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PROVIDER PROFILE · NPI 1588650006

Craig CumminsM.D.

Sports MedicineBarrington, ILI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
179
Beneficiaries
—
Total drug cost
$963
Distinct drugs
7
Brand share
9.5%
Top prescribed drugs
Meloxicam41 claims
Amoxicillin31 claims
Oxycodone Hcl28 claims
Celecoxib27 claims
Methylprednisolone22 claims
QUALITY · MIPS · 2024
Final MIPS score
81.1
Quality
76.5
Cost
74.5
Improvement activities
40.0
Promoting interop.
83.0
Payment adjustment
0.26%
Group
REFERRAL NETWORK

Where Craig 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
PhysicianPatientsVisits
ADVOCATE HEALTH AND HOSPITALS CORPORATION175653
Linda Dew
Diagnostic Radiology · Mundelein, IL
48105
Joshua Weiss
Diagnostic Radiology · Chicago, IL
2967
David Schneider
Physical Medicine and Rehabilitation · Barrington, IL
2677
Catherine Montalbano
Diagnostic Radiology · Barrington, IL
2055
Christopher Goesel
Diagnostic Radiology · Chicago, IL
1952
Sri Preethi Gunnala
Diagnostic Radiology · Chicago, IL
1841
Seng Leong
Internal Medicine · Barrington, IL
1752
NPI 13866354491538
Brenda Snyder
Internal Medicine · Long Grove, IL
1435
Kevin Kirshenbaum
Diagnostic Radiology · Lake Zurich, IL
1318
Laboratory Corporation Of America
Clinical Laboratory · Itasca, IL
1231
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,602
Unique beneficiaries
—
Total services
6,324
Distinct HCPCS
22
Medicare payment
$319K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 91 Sports Medicine providers in IL — top quintile (cohort median 1,865).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$24K
Payment records
14
By payment type
Consulting Fee$24K
Food and Beverage$325
Top paying entities
Consulting Fee$24K
Food and Beverage$325