Physician

George William Cummings Iii, D.O.

According to 2025 Medicare claims, George Iii, D.O. (NPI: 1235225111) practices general surgery in the Altoona, PA market, with the plurality of this provider's patient population coming from Blair, PA. This provider's primary affiliated billing organization is DLP CONEMAUGH PHYSICIAN PRACTICES LLC (NPI: 1205242609; TIN: 320442710) and primary practice location at 16673-1202. Cummings is affiliated with the AdvantagePoint Health Alliance - Laurel Highlands, LLC (ACO ID: A4657), participating under the MSSP model.

Cummings' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 351 traditional Medicare patients, billed 857 HCPCS/CPT codes, and received $99,260 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,130 prescription claims across 378 beneficiaries totaling $47,428 in drug costs, led by Linzess (Linaclotide). 2022 DME data shows 38 claims. Open Payments data shows 20 records totaling $3,270. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $57,597 and ending at $47,428. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $15,102 to $86.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	329	810	$93,533
2016	415	1,132	$116,761
2017	402	1,066	$107,028
2018	361	960	$103,491
2019	420	983	$107,138
2020	400	1,024	$108,017
2021	445	1,082	$115,989
2022	407	950	$114,892
2023	386	1,061	$131,024
2024	351	857	$99,260

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	261	855	$57,597
2016	261	767	$52,874
2017	248	733	$28,818
2018	264	854	$35,455
2019	287	1,025	$59,578
2020	324	1,132	$71,083
2021	362	1,281	$63,238
2022	399	1,299	$59,596
2023	370	1,176	$43,994
2024	378	1,130	$47,428

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	15	$464
2016	N/R	11	$1,690
2017	N/R	11	$1,322
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	42	$4,025
2022	N/R	38	$3,805
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	50	$90
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$75
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	48	49	$62
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	123	164	$61
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	65	$39

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Linzess	Linaclotide	28	892	$15,053
Trulance	Plecanatide	15	450	$7,704
Sucralfate	Sucralfate	86	2,685	$3,759
Sod Sulf-Potass Sulf-Mag Sulf	Sodium, Potassium,mag Sulfates	47	53	$3,119
Pantoprazole Sodium	Pantoprazole Sodium	336	12,982	$2,780

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	20	$3,270	INTUITIVE SURGICAL, INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for George William Cummings Iii, D.O.?

Tedicare shows public-source Medicare data for George William Cummings Iii, D.O. (NPI 1235225111), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does George William Cummings Iii, D.O. have ACO affiliation data?

George William Cummings Iii, D.O. is shown with ACO affiliation data for AdvantagePoint Health Alliance - Laurel Highlands, LLC (MSSP, ACO ID A4657).

What billing organization is linked to George William Cummings Iii, D.O.?

George William Cummings Iii, D.O. is linked to DLP CONEMAUGH PHYSICIAN PRACTICES LLC (billing NPI 1205242609) in the available physician profile data.

Does George William Cummings Iii, D.O. have Open Payments data?

George William Cummings Iii, D.O. has 20 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.