2026 NPPES data Cardiovascular Disease Physician NPI 1003863036 M.D.
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Joseph Kummer, M.D.

Cardiovascular Disease Physician in Lincoln, Nebraska. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,795 in Cardiovascular 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
6K
Medicare Part D claims · 821 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85/100
▲ 2 pts above national avg 83.1 · Above neutral
Industry payments
$74.51
5 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Joseph Kummer, M.D. reported a CMS MIPS final score of 85/100 - above the 83.1 national average - and filed 5,599 Medicare Part D claims in 2023.

85/100
MIPS score · +2 vs avg
6K
Part D claims, 2023
77%
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.

Joseph Kummer, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

85 45th percentile higher than 45% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

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

Where Joseph Kummer, M.D. sits

This provider among cardiovascular disease physician peers

Across the 8,753 cardiovascular disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Joseph Kummer, M.D. writes more Part D claims than 78% of them and scores higher on MIPS quality than 50% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.146.269.392.4Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 30Joseph Kummer, M.D.-Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 50
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one cardiovascular disease physician peer from a representative sample of 60; the gold marker is Joseph Kummer, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Joseph Kummer, M.D. 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 Joseph Kummer, M.D.?

Near national average

NPI registry status

Active

Issued 05/27/2006

NPI 1003863036

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

5,599 85% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

85/100 1.9 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Nebraska

How Cardiovascular Disease Physician compares to other specialties among Nebraska providers

Nebraska providers
Personal Care Attendant - 13.7%Personal Care Attendant13.7%Adult Companion - 7.6%Adult Companion7.6%Chore Provider - 6.1%Chore Provider6.1%Mental Health Counselor - 5.6%Mental Health Counselor5.6%Home Health Aide - 4.9%Home Health Aide4.9%Behavior Technician - 4.9%Behavior Technician4.9%Cardiovascular Disease Physician - 0.2%Cardiovascular Disease Physician0.2%
Largest specialties in Nebraska (% of in-state providers)

Medicare quality performance, MIPS

Joseph Kummer, M.D.'s 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

Near national average
MIPS Final Score
85/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) - 85/100 vs national avg 83.1

0%100%National avg83%85%
MIPS final score (Cardiovascular Disease Physician) - 85/100 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 Kummer, M.D. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D. credentials at 1600 S 48TH ST, Lincoln, NE, 68506, with a listed phone of (402) 483-3333. NPI 1003863036 was issued on 05/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Kummer 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 5,599 prescription claims written by this provider, covering 821 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 23% brand-name and 77% generic by claim count. 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 85/100 for the 2023 performance year (Quality 94.8, Cost 55.1), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

1600 S 48TH ST
Lincoln, NE 68506

Provider Details

NPI 1003863036
Specialty Cardiovascular Disease Physician
Credentials M.D.
Gender Male
NPI Issued 05/27/2006

CMS Quality Score (MIPS)

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

84.954
Final Score
Avg: 83.1
94.7896
Quality
55.0569
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Joseph Kummer, 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.

Integrated Cardiology Group LLC
Saint Paul, NE

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 Joseph Kummer, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$75

Largest payer

HEARTFLOW, 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

Joseph Kummer, M.D. - brand share 23.0%
Cardiovascular Disease Physician average

23% brand-name claims vs 77% generic, on 5,599 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.

5,599
Total Claims
$1.1M
Total Drug Cost
821
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,944
Total Day Supply
325,169
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$1.0M
Generic Drug Cost
$84K

Patient Demographics

Average Patient Age
76.2 years
Avg HCC Risk Score
1.44
Gender Split
51% female / 49% male
Age Distribution
<65: 44, 65-74: 310, 75-84: 312, 85+: 155

Top Prescribed Drugs (Medicare Part D)

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

What Joseph Kummer, M.D. 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
Metoprolol Succinate
560
Atorvastatin Calcium
469
Eliquis
Apixaban
445
Amlodipine Besylate
354
Furosemide
307
Xarelto
Rivaroxaban
289
Carvedilol
265
Lisinopril
261
Losartan Potassium
243
Metoprolol Tartrate
185

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

Cardiovascular Disease Physician Overview

How Joseph Kummer, M.D. fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

Joseph Kummer, M.D.'s 5,599 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Nebraska

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

Compare Cardiovascular 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 Nebraska medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Cardiovascular 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.

Frequently Asked Questions

What is Joseph Kummer, M.D.'s specialty?
Joseph Kummer, M.D. specializes in Cardiovascular Disease Physician and practices in Lincoln, Nebraska. Credentials: M.D..
How much does Joseph Kummer, M.D. prescribe under Medicare Part D?
In 2023, Joseph Kummer, M.D. wrote 5,599 Medicare Part D claims totaling $1.1M in drug costs for 821 beneficiaries.
What is Joseph Kummer, M.D.'s Medicare quality score?
Joseph Kummer, M.D. has a CMS MIPS Final Score of 85/100 (Quality: 94.8, Cost: 55.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Joseph Kummer, M.D. located?
Joseph Kummer, M.D. is located at 1600 S 48TH ST, Lincoln, NE, 68506. Phone: (402) 483-3333.
What is Joseph Kummer, M.D.'s NPI number?
Joseph Kummer, M.D.'s National Provider Identifier (NPI) is 1003863036, issued on 05/27/2006.
Does Joseph Kummer, M.D. prescribe more brand-name or generic drugs?
Joseph Kummer, M.D.'s prescribing is 23% brand-name and 77% generic drugs by claim count, with $1.0M in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does Joseph Kummer, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Joseph Kummer, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joseph Kummer, M.D. accept Medicare?
Joseph Kummer, M.D. appears in CMS Medicare data with 5,599 Part D claims and 821 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joseph Kummer, M.D.'s credentials?
Joseph Kummer, M.D.'s NPI is 1003863036 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

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

Compiled from official public sources by the PlainDoctor editorial team.