Andrew Cummins, M.D.
NPI 1699917096 · Gastroenterology Physician · San Diego, CA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrew Cummins, M.D. is a Gastroenterology Physician provider in San Diego, CA (NPI 1699917096).
Provider details
- NPI number
- 1699917096
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A102764 (CA)
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
17 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
690 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) |
|---|---|---|
| Moderate Sedation Services Provided By the Same Physician Or Other Qualified Health Care Professional Performing a Gastrointestinal Endoscopic Service That Sedation Supports, Requiring the Presence of an Independent Trained Observer to Assist in the MonitoG0500 | 174 | $5 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 108 | $137 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 100 | $252 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 92 | $113 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 68 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 248 | 241 |
| Omeprazole | 145 | 63 |
| Pantoprazole Sodium | 42 | 15 |
| Linaclotidebrand: Linzess | 27 | — |
| Tenofovir Alafenamidebrand: Vemlidy | 26 | — |
| Famotidine | 23 | — |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-C |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,892 across 81 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
- 2009-03-31
- Last updated
- 2015-07-01
Frequently asked questions
- What is Andrew Cummins's NPI number?
- Andrew Cummins's National Provider Identifier (NPI) is 1699917096, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Cummins's specialty?
- Andrew Cummins is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Andrew Cummins located?
- Andrew Cummins's practice location on file with NPPES is 4060 Fourth Avenue, San Diego, CA 92103-2120.
- What is Andrew Cummins's phone number?
- The practice phone number listed in the NPPES registry for Andrew Cummins is (619) 291-6064.
- Does Andrew Cummins accept Medicare?
- Andrew Cummins is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrew Cummins's NPI active?
- Yes — Andrew Cummins's NPI (1699917096) is active in the NPPES registry as of the last update on 2015-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.