Craig Cummins, M.D.
Sports Medicine (Orthopaedic Surgery) Physician · Barrington, IL
Craig Cummins, M.D. is a sports medicine (orthopaedic surgery) physician with a practice address in Barrington, Illinois, and NPI 1588650006, issued on Sep 20, 2005. Check the license (Illinois 036-101852, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Craig Cummins
- Credential
- M.D.
- Primary taxonomy
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- License number
- 036-101852 IL
Self-reported in NPPES; status is on the state search - Practice location
- 27401 W Highway 22 Ste 125, Barrington, IL 60010
- Phone
- (847) 381-0388
- Enumerated
- Sep 20, 2005
- Record last updated
- Mar 29, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (847) 381-0811
- Medicaid ID
- 036101852 IL
- Medicare enrollment
- Enrolled (PECOS I20070208000377); accepts Medicare assignment
- Medical or professional school
- University Of Florida College Of Medicine, 1995
- Entity
- Type 1 · individual
8 nearest sports medicine (orthopaedic surgery) physician records → All 102 in Illinois → Look up another NPI →
Also registered at 27401 W Highway 22 Ste 125
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Latisha Anami, PA-CPhysician Assistant1629481411
- Marc Angerame, MDOrthopaedic Surgery Physician1508128737
- Seraphin BamouniFamily Nurse Practitioner1205609229
- Gregory Brebach, M.D.Orthopaedic Surgery Physician1598751034
- Mark Gross, M.D.Orthopaedic Surgery Physician1568458776
- Steven Jasonowicz, D.P.MPodiatrist1689092793
Verify Craig Cummins in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036-101852Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
25% fewer Medicare Part D claims than the average sports medicine (orthopaedic surgery) physician in 2024
215 Medicare Part D claims for 137 beneficiaries, against an average of 288 among the 2,562 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 50 claims were for opioids.
Most prescribed
- Meloxicam41 claims
- Amoxicillin31 claims
- Oxycodone Hcl28 claims
- Celecoxib27 claims
- Methylprednisolone22 claims
- Hydrocodone-Acetaminophen17 claims
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): 72.7 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).
Industry payments in 2024: $24,262.52
14 payments; by number, the most common kind was food and beverage; the largest payer was Limacorporate S.p.A. The 2,400 providers of this specialty with any payment received $19,779.31 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Illinois Bone And Joint Institute, LLCBarrington, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Craig Cummins among 102 sports medicine (orthopaedic surgery) physician records in Illinois
Craig Cummins, M.D. is one of 102 sports medicine (orthopaedic surgery) physician records with a practice address in Illinois. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 84% newer
- In a Medicare fileYes · 89% of these records are
- In the CMS Doctors and Clinicians fileYes · 84% of these records are
- Graduated1995 · median 2003 among the 86 with a school on file
- Record last updated2018 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XX0005X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Sports Medicine (Orthopaedic Surgery) Physician providers in Illinois
There are 102 sports medicine (orthopaedic surgery) physician records in Illinois.
All 102 in Illinois → Every provider in Barrington → Sports Medicine (Orthopaedic Surgery) Physician nationwide →
The 8 sports medicine (orthopaedic surgery) physician records with the nearest ZIP codes
- William Cox, M.D.Crystal Lake, IL 600121407928062
- Robert Nixon, MDCrystal Lake, IL 600121821160516
- Savan Patel, MDCrystal Lake, IL 600121033422209
- Joseph Krob, MDElk Grove Village, IL 600071639630197
- Daniel Kuesis, M.D.Elk Grove Village, IL 600071679573240
- Eugene Lopez, M.D.Elk Grove Village, IL 600071467452300
- Jeffrey Murray, M.D.Elk Grove Village, IL 600071518943018
- Sean Odell, MDElk Grove Village, IL 600071518981612
Common questions
What is Craig Cummins, M.D.'s NPI number?
Craig Cummins, M.D.'s National Provider Identifier (NPI) is 1588650006, issued on Sep 20, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Craig Cummins, M.D. located?
The NPPES record lists a practice address at 27401 W Highway 22 Ste 125, Barrington, IL, 60010. Phone: (847) 381-0388. Providers update this record themselves, so call before visiting.
How can I verify Craig Cummins, M.D.'s license?
NPPES lists Illinois license number 036-101852, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Craig Cummins, M.D. prescribe under Medicare Part D?
In 2024, Craig Cummins, M.D. had 215 Medicare Part D claims for 137 beneficiaries; the average among sports medicine (orthopaedic surgery) physician prescribers was 288. Part D covers Medicare prescriptions only.
What is Craig Cummins, M.D.'s MIPS final score?
The 2023 MIPS final score is 72.7 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.