Craig Cummins, M.D.
NPI 1588650006 · Sports Medicine (Orthopaedic Surgery) Physician · Barrington, IL
Enrolled with Medicare as Practitioner - Sports Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Craig Cummins, M.D. is a Sports Medicine (Orthopaedic Surgery) Physician provider in Barrington, IL (NPI 1588650006).
Provider details
- NPI number
- 1588650006
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036-101852 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,856 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 770 | $91 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 689 | $74 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 408 | $37 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 210 | $127 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 198 | $112 |
| Aspiration And/Or Injection of Fluid Large Joint Using Ultrasound Guidance |
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 |
|---|---|---|
| Meloxicam | 41 | 31 |
| Amoxicillin | 31 | 14 |
| Oxycodone Hcl | 28 | 27 |
| Celecoxib | 27 | 25 |
| Methylprednisolone | 22 | 20 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 17 | 16 |
| Ibuprofen | 13 | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include 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 , 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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$24,263 across 14 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-20
- Last updated
- 2018-03-29
Frequently asked questions
- What is Craig Cummins's NPI number?
- Craig Cummins's National Provider Identifier (NPI) is 1588650006, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Craig Cummins's specialty?
- Craig Cummins is listed in the NPPES registry with a primary specialty of Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Craig Cummins located?
- Craig Cummins's practice location on file with NPPES is 27401 W Highway 22 Ste 125, Barrington, IL 60010-5934.
- What is Craig Cummins's phone number?
- The practice phone number listed in the NPPES registry for Craig Cummins is (847) 381-0388.
- Does Craig Cummins accept Medicare?
- Craig Cummins is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Craig Cummins's NPI active?
- Yes — Craig Cummins's NPI (1588650006) is active in the NPPES registry as of the last update on 2018-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.