PROVIDER PROFILE · NPI 1003911603

Justin CumminsMD

Orthopedic SurgeryAshland, WII

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

Distinct HCPCS

Medicare payment

$3K

Peer benchmark

Total Medicare services vs. 453 Orthopedic Surgery providers in WI — bottom quintile (cohort median 729).

PRESCRIBING · PART D · 2024

Total Rx claims

146

Beneficiaries

—

Total drug cost

$1K

Distinct drugs

Brand share

22.6%

Top prescribed drugs

Dexamethasone47 claims

Oxycodone Hcl42 claims

Oxycodone Hcl/Acetaminophen22 claims

Tramadol Hcl13 claims

Gabapentin11 claims

QUALITY · MIPS · 2024

Final MIPS score

86.2

Quality

74.9

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.47%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$95

Payment records

By payment type

Food and Beverage$95

Top paying entities

Food and Beverage$95

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Justin Cummins's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 9 inbound referrers · 21 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SMDC MEDICAL CENTER	98	608
ST MARYS MEDICAL CENTER	47	104
Michael Ryan Diagnostic Radiology · Duluth, MN	31	90
RIEMER, DOUGLAS	23	57
ST. MARY'S HOSPITAL OF SUPERIOR	16	47
Bruce Derauf Diagnostic Radiology · Duluth, MN	12	39
Daniel Mullins Diagnostic Radiology · Duluth, MN	12	36
Nizar Saleh Cardiology · Duluth, MN	12	19
Daniel Zelen Diagnostic Radiology · Duluth, MN	11	21

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
SMDC MEDICAL CENTER	143	928
ST MARYS MEDICAL CENTER	87	217
RIEMER, DOUGLAS	56	227
Michael Ryan Diagnostic Radiology · Duluth, MN	30	70
WITRAK, WILLIAM	19	45
Jason Schultz Interventional Cardiology · Duluth, MN	15	31
ST. MARY'S HOSPITAL OF SUPERIOR	15	66
Mayo Clinic Ambulance Ambulance Service Provider · Rochester, MN	14	46
Daniel Zelen Diagnostic Radiology · Duluth, MN	13	24
Jill Holsinger Diagnostic Radiology · Duluth, MN	13	26
David Alexander Diagnostic Radiology · Duluth, MN	13	46
Michael Caldwell Diagnostic Radiology · Duluth, MN	13	26

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history