NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1518053958 M.D.
Verify on CMS → Charles Cummings, M.D.
Pulmonary Disease Physician in Asheville, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
4K
Medicare Part D claims · 215 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
82%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$916.03
43 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Charles Cummings, M.D. filed 3,558 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in Asheville, North Carolina, prescribing 82% generic.
- 4K
- Part D claims, 2023
- 82%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Charles Cummings, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
3,558 Top 10% higher than 90% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Charles Cummings, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Charles Cummings, M.D.?
Quality data not reportedPrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
3,558 144% vs specialty avg
Specialty distribution in North Carolina
How Pulmonary Disease Physician compares to other specialties among North Carolina providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pulmonary Disease Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Charles Cummings, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 76 PEACHTREE RD, Asheville, NC, 28803, with a listed phone of (828) 277-6789. NPI 1518053958 was issued on 10/05/2006.
Medicare Part D records for calendar year 2023 show 3,558 prescription claims written by this provider, covering 215 Medicare beneficiaries and totaling roughly $640K in drug spend, split 17% brand-name and 82% generic by claim count, with an opioid prescribing rate of 2.0%.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1518053958 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 10/05/2006 |
Hospital and facility affiliations
Facilities where Charles Cummings, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Blue Ridge Premier Medicine PLLC
Asheville, NC
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Charles Cummings, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$916
Largest payer
Amgen Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Typical
Charles Cummings, M.D. - brand share 17.0%
Pulmonary Disease Physician average
17% brand-name claims vs 82% generic, on 3,558 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
3,558
Total Claims
$640K
Total Drug Cost
215
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 7,860
- Total Day Supply
- 225,489
- Brand vs Generic
- 17% brand / 82% generic
- Brand Drug Cost
- $558K
- Generic Drug Cost
- $82K
- Opioid Claims
- 72 (2.0% rate)
- Antibiotic Claims
- 160
Patient Demographics
- Average Patient Age
- 79.0 years
- Avg HCC Risk Score
- 0.95
- Gender Split
- 42% female / 58% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Charles Cummings, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
156 claims
- Losartan Potassium
Losartan Potassium
148 claims
- Amlodipine Besylate
Amlodipine Besylate
129 claims
- Omeprazole
Omeprazole
118 claims
- Levothyroxine Sodium
Levothyroxine Sodium
97 claims
- Gabapentin
Gabapentin
90 claims
- Simvastatin
Simvastatin
84 claims
- Metoprolol Succinate
Metoprolol Succinate
76 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 156 |
| Losartan Potassium | 148 |
| Amlodipine Besylate | 129 |
| Omeprazole | 118 |
| Levothyroxine Sodium | 97 |
| Gabapentin | 90 |
| Simvastatin | 84 |
| Metoprolol Succinate | 76 |
| Eliquis Apixaban | 73 |
| Rosuvastatin Calcium | 70 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Charles Cummings, M.D. fits within the Pulmonary Disease Physician landscape nationally.
9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Charles Cummings, M.D.'s 3,558 claims are above the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Cummings.
Dr. Mariam Abboud
MD
Raleigh, NC
Dr. Chandar Abboy
M.D.
Fayetteville, NC
Dr. Norman Adair
MD
Winston Salem, NC
Dr. Farhan Ahmed
M.D.
Winston Salem, NC
Dr. Rohit Ahuja
MD
Raleigh, NC
Compare Pulmonary Disease Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the North Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Charles Cummings, M.D.'s specialty? ▼
Charles Cummings, M.D. specializes in Pulmonary Disease Physician and practices in Asheville, North Carolina. Credentials: M.D..
How much does Charles Cummings, M.D. prescribe under Medicare Part D? ▼
In 2023, Charles Cummings, M.D. wrote 3,558 Medicare Part D claims totaling $640K in drug costs for 215 beneficiaries.
Where is Charles Cummings, M.D. located? ▼
Charles Cummings, M.D. is located at 76 PEACHTREE RD, Asheville, NC, 28803. Phone: (828) 277-6789.
What is Charles Cummings, M.D.'s NPI number? ▼
Charles Cummings, M.D.'s National Provider Identifier (NPI) is 1518053958, issued on 10/05/2006.
Does Charles Cummings, M.D. prescribe more brand-name or generic drugs? ▼
Charles Cummings, M.D.'s prescribing is 17% brand-name and 82% generic drugs by claim count, with $558K in brand drug costs.
Does Charles Cummings, M.D. prescribe opioids? ▼
Yes, Charles Cummings, M.D. had 72 opioid claims in 2023 with an opioid prescribing rate of 2.0%.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Charles Cummings, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Charles Cummings, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Losartan Potassium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Charles Cummings, M.D. accept Medicare? ▼
Charles Cummings, M.D. appears in CMS Medicare data with 3,558 Part D claims and 215 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Charles Cummings, M.D.'s credentials? ▼
Charles Cummings, M.D.'s NPI is 1518053958 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.