2026 NPPES data Orthopaedic Surgery Physician NPI 1558449322 MD
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JOHN CUMMINS, MD

Orthopaedic Surgery Physician in OAKLAND, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
156
Medicare Part D claims · 70 beneficiaries · Orthopaedic Surgery Physician avg: 324

What the federal data shows

JOHN CUMMINS, MD filed 156 Medicare Part D claims in 2023 as a Orthopaedic Surgery Physician in OAKLAND, California.

156
Part D claims, 2023

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.

JOHN CUMMINS, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

156 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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-eligible specialty (heuristic — not verified)

JOHN CUMMINS, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JOHN CUMMINS, MD?

Quality data not reported

NPI registry status

Active

Issued 11/01/2006

NPI 1558449322

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

156 52% vs specialty avg

2023 prescription claims

Specialty avg: 324

Specialty distribution in California

How Orthopaedic Surgery Physician compares to other specialties among California providers

California providers

Orthopaedic Surgery Physician share within California

1. Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery Physician share within California

Specialty board-certification context

Estimated specialty board-certified rate — Orthopaedic Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Orthopaedic Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Orthopaedic Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Orthopaedic Surgery Physician) — ABMS / AOA estimate

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).

JOHN CUMMINS, MD appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding MD credentials at 275 W MACARTHUR BLVD, OAKLAND, CA, 94611, with a listed phone of (510) 752-1000. NPI 1558449322 was issued on 11/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CUMMINS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 156 prescription claims written by this provider, covering 70 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 56.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

275 W MACARTHUR BLVD
OAKLAND, CA 94611

Provider Details

NPI 1558449322
Specialty Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 11/01/2006

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to JOHN CUMMINS, MD. To verify JOHN CUMMINS, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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 2023.

156
Total Claims
$2K
Total Drug Cost
70
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
156
Total Day Supply
2,077
Brand Drug Cost
$0
Generic Drug Cost
$2K
Opioid Claims
88 (56.4% rate)

Patient Demographics

Average Patient Age
70.6 years
Avg HCC Risk Score
0.81
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JOHN CUMMINS, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
55
Meloxicam
53
Oxycodone Hcl
16

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Orthopaedic Surgery Physician Overview

How JOHN CUMMINS, MD fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

JOHN CUMMINS, MD's 156 claims are below the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in California

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

Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN CUMMINS, MD's specialty?
JOHN CUMMINS, MD specializes in Orthopaedic Surgery Physician and practices in OAKLAND, California. Credentials: MD.
How much does JOHN CUMMINS, MD prescribe under Medicare Part D?
In 2023, JOHN CUMMINS, MD wrote 156 Medicare Part D claims totaling $2K in drug costs for 70 beneficiaries.
Where is JOHN CUMMINS, MD located?
JOHN CUMMINS, MD is located at 275 W MACARTHUR BLVD, OAKLAND, CA, 94611. Phone: (510) 752-1000.
What is JOHN CUMMINS, MD's NPI number?
JOHN CUMMINS, MD's National Provider Identifier (NPI) is 1558449322, issued on 11/01/2006.
Does JOHN CUMMINS, MD prescribe opioids?
Yes, JOHN CUMMINS, MD had 88 opioid claims in 2023 with an opioid prescribing rate of 56.4%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does JOHN CUMMINS, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN CUMMINS, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Meloxicam, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN CUMMINS, MD accept Medicare?
JOHN CUMMINS, MD appears in CMS Medicare data with 156 Part D claims and 70 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN CUMMINS, MD's credentials?
JOHN CUMMINS, MD's NPI is 1558449322 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

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