Terry Cummings, M.D.
NPI 1861531287 · Internal Medicine Physician · New Orleans, LA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Terry Cummings, M.D. is a Internal Medicine Physician provider in New Orleans, LA (NPI 1861531287).
Provider details
- NPI number
- 1861531287
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 020231 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 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
313 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 | 146 | $92 |
| 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 | 107 | $16 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 35 | $63 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 25 | $124 |
Typical Medicare-allowed amounts for these services range $16–$124 (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 · 53 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 229 | 65 |
| Levothyroxine Sodium | 163 | 41 |
| Amlodipine Besylate | 148 | 41 |
| Losartan Potassium | 131 | 37 |
| Hydrochlorothiazide | 124 | 32 |
| Metformin Hclbrand: Metformin Hcl Er | 105 | 31 |
| Rosuvastatin Calcium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Frequently asked questions
- What is Terry Cummings's NPI number?
- Terry Cummings's National Provider Identifier (NPI) is 1861531287, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Terry Cummings's specialty?
- Terry Cummings is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Terry Cummings located?
- Terry Cummings's practice location on file with NPPES is 200 Broadway St Ste 230, New Orleans, LA 70118-3544.
- What is Terry Cummings's phone number?
- The practice phone number listed in the NPPES registry for Terry Cummings is (504) 988-9000.
- Does Terry Cummings accept Medicare?
- Terry Cummings is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Terry Cummings's NPI active?
- Yes — Terry Cummings's NPI (1861531287) is active in the NPPES registry as of the last update on 2025-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.