Doctor profile · Federal record
Dr. Douglas Cummins, M.D.
Surgery Physician (CMS: General Surgery) · Lubbock, TX
- NPI 1518941475
- Accepts Medicare
- 27 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4515 Marsha Sharp Fwy
Lubbock, TX 794072520
(806) 744-7223
fax (806) 740-3325 - Additional location
-
2512 Xenia St, Suite 105
Plainview, TX 790721818
(806) 296-9300
fax (806) 296-9301 - Mailing address
-
2512 Xenia St, Suite 105
Plainview, TX 790721818
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- November 30, 2018
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Texas #K7706
- Medicaid
- TX #030789403
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1518941475. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
343
Distinct HCPCS
10
Medicare allowed
$36,291
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 86 | 69 | $120 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 82 | 63 | $86 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 54 | 40 | $54 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 32 | 31 | $61 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $159 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 16 | 16 | $233 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | 15 | $125 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $107 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 12 | 12 | $159 | |
45378 |
Diagnostic exam of large bowel using a flexible endoscope | 11 | 11 | $151 |
In context: peer comparison
Among 11 peers in Lubbock Surgery Physician, average services per provider: 33. This provider delivers 10× the peer median.Open Payments
Industry payments received
All-time total
$7,640
Transactions
14
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Intuitive Surgical, INC. | 9 | $7,548.83 | |
| Mauna Kea Technologies, INC. | 1 | $23.82 | |
| Smith+Nephew, INC. | 1 | $23.27 | |
| Medtronic, INC. | 1 | $16.01 | |
| Baxter Healthcare | 1 | $14.10 | |
| Becton, Dickinson and Company | 1 | $13.98 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
235
Patients
69
Total drug cost
$11,479
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Pantoprazole Sodium | Generic | 150 | 43 | $1,959 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 32 | 26 | $157 |
| Sucralfate | Generic | 18 | 0 | $1,066 |
| Lubiprostone | Generic | 13 | 0 | $3,433 |
| Dexlansoprazole Dr (Dexlansoprazole) | Brand | 11 | 0 | $4,630 |
| Famotidine | Generic | 11 | 0 | $234 |
Frequently asked questions
What is Dr. Douglas Cummins's medical specialty?
Dr. Douglas Cummins practices Surgery Physician in Lubbock, TX.
Where does Dr. Douglas Cummins practice?
Dr. Douglas Cummins practices at 4515 Marsha Sharp Fwy, Lubbock, TX 794072520. Office phone: 8067447223.
What is Dr. Douglas Cummins's NPI?
Dr. Douglas Cummins's National Provider Identifier (NPI) is 1518941475, issued by NPPES.
Does Dr. Douglas Cummins accept Medicare assignment?
Yes. Dr. Douglas Cummins accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Douglas Cummins commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99212). Source: CMS Medicare Physician & Other Practitioners file.