2026 NPPES data Hospitalist Physician NPI 1801390414
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JOSEPH CUMMING

Hospitalist Physician in SAINT LOUIS, Missouri. 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
142
Medicare Part D claims · 56 beneficiaries · Hospitalist Physician avg: 888
MIPS score
81.5711/100
▼ 2 pts below national avg 83.1 · [object Object]
What the federal data reveals: JOSEPH CUMMING is a Hospitalist Physician ([object Object]) practicing in SAINT LOUIS, Missouri with a Medicare Part D prescribing footprint of 142 claims across 56 beneficiaries . Their CMS MIPS Final Score of 81.5711/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JOSEPH CUMMING reported a CMS MIPS final score of 81.5711 out of 100, below the 83.1 national average, and filed 142 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOSEPH CUMMING 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).

JOSEPH CUMMING at a glance

Near national average

NPI registry status

Active

Issued 03/19/2018

NPI 1801390414

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

142 84% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

81.5711/100 1.528899999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Hospitalist Physician compares to other specialties among Missouri providers

Missouri providers

Hospitalist Physician share within Missouri

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within Missouri

Medicare quality performance — MIPS

JOSEPH CUMMING's 2023 MIPS final score plotted against the Hospitalist Physician national average

Near national average
MIPS Final Score
81.5711/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 81.5711/100 vs national avg 83.1

0%100%National avg83%81.6%
MIPS final score (Hospitalist Physician) — 81.5711/100 vs national avg 83.1

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).

JOSEPH CUMMING is a Hospitalist Physician provider practicing in SAINT LOUIS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1801390414. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOSEPH CUMMING appears in the CMS NPPES registry as a Hospitalist Physician provider at 1201 S GRAND BLVD, SAINT LOUIS, MO, 63104, with a listed phone of (314) 257-8222. NPI 1801390414 was issued on 03/19/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CUMMING 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 142 prescription claims written by this provider, covering 56 Medicare beneficiaries and totaling roughly $22K in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.5711/100 for the 2023 performance year (Quality 76.0913, Cost 54.2831), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

1201 S GRAND BLVD
SAINT LOUIS, MO 63104

Provider Details

NPI 1801390414
Specialty Hospitalist Physician
Gender Male
NPI Issued 03/19/2018

CMS Quality Score (MIPS)

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

81.5711
Final Score
Avg: 83.1
76.0913
Quality
54.2831
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOSEPH CUMMING 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.

SSM HEALTH CARE GROUP
SAINT LOUIS, MO

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

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

142
Total Claims
$22K
Total Drug Cost
56
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
236
Total Day Supply
6,093
Generic Drug Cost
$3K
Antibiotic Claims
22

Patient Demographics

Average Patient Age
62.0 years
Avg HCC Risk Score
3.50
Gender Split
46% female / 54% male
Age Distribution
<65: 24, 65-74: 23, 75-84: N/A, 85+: N/A

Hospitalist Physician Overview

How JOSEPH CUMMING fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

JOSEPH CUMMING's 142 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Missouri

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

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

Frequently Asked Questions

What is JOSEPH CUMMING's specialty?
JOSEPH CUMMING specializes in Hospitalist Physician and practices in SAINT LOUIS, Missouri.
How much does JOSEPH CUMMING prescribe under Medicare Part D?
In 2023, JOSEPH CUMMING wrote 142 Medicare Part D claims totaling $22K in drug costs for 56 beneficiaries.
What is JOSEPH CUMMING's Medicare quality score?
JOSEPH CUMMING has a CMS MIPS Final Score of 81.5711/100 (Quality: 76.0913, Cost: 54.2831). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSEPH CUMMING located?
JOSEPH CUMMING is located at 1201 S GRAND BLVD, SAINT LOUIS, MO, 63104. Phone: (314) 257-8222.
What is JOSEPH CUMMING's NPI number?
JOSEPH CUMMING's National Provider Identifier (NPI) is 1801390414, issued on 03/19/2018.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
Does JOSEPH CUMMING accept Medicare?
JOSEPH CUMMING appears in CMS Medicare data with 142 Part D claims and 56 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEPH CUMMING's credentials?
JOSEPH CUMMING's NPI is 1801390414. 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.
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 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