Dr. Michael Cummings, MD
601 Elmwood Ave # 647, Rochester, NY 14642 • +1-537-555-3366
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Rochester Percentiles
NPI #1942646450 • CBSA Regional • Radiation Oncology
Within the Rochester, NY (CBSA local) Radiation Oncology cohort, Dr. Michael Cummings, MD with sub-specialty concentration in 26 Active CMS HCPCS Codes ranks at the 86.67th municipal percentile and 43.33th NY percentile (-0.34σ Z-score) based on 1,431 billed procedures for 175 patients.
Fee-schedule auditing of NPI 1942646450 highlights 644 annual claims for 99214 (86.67th Rochester percentile; $134–$184 self-pay corridor) plus 372 encounters under 99213 and 186 under 93000.
Cash-pay intake data for NPI 1942646450 (601 Elmwood Ave # 647, Rochester) indicates $232.00 typical out-of-pocket visit spend against a $232.00 locality benchmark, paired with 20-minute average reception wait and 4.40/5 biomarker openness.
Patients evaluating Dr. Michael Cummings in ZIP 14642 note 33 years of post-doctoral tenure (null, 1993) alongside 8.2 annual CMS procedures per patient.
Compared against Rochester, NY Radiation Oncology peers
1,431 annual services across 175 beneficiaries
Standard deviations from NY Radiation Oncology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 644 | 86.67th | $134 – $184 |
| 99213 | Established Preventive & Chronic Care Visit | 372 | 88.67th | $103 – $141 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 186 | 90.67th | $49 – $67 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 143 | 86.67th | $158 – $216 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 86 | 88.67th | $187 – $256 |
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Dr. Michael Cummings, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Cummings National Provider Identifier | NPI #1942646450 (MD) | CMS NPPES Registry (14642) |
| Dr. Cummings Rochester CMS Volume Rank | 86.67th Pct (1,431 CMS svcs; Z -0.339σ) | CMS Medicare Part B (NY Radiation Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Rochester, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 20 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.40/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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