WILLIAM T CUMMINS (MD) – Surgery Physician, NPI 1265483184
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
935 GENERAL SURGERY in VA
Provider Addresses for WILLIAM T CUMMINS (MD)
16000 JOHNSTON MEMORIAL DR
SUITE 101
ABINGDON, VA 242117659
Phone: (276) 258-1777
Fax: (276) 258-1778
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $263.
Total Amount is formed as General ($263) + Research ($0) + Ownership ($0) = $263.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Davol Inc. ($155).
Total Amount
$263
General + Research + Ownership
Payments
7
Total payment records
General Amount
$263
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $155 |
| W. L. Gore & Associates, Inc. | $66 |
| Baxter Healthcare | $25 |
| Hologic Sales and Service, LLC | $17 |
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: 2007-06-05
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 |
|---|---|---|---|---|
| I20070605000493 | I | General Surgery | VA | 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 | 55 | 52 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 33 | 27 | $0 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 32 | 31 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 31 | 30 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 28 | 28 | $0 |
Insurance plans in this area (ZIP 24211)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | VA | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 35 | 29 |
| GENERAL SURGERY | VA | 45378 | Diagnostic examination of large bowel using an endoscope | 50 | 50 |
| GENERAL SURGERY | VA | 45385 | Removal of polyps or growths of large bowel using an endoscope | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | TN | |
| Mental Health Counselor | VA | |
| - | VA | |
| General Surgery | VA | |
| P S Y C H I A T R Y | VA | |
| Nurse Practitioner | VA |
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