MICHELLE CUMMINS (MD) – Otolaryngology Physician, NPI 1811972185
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
892 OTOLARYNGOLOGY in TX
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Provider Addresses for MICHELLE CUMMINS (MD)
Box Place, Cambridge, Hoppers Crossing, Melbourne, City of Wyndham, Victoria, 3029, Australia
VICTORIA, TX 779035511
Phone: (361) 551-2565
Fax: (361) 551-2568
Type: Mailing
1300, North Virginia Street, Port Lavaca, Calhoun County, Texas, 77979, United States
SUITE 112
PORT LAVACA, TX 779792516
Phone: (361) 551-2565
Fax: (361) 551-2568
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $11.
Total Amount is formed as General ($11) + Research ($0) + Ownership ($0) = $11.
Last reported payment date: 2023-03-08 • Largest payer in this snapshot: Musculoskeletal Transplant Foundation Inc. ($11).
Total Amount
$11
General + Research + Ownership
Payments
1
Total payment records
General Amount
$11
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Musculoskeletal Transplant Foundation Inc. | $11 |
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: 2005-05-24
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 |
|---|---|---|---|---|
| I20050524001226 | I | Otolaryngology | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 293 | 131 | $0 |
| 69210 | Removal of impacted ear wax | 218 | 127 | $0 |
| 92588 | Placement of ear probe for computerized measurement of repeated sounds with interpretation and report | 168 | 83 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 104 | 104 | $0 |
| 92570 | Comprehensive hearing test | 85 | 81 | $0 |
Insurance plans in this area (ZIP 77903)
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