Craig Cummins, MD - Medicare Sports Medicine in Barrington, IL

Craig Cummins, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Barrington, Illinois. He went to University Of Florida College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Illinois Bone And Joint Institute Llc, Illinois Bone And Joint Institute Llc and his current practice location is 27401 W Highway 22 Ste 125, Barrington, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 381-0388.

Craig Cummins is licensed to practice in Illinois (license number 036-101852) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588650006.

Contact Information

Craig Cummins, MD
27401 W Highway 22 Ste 125,
Barrington, IL 60010-5934
(847) 381-0388
(847) 381-0811

Map and Direction




Physician's Profile

Full NameCraig Cummins
GenderMale
SpecialitySports Medicine
Experience29 Years
Location27401 W Highway 22 Ste 125, Barrington, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Craig Cummins attended and graduated from University Of Florida College Of Medicine in 1995
  NPI Data:
  • NPI Number: 1588650006
  • Provider Enumeration Date: 09/20/2005
  • Last Update Date: 03/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0547262206
  • Enrollment ID: I20070208000377

Medical Identifiers

Medical identifiers for Craig Cummins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588650006NPI-NPPES
036101852MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine 036-101852 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Good Shepherd HospitalBarrington, ILHospital
Northwestern Medicine Mchenry HospitalMchenry, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Illinois Bone And Joint Institute Llc6002814878520
Illinois Bone And Joint Institute Llc6002814878520

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Craig Cummins allows following entities to bill medicare on his behalf.
Entity NameIllinois Bone And Joint Institute Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205922432
PECOS PAC ID: 6002814878
Enrollment ID: O20061110000331

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Craig Cummins is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Craig Cummins, MD
900 Rand Rd Ste 300,
Des Plaines, IL 60016-2359

Ph: (847) 324-3976
Craig Cummins, MD
27401 W Highway 22 Ste 125,
Barrington, IL 60010-5934

Ph: (847) 381-0388

Reviews and Comments


Orthopaedic Surgery Doctors in Barrington, IL

Dr. Surbhi C Panchal, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 27401 W Highway 22 Ste 125, Barrington, IL 60010
Phone: 847-381-0388    Fax: 847-381-0811
Michael P Young, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 27401 W Highway 22, Suite 125, Barrington, IL 60010
Phone: 847-381-0388    Fax: 847-381-0811
Frederick G Locher, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 27401 W Highway 22, Suite 125, Barrington, IL 60010
Phone: 847-381-0388    Fax: 847-381-0811
David E Norbeck Jr., M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 27401 W Highway 22, Suite 125, Barrington, IL 60010
Phone: 847-381-0388    Fax: 847-381-0811
Dr. Marc Angerame, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 27401 W Highway 22 Ste 125, Barrington, IL 60010
Phone: 847-381-0388    Fax: 847-381-0811
Mark S. Gross, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 27401 W Highway 22 Ste 125, Barrington, IL 60010
Phone: 847-381-0388    Fax: 847-381-0811

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.