (Infectious Disease)
110 FRANCIS ST, LMOB SUITE G-B
BOSTON, MA 02215

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 Virginia Cummings's NPI number?

The NPI number for Virginia Cummings is 1972543403. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Virginia Cummings located?

Virginia Cummings practices at 110 Francis St Suite 1A, Boston, MA 02215. The listed phone number is (617) 632-8696.

What is Virginia Cummings's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Virginia Cummings enrolled in Medicare?

Yes. Virginia 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 Virginia Cummings accept?

Health plans from Anthem Blue Cross and Blue Shield list Virginia 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 Virginia Cummings affiliated with any hospitals?

According to CMS data, Virginia Cummings is affiliated with South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Virginia Cummings was last updated on June 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.