Pia Marie Cumagun
NPI 1215384300 · Infectious Disease Physician · Birmingham, AL
Enrolled with Medicare as Practitioner - Infectious Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pia Marie Cumagun is a Infectious Disease Physician provider in Birmingham, AL (NPI 1215384300).
Provider details
- NPI number
- 1215384300
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 36846 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
503 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 257 | $72 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 94 | $118 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 80 | $108 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 72 | $158 |
Typical Medicare-allowed amounts for these services range $72–$158 (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 · 5 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Ceftriaxone Sodiumbrand: Ceftriaxone | 20 |
| Vancomycin Hcl | 20 |
| Penicillin G Potassium | 17 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 15 |
| Amlodipine Besylate | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (2)
- 908 20th St SBirmingham, AL 35205-2610Phone: (205) 934-1917Fax: (205) 934-2550
- 908 20th St SBirmingham, AL 35205-2610Phone: (205) 934-1917Fax: (205) 934-2550
Registry dates
- Enumerated
- 2016-05-18
- Last updated
- 2024-02-01
- Certified
- 2022-12-12
Frequently asked questions
- What is Pia Marie Cumagun's NPI number?
- Pia Marie Cumagun's National Provider Identifier (NPI) is 1215384300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pia Marie Cumagun's specialty?
- Pia Marie Cumagun is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Pia Marie Cumagun located?
- Pia Marie Cumagun's practice location on file with NPPES is 1717 6th Ave S, Birmingham, AL 35233-1801.
- What is Pia Marie Cumagun's phone number?
- The practice phone number listed in the NPPES registry for Pia Marie Cumagun is (800) 822-8816.
- Does Pia Marie Cumagun accept Medicare?
- Pia Marie Cumagun is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pia Marie Cumagun's NPI active?
- Yes — Pia Marie Cumagun's NPI (1215384300) is active in the NPPES registry as of the last update on 2024-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.