Physician

Howard Lee Cummings, M.D.

According to 2025 Medicare claims, Howard Cummings, M.D. (NPI: 1669478996) practices ophthalmology in the Johnson City, TN market, with the plurality of this provider's patient population coming from Washington, TN. This provider's primary affiliated billing organization is SOUTHEASTERN RETINA ASSOCIATES, P.C. (NPI: 1932370145; TIN: 621094813) and primary practice location at 37604-2010.

Cummings' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 617 traditional Medicare patients, billed 34,728 HCPCS/CPT codes, and received $2,617,479 in Medicare payments. The top billing code was J0178 (Injection, aflibercept, 1 mg). Part D data shows 450 prescription claims across 189 beneficiaries totaling $14,715 in drug costs, led by Tobramycin-Dexamethasone (Tobramycin/Dexamethasone). Open Payments data shows 9 records totaling $339. 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 $28,604 and ending at $14,715. 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	876	13,286	$2,062,716
2016	909	13,389	$2,161,728
2017	925	11,726	$2,276,466
2018	824	10,764	$2,408,866
2019	778	10,915	$2,427,944
2020	683	11,753	$2,584,185
2021	675	11,238	$2,651,362
2022	635	13,638	$2,363,387
2023	592	23,886	$2,212,389
2024	617	34,728	$2,617,479

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	175	544	$28,604
2016	169	498	$18,031
2017	186	479	$16,988
2018	196	467	$12,745
2019	170	390	$12,594
2020	183	412	$23,381
2021	205	530	$20,694
2022	191	440	$10,849
2023	181	490	$19,301
2024	189	450	$14,715

DME Billing Trend

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

No connected DME records

* / # = 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
J0178	Injection, aflibercept, 1 mg	112	1,100	$659
67028	Injection of drug into eye	292	1,366	$96
92014	Established patient complete exam of visual system	285	313	$87
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	219	245	$64
92134	Imaging of retina	591	1,788	$29

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Tobramycin-Dexamethasone	Tobramycin/Dexamethasone	55	1,030	$2,352
Prednisolone Acetate	Prednisolone Acetate	39	2,292	$1,927
Ketorolac Tromethamine	Ketorolac Tromethamine	41	1,347	$873
Atropine Sulfate	Atropine Sulfate	14	993	$791
Neomycin-Polymyxin-Dexameth	Neomycin/Polymyxin B/Dexametha	45	1,001	$562

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.	9	$339	Regeneron Healthcare Solutions, 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 Howard Lee Cummings, M.D.?

Tedicare shows public-source Medicare data for Howard Lee Cummings, M.D. (NPI 1669478996), 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 Howard Lee Cummings, 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 Howard Lee Cummings, M.D.?

Howard Lee Cummings, M.D. is linked to SOUTHEASTERN RETINA ASSOCIATES, P.C. (billing NPI 1932370145) in the available physician profile data.

Does Howard Lee Cummings, M.D. have Open Payments data?

Howard Lee Cummings, M.D. has 9 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.