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

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