DR. TROY CUMMENS (D.O.) – Anesthesiology Physician, NPI 1497835698
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,514 ANESTHESIOLOGY in WA
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Provider Addresses for DR. TROY CUMMENS (D.O.)
230, West 5th Avenue, Spokane, Spokane County, Washington, 99204, United States
SPOKANE, WA 992044808
Phone: (509) 838-8561
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 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $18 |
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: 2024-09-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20120716000375 | I | Anesthesiology | UT | TBD |
| I20240906003185 | I | Anesthesiology | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 27 | 27 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 23 | 22 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 14 | 14 | $0 |
Insurance plans in this area (ZIP 99204)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | WA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 18 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | UT | |
| A N E S T H E S I O L O G Y | UT | |
| A N E S T H E S I O L O G Y | UT | |
| A N E S T H E S I O L O G Y | UT | |
| A N E S T H E S I O L O G Y | OR | |
| A N E S T H E S I O L O G Y | UT | |
| - | UT | |
| - | UT | |
| A N E S T H E S I O L O G Y | UT | |
| A N E S T H E S I O L O G Y | UT |
Reviews
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