Catherine Cummings, MD
Emergency Medicine Physician · Providence, RI
Catherine Cummings, MD is an emergency medicine physician with a practice address in Providence, Rhode Island, and NPI 1609890540, issued on Jul 26, 2006. Check the license (Rhode Island MD11712, as entered in NPPES) on the Rhode Island Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.
- Name
- Catherine Cummings
- Credential
- MD
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- License number
- MD11712 RI
Self-reported in NPPES; status is on the state search - Practice location
- 164 Summit Ave, Providence, RI 02906
- Phone
- (401) 854-2504
- Enumerated
- Jul 26, 2006
- Record last updated
- Sep 17, 2013 (not updated in 13 years: call before relying on the address or phone)
- Fax
- (401) 854-2519
- Medicaid IDs
- 2098831 MA
7057461 RI - Medicare enrollment
- Enrolled (PECOS I20050404001103); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest emergency medicine physician records → All 418 in Rhode Island → Look up another NPI →
Also registered at 164 Summit Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Curtis Abbott, P.A.-C.Surgical Physician Assistant1730358185
- Jennifer Adelson-Mitty, MDInfectious Disease Physician1700830924
- Rahul Aggarwal, MDInternal Medicine Physician1477286839
- Kristy Altongy-Magee, PA-CSurgical Physician Assistant1336334473
- Lisha AndrewRegistered Dietitian1164992558
Verify Catherine Cummings in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersRhode Island Board of Medical Licensure and Discipline
Search for license MD11712Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
92% fewer Medicare Part D claims than the average emergency medicine physician in 2024
19 Medicare Part D claims for 15 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 97.9 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Brown Emergency MedicineProvidence, RI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Catherine Cummings among 418 emergency medicine physician records in Rhode Island
Catherine Cummings, MD is one of 418 emergency medicine physician records with a practice address in Rhode Island. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 2% of them.
- NPI issued2006 · 2% of these records are older, 75% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated1998 · median 2012 among the 264 with a school on file
- Record last updated2013 · 46% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
246 emergency medicine physician records list a practice address in Providence
They are 246 of the 9,647 NPPES records with a practice address in Providence, and 418 emergency medicine physician records in Rhode Island.
All 418 in Rhode Island → Every provider in Providence → Emergency Medicine Physician nationwide →
The 8 emergency medicine physician records with the nearest ZIP codes
- Gary Bubly, MDProvidence, RI 029061760406698
- Daniel Coleman, MDProvidence, RI 029061467981753
- Antoinette Golden, M.D.Providence, RI 029061922374792
- Catalina Gonzalez Marques, M.D.Providence, RI 029061558742312
- Ilse Jenouri, MDProvidence, RI 029061336163088
- Achyut Kamat, MDProvidence, RI 029061043234792
- David Kaplan, M.D.Providence, RI 029061841265311
- Michael Mello, MDProvidence, RI 029061770597403
Common questions
What is Catherine Cummings, MD's NPI number?
Catherine Cummings, MD's National Provider Identifier (NPI) is 1609890540, issued on Jul 26, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Catherine Cummings, MD located?
The NPPES record lists a practice address at 164 Summit Ave, Providence, RI, 02906. Phone: (401) 854-2504. Providers update this record themselves, so call before visiting.
How can I verify Catherine Cummings, MD's license?
NPPES lists Rhode Island license number MD11712, as entered by the provider. Search the Rhode Island Board of Medical Licensure and Discipline at https://healthri.mylicense.com/Verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Catherine Cummings, MD prescribe under Medicare Part D?
In 2024, Catherine Cummings, MD had 19 Medicare Part D claims for 15 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.
What is Catherine Cummings, MD's MIPS final score?
The 2023 MIPS final score is 97.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.