Shaun Cumm, PA
NPI 1669476065 · Medical Physician Assistant · Queensbury, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shaun Cumm, PA is a Medical Physician Assistant provider in Queensbury, NY (NPI 1669476065).
Provider details
- NPI number
- 1669476065
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 010236 (NY)
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 tenure25% of score
21 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
473 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 | 221 | $55 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 97 | $99 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 87 | $81 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 34 | $65 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 19 | $14 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 62 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 1,064 | 506 |
| Apixabanbrand: Eliquis | 867 | 335 |
| Atorvastatin Calcium | 689 | 333 |
| Rosuvastatin Calcium | 469 | 228 |
| Amlodipine Besylate | 395 | 189 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 369 | 155 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,075 across 62 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
- 2005-06-13
- Last updated
- 2021-06-17
- Certified
- 2021-06-17
Frequently asked questions
- What is Shaun Cumm's NPI number?
- Shaun Cumm's National Provider Identifier (NPI) is 1669476065, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shaun Cumm's specialty?
- Shaun Cumm is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shaun Cumm located?
- Shaun Cumm's practice location on file with NPPES is 6 Hearts Way, Queensbury, NY 12804-5925.
- What is Shaun Cumm's phone number?
- The practice phone number listed in the NPPES registry for Shaun Cumm is (518) 792-1233.
- Does Shaun Cumm accept Medicare?
- Shaun Cumm is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shaun Cumm's NPI active?
- Yes — Shaun Cumm's NPI (1669476065) is active in the NPPES registry as of the last update on 2021-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.