What is Douglas Cummins's specialty?

Douglas Cummins (NPI 1518941475) is a Medicare-billing provider whose primary specialty is General Surgery in Lubbock, TX.

Where does Douglas Cummins practice?

Douglas Cummins practices in Lubbock, TX, based on the location reported in the CMS Medicare provider datasets for NPI 1518941475.

How much does Medicare pay Douglas Cummins?

Douglas Cummins (NPI 1518941475) received approximately $61K in total Medicare Part B payments, serving 172 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1518941475

Douglas CumminsM.D.

PRACTICEGREAT PLAINS CARE TEAMSee all providers at this practice →

General SurgeryLubbock, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

302

Unique beneficiaries

—

Total services

372

Distinct HCPCS

Medicare payment

$29K

Peer benchmark

Total Medicare services vs. 1,477 General Surgery providers in TX — top quintile (cohort median 212).

PRESCRIBING · PART D · 2024

Total Rx claims

314

Beneficiaries

—

Total drug cost

$4K

Distinct drugs

Brand share

6.1%

Top prescribed drugs

Pantoprazole Sodium201 claims

Famotidine29 claims

Sucralfate28 claims

Omeprazole26 claims

Hydrocodone/Acetaminophen19 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$8K

Payment records

By payment type

Education$7K

Travel and Lodging$402

Food and Beverage$238

Top paying entities

Education$7K

Travel and Lodging$402

Food and Beverage$238

REFERRAL NETWORK

Where Douglas 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). 15 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
METHODIST HOSPITAL PLAINVIEW TEXAS	130	658
Seshadri Thirumala Pathology · Lubbock, TX	24	70
KOPP, DOUGLAS	20	51
REGENCE HEALTH NETWORK INC	19	64
Shawn Tulp Certified Registered Nurse Anesthetist (CRNA) · Webster City, IA	19	40
Crystal Clark Certified Registered Nurse Anesthetist (CRNA) · Tucson, AZ	16	62
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	16	46
Kyle Comin Certified Registered Nurse Anesthetist (CRNA) · Gunnison, UT	16	35
Samuel Jurado Physician Assistant · Plainview, TX	16	95
Laboratory Corporation Of America Clinical Laboratory · Dallas, TX	15	42
PORTER, SCOTT	14	27
Peggy Ortiz Certified Registered Nurse Anesthetist (CRNA) · Abilene, TX	14	42

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events