Dr. Andrew Cummins, MD
4060 Fourth Avenue, Suite 240, San Diego, CA 92103 • +1-335-555-9811
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & San Diego Percentiles
NPI #1699917096 • CBSA Regional • Gastroenterology
Anchored in San Diego, CA 92103, Dr. Andrew Cummins, MD (NPI 1699917096) logged 756 annual procedures (focused low-volume boutique caseload (25.71th San Diego percentile), 12.73th CA percentile, -0.34σ) with sub-specialty concentration in 31 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 4060 Fourth Avenue, Suite 240 shows Dr. Andrew Cummins's primary concentration in Established Gastroenterology, GERD & IBD Evaluation (code 99214: 280x/yr, 25.71th local percentile) alongside Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy (45380: 189x/yr, $500–$685).
At 4060 Fourth Avenue, Suite 240 (92103), Dr. Andrew Cummins, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$239.00 per new consult (4.92/5 bedside rating).
Spanning 33 years of clinical practice following 1993 graduation from medical training, Dr. Andrew Cummins integrates 31 Active CMS HCPCS Codes diagnostics for San Diego metro patients.
Compared against San Diego, CA Gastroenterology peers
756 annual services across 323 beneficiaries
Standard deviations from CA Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 280 | 25.71th | $207 – $284 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 189 | 26.71th | $500 – $685 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 159 | 26.71th | $415 – $568 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 76 | 22.71th | $556 – $762 |
| 99204 | New Patient Digestive & Hepatology Consultation | 53 | 30.71th | $292 – $400 |
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Dr. Andrew Cummins, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Cummins National Provider Identifier | NPI #1699917096 (MD) | CMS NPPES Registry (92103) |
| Dr. Cummins San Diego CMS Volume Rank | 25.71th Pct (756 CMS svcs; Z -0.336σ) | CMS Medicare Part B (CA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (San Diego, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 16 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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