Dr. Justin Shawn Cummins, MD

Dr. Cummins practices at Tamarack Health Ashland Medical Center in Ashland, Wisconsin, part of Tamarack Health.

Dr. Cummins' NPI, 1003911603, was assigned on September 14, 2006. Dr. Cummins graduated from University Of Washington School Of Medicine in 2002. Dr. Cummins' Wisconsin license number on file is 53249-20.

Dr. Cummins' primary practice is Tamarack Health Ashland Medical Center, at 1615 Maple Lane, Ashland, WI 54806 in Ashland County. The practice phone is (715) 685-5500.

Dr. Cummins' primary practice is Tamarack Health Ashland Medical Center in Ashland, Wisconsin, part of Tamarack Health. Dr. Cummins is also affiliated with Aspirus St. Luke's Hospital. The medical group on file is Essentia Health-Polinsky Medical Rehabilitation Center. Dmand AI also links Dr. Cummins to 2 more hospitals, 3 medical groups and 1 group practice or clinic, each named with a free account. Dr. Cummins' employer is on file too: a hospital.

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Cummins practices, 5 sites in all. Vendor and product names are available with a free account.

Orthopaedic surgery is Dr. Cummins' primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dr. Cummins is board certified in orthopaedic surgery by the American Board of Orthopaedic Surgery. Dmand AI has Dr. Cummins' licenses on file in 4 states: Wisconsin, New Hampshire, Minnesota and Colorado.

Dmand AI lists total shoulder replacement among the conditions Dr. Cummins treats.

CMS data shows 60 Medicare services from Dr. Cummins across 4 procedure codes in 2024, for 62 Medicare patients. Medicare paid $3,429 for them. Every service was in an office.

CMS counts 62 Medicare patients who saw Dr. Cummins in 2024. The largest group is 65 to 74, with 30 patients. 75% of them have arthritis, and 71% have high cholesterol. Their average risk score is 1.02, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Cummins' median patient age at 68, with 56% women.

In 2024, Dr. Cummins wrote 193 Medicare Part D claims for 122 patients. 99% of them were for generic drugs. CMS names the drug for 146 of them, across 6 drugs with 11 or more claims each, at $1,171 in total drug cost. In 2023, CMS named 178 claims across 8 drugs.

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 86 out of 100 for Dr. Cummins for performance year 2024, reported as part of a group. Dr. Cummins accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Hip replacement: 1 to 10 procedures (CMS shows small counts as a range)

Knee replacement: 1 to 10 procedures (CMS shows small counts as a range)

Dmand AI links 7 papers to Dr. Cummins in 2016. The most frequent topics are Accidents, Traffic, Air Bags and Arthroplasty, Replacement, Hip. Dr. Cummins has published most often in J Bone Joint Surg Am. Dr. Cummins' most frequent co-authors are Kevin Gregg Billingsley, MD and Kenneth J. Koval, MD.

CMS Open Payments shows 127 general payments to Dr. Cummins from 6 drug and device companies from 2016 to 2024. Travel and lodging make up the largest share, 42% of the total. Smith & Nephew, Inc. paid the most, $31,061.

Dmand AI lists 1 award for Dr. Cummins, most recently CMS Stage 1 EHR in 2011.

Dr. Cummins graduated from University Of Washington School Of Medicine in 2002.

Dr. Cummins is in network with 16 carriers, including United Healthcare, Medica and Elevance. HMO plans come from the most carriers, 10. Check the plan with the practice before a visit.