Medicare Enrolled
Dr. Craig Cummins, M.D.
Sports Medicine (Orthopaedic Surgery) Physician · Barrington, IL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Cummins from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Cummins?
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What this data tells you about Dr. Cummins
Dr. Craig Cummins is a sports medicine physician in Barrington, IL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Cummins performed 4,757 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Cummins received a total of $83,214 from 27 pharmaceutical and/or device companies across 159 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Cummins is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 19% volume in IL
$83,214 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗4,757
Medicare services
Top 19% in IL for sports medicine (orthopaedic surgery) physician
Not available
Unique patients (not deduplicated)
$69
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
1,340 | $1 | $3 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
725 | $68 | $205 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
621 | $55 | $309 |
| Injection, methylprednisolone acetate, 40 mg | 458 | $6 | $18 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
428 | $29 | $152 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
230 | $77 | $255 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
221 | $100 | $285 |
| Hyaluronan gel injection for joint An injection of hyaluronan gel into a joint to supplement joint fluid. This procedure is administered as a single dose. |
136 | $404 | $1,353 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
112 | $81 | $602 |
| Knee X-ray, 4 or more views An imaging test using X-rays to create multiple pictures of the knee joint from different angles. |
89 | $40 | $171 |
| MRI of arm joint, without contrast An MRI scan uses magnetic fields and radio waves to create detailed images of the arm joint. This specific procedure is performed without the use of a contrast dye. |
76 | $118 | $1,340 |
| Total shoulder joint prosthetic repair Surgical replacement of the shoulder joint with a prosthetic device. This procedure involves removing damaged joint components and inserting artificial parts to restore function. |
61 | $1,222 | $9,608 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
57 | $45 | $125 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
52 | $126 | $377 |
| Arthroscopic shoulder surgery for bone shaving and ligament repair A minimally invasive procedure using a small camera to shave part of the shoulder bone and repair a ligament. |
27 | $140 | $4,701 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
26 | $31 | $122 |
| X-ray of upper arm, minimum of 2 views An X-ray imaging test of the upper arm that captures at least two different views to evaluate the bones and surrounding structures. |
19 | $21 | $107 |
| Arthroscopic rotator cuff repair A minimally invasive surgery to repair torn shoulder tendons using a small camera and instruments inserted through tiny incisions. |
18 | $863 | $6,452 |
| Elbow X-ray, minimum 3 views An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures. |
17 | $22 | $111 |
| MRI of leg joint, without contrast A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye. |
17 | $109 | $1,320 |
| Tendon injection at attachment site A procedure involving the injection of medication into a tendon where it attaches to bone or muscle. |
15 | $34 | $224 |
| Arthroscopic shoulder debridement A minimally invasive procedure to remove damaged or excess tissue from the shoulder joint using a small camera and instruments inserted through tiny incisions. |
12 | $379 | $4,473 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
0.6% high complexity
58.3% medium
41.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$83,214
Total received (2018-2024)
Avg $11,888/year across 7 years
Top 16% in IL for sports medicine (orthopaedic surgery) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
27
Companies
159
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$24,263
2023
$12,879
2022
$15,295
2021
$672
2020
$15,014
2019
$14,609
2018
$482
Payments by company (2024)
Limacorporate S.p.A.
$15,275
ENCORE MEDICAL, LP
$8,790
Enduromed, Llc
$94
Novo Nordisk Inc
$30
Pacira Pharmaceuticals Incorporated
$25
Ethicon US, LLC
$25
Medtronic, Inc.
$24
Top 3 companies account for 99.6% of 2024 payments
All-time payments by company (2018-2024) ›
Lima USA, Inc.
$47,867
Limacorporate S.p.A.
$20,654
ENCORE MEDICAL, LP
$8,790
Arthrex, Inc.
$1,510
Stryker Corporation
$893
TechMah Medical, LLC
$763
Wright Medical Technology, Inc.
$724
Great Lakes Orthopedics
$483
Novo Nordisk Inc
$363
Enduromed, Llc
$357
DePuy Synthes Sales Inc.
$161
Smith+Nephew, Inc.
$152
Linvatec Corporation
$81
Astellas Pharma US Inc
$80
Biohaven Pharmaceuticals, Inc.
$73
Ferring Pharmaceuticals Inc.
$45
Pacira Pharmaceuticals Incorporated
$25
Ethicon US, LLC
$25
Vericel Corporation
$24
Medtronic, Inc.
$24
Allergan, Inc.
$20
Mylan Specialty L.P.
$19
Boston Scientific Corporation
$19
Horizon Therapeutics plc
$18
Biohaven Pharmaceutical Holding Company Ltd.
$17
Abbott Laboratories
$16
Globus Medical, Inc.
$12
Top 3 companies account for 92.9% of all-time payments
Associated products mentioned in payments ›
ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY · Ascend Flex · BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION · Bone Anchors with Arthroscopic Delivery System · Clavical Fixation (16-186) · DERMABOND PRINEO · DJO SURGICAL · DYNACORD · EUFLEXXA · Exparel · HEALIX · LANTERN SURGICAL ASSISTANT · LINVATEC ARTHROSCOPY · LINZESS · MACI · MONOVISC · NT2000IX · NURTEC ODT · Ozempic · PRIMA · Product Portfolio · RYBELSUS · Rybelsus · SIMPLICITI · SMR · SMR SHOULDER · SMR Shoulder · Smart SPACE · Tresiba · WaveWriter Alpha Prime 16 · Yupelri
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Sports medicine physicians in nearby ZIP areas
40
County median income
$81,797
Nearest hospital to ZIP centroid (approximate)
ADVOCATE GOOD SHEPHERD HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Cummins is a clinical cardiology specialist, with above-average Medicare volume (top 19% in IL), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Cummins experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Cummins performed 1,340 steroid injection (triamcinolone) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Cummins receive payments from pharmaceutical companies?
Yes. Dr. Cummins received a total of $83,214 from 27 companies across 159 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Cummins's costs compare to other sports medicine physicians in Barrington?
Dr. Cummins's average Medicare payment per service is $69. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Cummins) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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