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2026 NPPES data Psychiatry Physician NPI 1093706947 MD
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James Cummins, MD

Psychiatry Physician in Columbus, Ohio.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 54,383 in Psychiatry 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
75
Medicare Part D claims · 29 beneficiaries · Psychiatry Physician avg: 1K
MIPS score
81.3/100
▼ 2 pts below national avg 83.5 · Above neutral
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

James Cummins, MD reported a CMS MIPS final score of 81.3/100 - below the 83.5 national average - and filed 75 Medicare Part D claims in 2024.

81.3/100
MIPS score · -2 vs avg
75
Part D claims, 2024
Likely
board-certified (heuristic)
≥32nd
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about James Cummins, MD

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1093706947), first enumerated 10/31/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 75 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 81.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • State context

    State board disciplinary context

    Ohio statewide board action statistics are published annually — these figures describe aggregate state activity, not James Cummins, MD's individual license status. Verify directly with the state medical board.

    Source: OMB annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1093706947 · Psychiatry Physician

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-INLINE · RX-TRACE · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1093706947
  • ENUM-LEGACY 2005
  • TAX-MEGA 54K Psychiatry Physician
  • MIPS-INLINE 81.3/100
  • RX-TRACE 75
  • BOOK-LIGHT 1,500 in Ohio
  • PHOTO-FINISH Christopher Busuito,… · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

James Cummins, MD's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

81 ≥ 32nd percentile 32% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where James Cummins, MD sits

This provider among psychiatry physician peers

Across the 4,541 psychiatry physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Cummins, MD writes more Part D claims than 21% of them and scores higher on MIPS quality than 34% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 45James Cummins, MD, Part D claim volume, percentile in specialty: 21 · MIPS quality, percentile: 34
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one psychiatry physician peer from a representative sample of 60; the gold marker is James Cummins, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

James Cummins, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 James Cummins, MD?

Near national average

NPI registry status

Active

Issued 10/31/2005

NPI 1093706947

Primary specialty

Psychiatry Physician

High-volume

54,383 US NPIs in this specialty

Medicare Part D claims

75 93% vs specialty avg

2024 prescription claims

Specialty avg: 1,010

MIPS final score

81.3/100 2.2 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Ohio

How Psychiatry Physician compares to other specialties among Ohio providers

Ohio providers
Case Manager/Care Coordinator11.2%Student in an Organized Heal…4.8%Licensed Practical Nurse3.9%Registered Nurse3.5%Addiction (Substance Use Dis…3.4%Pharmacist3.3%Psychiatry Physician0.5%
Largest specialties in Ohio (% of in-state providers)

Medicare quality performance, MIPS

James Cummins, MD's 2023 MIPS final score plotted against the Psychiatry Physician national average

Near national average
MIPS Final Score
81.3/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%81.3%
MIPS final score (Psychiatry Physician) - 81.3/100 vs national avg 83.5
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).

Practice Address

1299 OLENTANGY RIVER RD
Columbus, OH 43212
(614) 566-4278

Provider Details

NPI 1093706947
Specialty Psychiatry Physician
Credentials MD
Gender Male
NPI Issued 10/31/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

81.3083
Final Score
Measured-score avg: 83.5
73.5834
Quality
65.7777
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where James Cummins, MD 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.

Ohiohealth Corporation
Columbus, OH

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - Ohio OMB 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 - they are NOT specific to James Cummins, MD. To verify James Cummins, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

75
Total Claims
$13K
Total Drug Cost
29
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
77
Total Day Supply
2,074
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
57.2 years
Avg HCC Risk Score
1.83
Gender Split
41% female / 59% male
Age Distribution
<65: 18, 65-74: N/A, 75-84: N/A, 85+: N/A
More Psychiatry Physician in OH → All providers in Ohio → Compare specialties →

Psychiatry Physician Overview

How James Cummins, MD fits within the Psychiatry Physician landscape nationally.

54,383
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,010
Avg Claims per Provider

James Cummins, MD's 75 claims are below the specialty average of 1,010.

Nationwide Psychiatry Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Cummins, both outside Ohio so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (81.3 here).

Christopher Busuito 81.3 MI David Sahadevan 81.3 VA Heather Theibert 81.3 MD Hannah Bushnell 81.3 NY

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Jude Alexander Rockville, MD Saad Khan Creve Coeur, MO Ravindranath Kolli Monessen, PA Howard Ilivicky Saint Charles, MO

Nearby Psychiatry Physician Providers in Ohio

Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Cummins.

One of 1,500 Psychiatry Physician providers enrolled in Ohio, 5 are shown here.

Dr. Abdelrahman Abdelaziz
MD
Westlake, OH
Dr. Nadina Abdullayeva
MD
Northfield, OH
Dr. Said Abou Haidar
MD
Avon Lake, OH
Dr. Shiny Abraham
M.D
Cleveland, OH
Dr. Daniel Abramson
MD
Beavercreek, OH

Compare Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is James Cummins, MD's specialty? ▼
James Cummins, MD specializes in Psychiatry Physician and practices in Columbus, Ohio. Credentials: MD.
How much does James Cummins, MD prescribe under Medicare Part D? ▼
In 2024, James Cummins, MD wrote 75 Medicare Part D claims totaling $13K in drug costs for 29 beneficiaries.
What is James Cummins, MD's Medicare quality score? ▼
James Cummins, MD has a CMS MIPS Final Score of 81.3/100 (Quality: 73.6, Cost: 65.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Cummins, MD located? ▼
James Cummins, MD is located at 1299 OLENTANGY RIVER RD, Columbus, OH, 43212. Phone: (614) 566-4278.
What is James Cummins, MD's NPI number? ▼
James Cummins, MD's National Provider Identifier (NPI) is 1093706947, issued on 10/31/2005.
How many Psychiatry Physician providers are there in the US? ▼
There are 54,383 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,010 Medicare Part D claims per year.
Does James Cummins, MD accept Medicare? ▼
James Cummins, MD appears in CMS Medicare data with 75 Part D claims and 29 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Cummins, MD's credentials? ▼
James Cummins, MD's NPI is 1093706947 with credentials MD. 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
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 August 2026 (NPPES) / 2024 (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 editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.