PROVIDER PROFILE · NPI 1669478996

Howard CummingsM.D.

PRACTICESOUTHEASTERN RETINA ASSOCIATES, P.C.See all providers at this practice →

OphthalmologyKingsport, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,079

Unique beneficiaries

—

Total services

34,473

Distinct HCPCS

Medicare payment

$2.6M

Peer benchmark

Total Medicare services vs. 326 Ophthalmology providers in TN — top quintile (cohort median 2,504).

PRESCRIBING · PART D · 2024

Total Rx claims

367

Beneficiaries

—

Total drug cost

$8K

Distinct drugs

Brand share

61.0%

Top prescribed drugs

Hydrocodone/Acetaminophen79 claims

Tobramycin/Dexamethasone55 claims

Neomycin/Polymyxin B/Dexametha45 claims

Ketorolac Tromethamine41 claims

Prednisolone Acetate39 claims

QUALITY · MIPS · 2024

Final MIPS score

90.6

Quality

86.7

Cost

0.0

Improvement activities

40.0

Promoting interop.

93.0

Payment adjustment

0.66%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$339

Payment records

By payment type

Food and Beverage$339

REFERRAL NETWORK

Where Howard Cummings'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). 12 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SOLSTAS LAB PARTNERS GROUP LLC	107	386
WELLMONT HEALTH SYSTEM	55	83
WELLMONT HEALTH SYSTEM	33	61
JOHNSTON MEMORIAL HOSPITAL, INC	32	89
Pathgroup Labs, Llc Clinical Laboratory · Nashville, TN	20	38
Joseph Armstrong Ophthalmology · Bristol, TN	16	21
Amy Young Ophthalmology · Johnson City, TN	16	18
Terence Casey Pathology · New Orleans, LA	15	21
Mannachanallur Ramakrishnan Diagnostic Radiology · Tazewell, VA	14	21
Daniel Simpson Cardiology · Kingsport, TN	13	21
Brian Mazzei Podiatry · Abingdon, VA	12	23
Mark Chang Cardiology · Johnson City, TN	11	14

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