Justin Shawn Cummins, MD
NPI 1003911603ActiveIndividual· Orthopaedic Surgery· Ashland, WI
Orthopaedic Surgery (MD) in Ashland, Wisconsin, trained at University of Washington School of Medicine (class of 2002). 62 Medicare patients in 2024, $24,206 paid; nearly all of their 193 Part D prescriptions were generic (99%). Depuy Synthes Sales Inc. reported $94.54 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1003911603 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Sep 14, 2006 |
| Last updated in NPPES | Aug 29, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 53249-20 | WI |
| Orthopaedic Surgery | 207X00000X | 51884 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 62 |
|---|---|
| Services billed | 257 across 29 procedure codes |
| Paid by Medicare | $24,206 |
Part D prescriptions in 2024
| Prescriptions (claims) | 193 · 194 30-day fills |
|---|---|
| Patients | 122 |
| Total drug cost | $1,714 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | University of Washington School of Medicine |
|---|---|
| Graduation year | 2002 |
| Medicare specialty | Orthopedic Surgery |
Medical groups
- Polinsky Medical Rehabilitation CenterDuluth, MN · 382 clinicians
- Advantage Physical Therapy and Sports Rehab, LLCKenosha, WI · 294 clinicians
- Memorial Medical Center IncAshland, WI · 79 clinicians
Hospital affiliations
- St Lukes HospitalDuluth, MN
- St Marys Hospital SuperiorSuperior, WI
- Tamarack Health Ashland Medical CenterAshland, WI
- Tamarack Health Hayward Medical CenterHayward, WI
Industry payments (Open Payments)
- 2024$94.54 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Depuy Synthes Sales Inc. | $94.54 | 1 |
What the 2024 payments were for
- Food and Beverage$94.54 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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