Dr William Gaines Cumbie, DO - Medicare Orthopaedic Surgery in Cumming, GA

Dr William Gaines Cumbie, DO is a medicare enrolled "Orthopaedic Surgery" physician in Cumming, Georgia. His current practice location is 2000 Howard Farm Dr Ste 200, Cumming, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 844-3295.

Dr William Gaines Cumbie is licensed to practice in Georgia (license number 95462) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043709553.

Contact Information

Dr William Gaines Cumbie, DO
2000 Howard Farm Dr Ste 200,
Cumming, GA 30041-6081
(770) 844-3295
Not Available

Map and Direction




Physician's Profile

Full NameDr William Gaines Cumbie
GenderMale
SpecialityOrthopaedic Surgery
Location2000 Howard Farm Dr Ste 200, Cumming, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043709553
  • Provider Enumeration Date: 05/09/2018
  • Last Update Date: 10/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3971849720
  • Enrollment ID: I20230705000265

Medical Identifiers

Medical identifiers for Dr William Gaines Cumbie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043709553NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 95462 (Georgia)Primary

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. Dr William Gaines Cumbie allows following entities to bill medicare on his behalf.
Entity NameAdvanced Joint Surgery Specialists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477929206
PECOS PAC ID: 2961795190
Enrollment ID: O20160726002485

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. Dr William Gaines Cumbie 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
Dr William Gaines Cumbie, DO
2000 Howard Farm Dr Ste 200,
Cumming, GA 30041-6081

Ph: (770) 844-3295
Dr William Gaines Cumbie, DO
2000 Howard Farm Dr Ste 200,
Cumming, GA 30041-6081

Ph: (770) 844-3295

Reviews and Comments


Orthopaedic Surgery Doctors in Cumming, GA

Dr. George Nelson Guild Iii, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Howard Farm Dr Ste 200, Cumming, GA 30041
Phone: 770-758-8964    Fax: 770-292-6535
Dr. Sourendra Raut, MD FRCSC
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Northside Forsyth Drive, Suite 340, Cumming, GA 30041
Phone: 770-886-8111    Fax: 770-205-8539
Dr. Robert James Owen, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1505 Northside Blvd Ste 3100, Cumming, GA 30041
Phone: 770-977-7777    Fax: 855-283-8851
Dr. Timothy Patrick Mccarthy, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2860 Ronald Reagan Blvd Ste 300, Cumming, GA 30041
Phone: 404-355-0743    Fax: 855-283-8851
Dr. Laviel A Fernandez, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Howard Farm Dr Ste 350, Cumming, GA 30041
Phone: 404-847-4230    
Anthony Kamson, DO
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 2000 Howard Farm Dr Ste 200, Cumming, GA 30041
Phone: 770-292-6500    

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.