Dr. Justin Shawn Cummins
MD
Orthopaedic Surgery
About Dr. Justin Shawn Cummins
Dr. Justin Shawn Cummins, MD, is a male healthcare professional specializing in Orthopaedic Surgery, registered under National Provider Identifier (NPI) number 1003911603. Dr. Justin Shawn Cummins received his medical education at UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, graduating in 2002.
Their primary practice is located at 1615 MAPLE LANE, Ashland, Wisconsin 54806. Patients can reach the office at (715) 685-5500. In addition to the primary location, Dr. Justin Shawn Cummins maintains 1 additional practice location.
Dr. Justin Shawn Cummins is affiliated with 2 hospitals in the area. Dr. Justin Shawn Cummins is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.
Under the Merit-based Incentive Payment System (MIPS), Dr. Justin Shawn Cummins achieved a quality score of 89.7 out of 100 for 2023, reflecting excellent clinical performance. The quality category score is 81.2/100.
As a prescriber, Dr. Justin Shawn Cummins has 208 prescription claims processed, totaling $2,861 in drug costs. The opioid prescribing rate is 49.5%. Dr. Justin Shawn Cummins received $2,867 in Medicare payments in 2018 across 20 claims.
Dr. Justin Shawn Cummins has been NPI-registered since 2006.
Key Metrics
MIPS Quality Score
Merit-based Incentive Payment System score for 2023. Excellent performance.
Quality Category Score: 81.2/100
Medicare Payments
$2,866.91
Year 2018
Payment Count
20
Year 2018
Rx Claims
208
$2,861.23
Opioid Rate
49.5%
Practice Locations
2
Affiliated Hospitals
2
Doctor Details
Identity & Credentials
- NPI Number
- 1003911603
- Entity Type
- Individual
- First Name
- Justin
- Last Name
- Cummins
- Credential
- MD
- Gender
- Male
- Medical School
- UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
- Graduation Year
- 2002
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 1615 MAPLE LANE
- City
- Ashland
- State
- Wisconsin
- ZIP
- 54806
- Country
- United States
- Phone
- (715) 685-5500
Specialty & Taxonomy
- Primary Specialty
- Orthopaedic Surgery
- Classification
- Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 1615 MAPLE LANE
- City
- ASHLAND
- State
- WI
- ZIP
- 54806
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Prescriber Information
- Authorized Prescriber
- Yes
- Total Rx Claims
- 208
- Total Rx Cost
- $2,861.23
- Opioid Prescriber Rate
- 49.5%
Frequently Asked Questions
What is Dr. Justin Shawn Cummins's NPI number?
What does Dr. Justin Shawn Cummins specialize in?
Where is Dr. Justin Shawn Cummins located?
Does Dr. Justin Shawn Cummins accept Medicare?
Does Dr. Justin Shawn Cummins offer telehealth or virtual visits?
What is Dr. Justin Shawn Cummins's quality rating?
Can Dr. Justin Shawn Cummins prescribe medications?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Justin Shawn Cummins is 1003911603.