Physician

Craig Cummins, M.D.

According to 2025 Medicare claims, Craig Cummins, M.D. (NPI: 1588650006) practices sports medicine in the Lake County, IL market, with the plurality of this provider's patient population coming from Lake, IL. This provider's primary affiliated billing organization is ILLINOIS BONE AND JOINT INSTITUTE LLC (NPI: 1205922432; TIN: 20-3845479) and primary practice location at 60010-5999.

Cummins' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 748 traditional Medicare patients, billed 6,781 HCPCS/CPT codes, and received $348,301 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 215 prescription claims across 137 beneficiaries totaling $1,198 in drug costs, led by Celecoxib (Celecoxib). DME data shows 12 claims. Open Payments data shows 14 records totaling $24,263. 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 risen steadily, from $206,207 to $348,301. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $2,545 and ending at $1,198. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	436	2,538	$206,207
2016	457	3,116	$205,309
2017	472	2,674	$219,483
2018	531	3,458	$243,420
2019	558	2,906	$253,424
2020	498	2,526	$212,192
2021	568	3,267	$306,618
2022	652	3,638	$336,310
2023	747	5,426	$357,491
2024	748	6,781	$348,301

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	98	188	$2,545
2016	98	175	$2,094
2017	104	210	$1,561
2018	129	252	$2,948
2019	143	239	$1,904
2020	124	250	$1,421
2021	169	286	$2,827
2022	203	325	$1,848
2023	144	228	$1,457
2024	137	215	$1,198

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	29	29	$2,252
2016	62	62	$4,568
2017	64	64	$5,022
2018	89	90	$7,032
2019	81	83	$6,632
2020	60	61	$4,838
2021	84	85	$6,683
2022	58	58	$5,023
2023	11	11	$1,023
2024	12	12	$1,145

* / # = 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
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	198	198	$72
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	414	770	$67
20610	Aspiration and/or injection of fluid from large joint	409	689	$53
73030	X-ray of shoulder, minimum of 2 views	341	408	$27
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	417	3,312	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Celecoxib	Celecoxib	27	557	$252
Meloxicam	Meloxicam	41	1,350	$204
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	17	74	$167
Methylprednisolone	Methylprednisolone	22	132	$137
Oxycodone Hcl	Oxycodone Hcl	28	109	$123

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	N	12	12	$1,145

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	14	$24,263	Limacorporate S.p.A.
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 Craig Cummins, M.D.?

Tedicare shows public-source Medicare data for Craig Cummins, M.D. (NPI 1588650006), 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 Craig Cummins, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Craig Cummins, M.D.?

Craig Cummins, M.D. is linked to ILLINOIS BONE AND JOINT INSTITUTE LLC (billing NPI 1205922432) in the available physician profile data.

Does Craig Cummins, M.D. have Open Payments data?

Craig Cummins, M.D. has 14 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.