Doctor profile · Federal record
Dr. Karen Cummins, NP
Nurse Practitioner · York, ME
- NPI 1295229615
- Accepts Medicare
- MIPS 93.1 / 100 · 2023
- 8 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
16 Hospital Dr
York, ME 039091011
(207) 351-3455
fax (207) 354-1346 - Mailing address
-
15 Hospital Dr
York, ME 039091099
Credentials & registration
- NPI registered
- June 2018 — 8 yrs on file
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Maine #CNP40273
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1295229615. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
75
Distinct HCPCS
3
Medicare allowed
$3,823
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 43 | 31 | $55 | |
G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination | 20 | 20 | $23 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 12 | 11 | $82 |
In context: peer comparison
Among 5 peers in York Nurse Practitioner, average services per provider: 125. This provider delivers 0.6× the peer median.Open Payments
Industry payments received
All-time total
$59
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bayer Healthcare Pharmaceuticals INC. | 3 | $59.20 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
60
Patients
16
Total drug cost
$4,630
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Estradiol | Generic | 34 | 16 | $3,708 |
| Progesterone (Progesterone, Micronized) | Brand | 14 | 0 | $835 |
| Nystatin | Generic | 12 | 0 | $86 |
Hospital affiliations
Frequently asked questions
What is Dr. Karen Cummins's medical specialty?
Dr. Karen Cummins practices Nurse Practitioner in York, ME.
Where does Dr. Karen Cummins practice?
Dr. Karen Cummins practices at 16 Hospital Dr, York, ME 039091011. Office phone: 2073513455.
What is Dr. Karen Cummins's NPI?
Dr. Karen Cummins's National Provider Identifier (NPI) is 1295229615, issued by NPPES.
Does Dr. Karen Cummins accept Medicare assignment?
Yes. Dr. Karen Cummins accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Karen Cummins commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS G0101); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.