Justin James Cummings
NPI 1174905384ActiveIndividual· Nurse Practitioner· Tomball, TX
Nurse Practitioner with Physicians Referral Service, practicing in Tomball, Texas. Their prescriptions cost Medicare Part D more than their services did: $93,738 for 301 claims, against $20,328 paid for services in 2024.
Overview
| NPI | 1174905384 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 24, 2015 |
| Last updated in NPPES | Jun 24, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP128197 | TX |
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 - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 167 |
|---|---|
| Services billed | 309 across 11 procedure codes |
| Paid by Medicare | $20,328 |
Part D prescriptions in 2024
| Prescriptions (claims) | 301 · 366 30-day fills |
|---|---|
| Patients | 73 |
| Total drug cost | $93,738 |
| Generic share | 39% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Physicians Referral ServiceHouston, TX · 2,765 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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