Justin Cummings
NPI 1174905384 · Nurse Practitioner · Tomball, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Cummings is a Nurse Practitioner provider in Tomball, TX (NPI 1174905384).
Provider details
- NPI number
- 1174905384
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- AP128197 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
283 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 157 | $79 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 60 | $117 |
| Telephone Medical Discussion With Physician, 21-30 Minutes99443 | 40 | $100 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 26 | $73 |
Typical Medicare-allowed amounts for these services range $73–$117 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 64 | 24 |
| Prednisone | 36 | 18 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 34 | 20 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 16 | — |
| Umeclidinium Bromidebrand: Incruse Ellipta | 14 | — |
| Albuterol Sulfatebrand: Ventolin Hfa | 12 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-06-24
- Last updated
- 2015-06-24
Frequently asked questions
- What is Justin Cummings's NPI number?
- Justin Cummings's National Provider Identifier (NPI) is 1174905384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Cummings's specialty?
- Justin Cummings is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Justin Cummings located?
- Justin Cummings's practice location on file with NPPES is 506 Graham Drive, Tomball, TX 77375.
- What is Justin Cummings's phone number?
- The practice phone number listed in the NPPES registry for Justin Cummings is (281) 357-1934.
- Does Justin Cummings accept Medicare?
- Justin Cummings is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Cummings's NPI active?
- Yes — Justin Cummings's NPI (1174905384) is active in the NPPES registry as of the last update on 2015-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.