EVAN CHARLES CUMPSTON (MD) – Otology & Neurotology Physician, NPI 1376905877
Otology & Neurotology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
242 OTOLARYNGOLOGY in IN
Provider Addresses for EVAN CHARLES CUMPSTON (MD)
355 W 16TH ST STE 3000
INDIANAPOLIS, IN 462022207
Phone: (317) 963-7082
Fax: (317) 963-7085
Type: Location
240 E Huron St
Chicago, IL 606112909
Phone: (312) 503-7975
Type: Location
West North Avenue, Inglewood, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
WAUWATOSA, WI 532262431
Phone: (720) 934-3840
Type: Mailing
Café 251, 234-240, East Huron Street, Magnificent Mile, Near North Side, Chicago, Cook County, Illinois, 60611, United States
CHICAGO, IL 606112909
Phone: (312) 503-7975
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $824.
Total Amount is formed as General ($824) + Research ($0) + Ownership ($0) = $824.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Cochlear Americas ($413).
Total Amount
$824
General + Research + Ownership
Payments
11
Total payment records
General Amount
$824
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cochlear Americas | $413 |
| Stryker Corporation | $238 |
| GlaxoSmithKline, LLC. | $118 |
| Olympus America Inc. | $55 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-05-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220526002759 | I | Otolaryngology | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 14 | $0 |
Insurance plans in this area (ZIP 46202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | NC | |
| U R O L O G Y | IN | |
| Diagnostic Radiology, Interventional Radiology | NY | |
| Nurse Practitioner | IN | |
| P A T H O L O G Y | IN | |
| O T O L A R Y N G O L O G Y | IN | |
| E N D O C R I N O L O G Y | IN | |
| Family Practice, Sports Medicine | IN | |
| Gastroenterology, Internal Medicine | IN | |
| Orthopedic Surgery | MO |
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