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Dr. Thomas J. Cummings, MD

(Dr. Thomas Cummings, M.D.)

(No ratings)

Specializes in: Neuropathology

UMDNJ-Robert Wood Johnson Medical School

20 Duke Medicine Circle
Durham, NC 27710

(919) 684-5301

Dr. Thomas J. Cummings, MD is a neuropathologist in Durham, NC specializing in neuropathology. He graduated from UMDNJ-Robert Wood Johnson Medical School. Dr. Thomas J. Cummings, MD is affiliated with Duke Health.

Office Locations

Duke Health

20 Duke Medicine Circle
Durham, NC 27710

(919) 684-5301

(919) 684-6674

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Duke Health

2301 Erwin Road
Durham, NC 27710

(919) 684-8111

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Duke University Medical Center
Durham, NC 27710

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Noteworthy Medicare Patient Procedures Performed by Dr. Thomas J. Cummings, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

slide consultation

By Affordability:

consultation

immunohistochemistry test

intraoperative pathology consultation

lab tests

In 2023, among providers in related specialties within North Carolina, Dr. Thomas J. Cummings, MD performed more slide consultation procedures for Medicare patients than 95% of them and he also had a list price for consultation, immunohistochemistry (IHC) test, intraoperative pathology consultation, and lab tests that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Affordability:

special stains

In 2012, Dr. Thomas J. Cummings, MD had a list price for special stains that was lower than the list prices billed to Medicare by 75% of providers in related specialties within North Carolina. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Thomas J. Cummings, MD treated as a neuropathologist in Durham, NC during 2012 were lab tests, consultation and second opinions.

Volume of procedures performed by Dr. Thomas J. Cummings, MD for Medicare patients.

consultation	128
lab tests	727
second opinions	25

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Thomas J. Cummings, MD treated as a neuropathologist in Durham, NC during 2013 were lab tests, consultation and second opinions.

Volume of procedures performed by Dr. Thomas J. Cummings, MD for Medicare patients.

consultation	120
lab tests	801
second opinions	61

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas J. Cummings, MD.

**Gender**
Male	225
Female	231

**Ethnicity**
Non-Hispanic White	354
Black	86
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	236
From 75 to 84	101
85 and over	26
Less than 65	93

Conditions of Medicare patients treated by Dr. Thomas J. Cummings, MD in 2013

Hypertension	75
High Cholesterol	59
Stroke	13
Ischemic Heart Disease	34
Depression	31
Chronic Kidney Disease	26
Asthma	8
Osteoperosis	9
Atrial Fibrilation	8
Heart Failure	16
Chronic Obstructive Pulmonary Disease	13
Diabetes	33
Dementia	8
Cancer	16

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Thomas J. Cummings, MD treated as a neuropathologist in Durham, NC during 2014 were lab tests, consultation and second opinions.

Volume of procedures performed by Dr. Thomas J. Cummings, MD for Medicare patients.

consultation	96
lab tests	425
second opinions	68

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas J. Cummings, MD.

**Gender**
Male	245
Female	210

**Ethnicity**
Non-Hispanic White	357
Black	76
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	222
From 75 to 84	107
85 and over	20
Less than 65	106

Conditions of Medicare patients treated by Dr. Thomas J. Cummings, MD in 2014

Hypertension	75
High Cholesterol	58
Stroke	13
Ischemic Heart Disease	30
Depression	26
Chronic Kidney Disease	27
Asthma	11
Osteoperosis	5
Atrial Fibrilation	8
Heart Failure	15
Chronic Obstructive Pulmonary Disease	13
Diabetes	32
Dementia	6
Cancer	16

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Thomas J. Cummings, MD treated as a neuropathologist in Durham, NC during 2015 were lab tests, consultation and second opinions.

Volume of procedures performed by Dr. Thomas J. Cummings, MD for Medicare patients.

consultation	158
lab tests	199
second opinions	82

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas J. Cummings, MD.

**Gender**
Male	474
Female	502

**Ethnicity**
Non-Hispanic White	724
Black	196
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	462
From 75 to 84	246
85 and over	38
Less than 65	230

Conditions of Medicare patients treated by Dr. Thomas J. Cummings, MD in 2015

Hypertension	72
High Cholesterol	57
Stroke	13
Ischemic Heart Disease	31
Depression	31
Chronic Kidney Disease	30
Asthma	15
Osteoperosis	6
Atrial Fibrilation	11
Heart Failure	16
Chronic Obstructive Pulmonary Disease	17
Diabetes	36
Dementia	7
Cancer	18

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Thomas J. Cummings, MD treated as a neuropathologist in Durham, NC during 2016 were lab tests, consultation and second opinions.

Volume of procedures performed by Dr. Thomas J. Cummings, MD for Medicare patients.

consultation	116
lab tests	202
second opinions	40

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas J. Cummings, MD.

**Gender**
Male	205
Female	217

**Ethnicity**
Non-Hispanic White	327
Black	80
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	202
From 75 to 84	102
85 and over	24
Less than 65	94

Conditions of Medicare patients treated by Dr. Thomas J. Cummings, MD in 2016

Hypertension	74
High Cholesterol	60
Stroke	13
Ischemic Heart Disease	32
Depression	31
Chronic Kidney Disease	36
Asthma	18
Osteoperosis	8
Atrial Fibrilation	12
Heart Failure	19
Chronic Obstructive Pulmonary Disease	15
Diabetes	32
Dementia	8
Cancer	18

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Thomas J. Cummings, MD treated as a neuropathologist in Durham, NC during 2017 were lab tests, consultation and second opinions.

Volume of procedures performed by Dr. Thomas J. Cummings, MD for Medicare patients.

consultation	120
lab tests	137
second opinions	36

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas J. Cummings, MD.

**Gender**
Male	131
Female	134

**Ethnicity**
Non-Hispanic White	205
Black	44
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	138
From 75 to 84	0
85 and over	0
Less than 65	68

Conditions of Medicare patients treated by Dr. Thomas J. Cummings, MD in 2017

Hypertension	68
High Cholesterol	53
Stroke	14
Ischemic Heart Disease	29
Depression	35
Chronic Kidney Disease	33
Asthma	11
Osteoperosis	5
Atrial Fibrilation	11
Heart Failure	14
Chronic Obstructive Pulmonary Disease	12
Diabetes	31
Dementia	12
Cancer	14

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Thomas J. Cummings, MD treated as a neuropathologist in Durham, NC during 2018 were lab tests, consultation and second opinions.

Volume of procedures performed by Dr. Thomas J. Cummings, MD for Medicare patients.

consultation	76
lab tests	105
second opinions	38

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas J. Cummings, MD.

**Gender**
Male	106
Female	93

**Ethnicity**
Non-Hispanic White	159
Black	23
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	125
From 75 to 84	44
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Thomas J. Cummings, MD in 2018

Hypertension	73
High Cholesterol	60
Stroke	16
Ischemic Heart Disease	17
Depression	31
Chronic Kidney Disease	26
Asthma	8
Osteoperosis	12
Atrial Fibrilation	8
Heart Failure	10
Chronic Obstructive Pulmonary Disease	8
Diabetes	28
Dementia	13
Cancer	18

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Thomas J. Cummings, MD treated as a neuropathologist in Durham, NC during 2019 were lab tests, consultation and second opinions.

Volume of procedures performed by Dr. Thomas J. Cummings, MD for Medicare patients.

consultation	103
lab tests	369
second opinions	28

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas J. Cummings, MD.

**Gender**
Male	150
Female	145

**Ethnicity**
Non-Hispanic White	232
Black	47
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	146
From 75 to 84	83
85 and over	21
Less than 65	45

Conditions of Medicare patients treated by Dr. Thomas J. Cummings, MD in 2019

Hypertension	75
High Cholesterol	60
Stroke	14
Ischemic Heart Disease	26
Depression	32
Chronic Kidney Disease	35
Asthma	6
Osteoperosis	8
Atrial Fibrilation	7
Heart Failure	13
Chronic Obstructive Pulmonary Disease	14
Diabetes	29
Dementia	15
Cancer	17

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Thomas J. Cummings, MD treated as a neuropathologist in Durham, NC during 2020 were lab tests, consultation and second opinions.

Volume of procedures performed by Dr. Thomas J. Cummings, MD for Medicare patients.

consultation	115
lab tests	162
second opinions	17

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas J. Cummings, MD.

**Gender**
Male	108
Female	116

**Ethnicity**
Non-Hispanic White	189
Black	21
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	108
From 75 to 84	66
85 and over	11
Less than 65	39

Conditions of Medicare patients treated by Dr. Thomas J. Cummings, MD in 2020

Hypertension	74
High Cholesterol	63
Stroke	12
Ischemic Heart Disease	26
Depression	34
Chronic Kidney Disease	29
Asthma	8
Osteoperosis	8
Atrial Fibrilation	10
Heart Failure	14
Chronic Obstructive Pulmonary Disease	11
Diabetes	30
Dementia	9
Cancer	17

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Thomas J. Cummings, MD treated as a neuropathologist in Durham, NC during 2021 were lab tests, consultation and second opinions.

Volume of procedures performed by Dr. Thomas J. Cummings, MD for Medicare patients.

consultation	62
lab tests	89
second opinions	32

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas J. Cummings, MD.

**Gender**
Male	106
Female	126

**Ethnicity**
Non-Hispanic White	190
Black	28
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	109
From 75 to 84	74
85 and over	16
Less than 65	33

Conditions of Medicare patients treated by Dr. Thomas J. Cummings, MD in 2021

Hypertension	72
High Cholesterol	58
Stroke	14
Ischemic Heart Disease	27
Depression	31
Chronic Kidney Disease	34
Asthma	9
Osteoperosis	9
Atrial Fibrilation	9
Heart Failure	11
Chronic Obstructive Pulmonary Disease	15
Diabetes	25
Dementia	16
Cancer	19

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Thomas J. Cummings, MD treated as a neuropathologist in Durham, NC during 2022 were lab tests, consultation and second opinions.

Volume of procedures performed by Dr. Thomas J. Cummings, MD for Medicare patients.

consultation	51
lab tests	59
second opinions	13

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas J. Cummings, MD.

**Gender**
Male	84
Female	86

**Ethnicity**
Non-Hispanic White	141
Black	16
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	81
From 75 to 84	62
85 and over	15
Less than 65	12

Conditions of Medicare patients treated by Dr. Thomas J. Cummings, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	21
Ischemic Heart Disease	28
Depression	28
Chronic Kidney Disease	27
Asthma	11
Osteoperosis	15
Atrial Fibrilation	22
Heart Failure	19
Chronic Obstructive Pulmonary Disease	14
Diabetes	27
Dementia	11
Cancer	22

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Thomas J. Cummings, MD for Medicare patients.

The highest averages for the top procedures that Dr. Thomas J. Cummings, MD treated as a neuropathologist in Durham, NC were lab tests, consultation and second opinions.

consultation	104
lab tests	297
second opinions	40

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Thomas J. Cummings, MD.

**Gender**
Male	166
Female	169

**Ethnicity**
Black / African American	56
Asian / Pacific Islander	0
Non-Hispanic White	261
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	80
85 and over	15
Less than 65	65
65 to 74	166

Average of Total of Conditions of Medicare patients treated by Dr. Thomas J. Cummings, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Thomas J. Cummings, MD treated were hypertension, high cholesterol, chronic kidney disease and depression.

Hypertension	66
High Cholesterol	54
Stroke	13
Ischemic Heart Disease	25
Depression	28
Chronic Kidney Disease	27
Asthma	9
Osteoporosis	7
Heart Failure	13
Chronic Obstructive Pulmonary Disease	12
Diabetes	27
Atrial Fibrillation	9
Dementia	9
Cancer	15

Education & Training

Dr. Thomas J. Cummings, MD graduated from UMDNJ-Robert Wood Johnson Medical School. He completed residency at Duke University Medical Center. He is certified by the American Board of Pathology, Neuropathology and has a state license in North Carolina.

Medical School: UMDNJ-Robert Wood Johnson Medical School

Residency: Duke University Medical Center (1999)

Board Certification: American Board of Pathology, Neuropathology

Licensed In: North Carolina

Affiliations & Hospitals

Dr. Thomas J. Cummings, MD is associated with these hospitals and organizations:

Duke Health

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Thomas J. Cummings, MD appears to accept the following insurance providers: MedCost, Aetna Traditional Choice, Aetna Medicare PPO, BlueCross BlueShield of North Carolina, CIGNA Open Access Plus, WellCare, AmeriHealth, Medicare Part B, Medicare Advantage, AARP, CIGNA Open Access, United Healthcare PPO, United Healthcare POS, United Healthcare HMO, Aetna, Aetna Workers' Compensation, TRICARE Prime, TRICARE Prime Remote, United Healthcare, Aetna Open Choice PPO, Medicare, Medicaid, Humana, Cigna, TRICARE, Harvard Pilgrim Health Care, Aetna Managed Choice POS, Gateway Health Alliance, Aetna HMO, Alliance Health (*Beginning January 2026), *Duke HomeCare and Hospice does not participate in the plan., Duke Employee Plans, Blue Options (123, PPO, HSA), *Duke HomeCare and Hospice and mental health providers do not participate with the plan., Aetna Quality Point of Service (QPOS), Aetna Choice POS, Aetna Choice POS II, Duke Advantage (*Beginning January 2026), Aetna Medicare Value Plan (HMO), Blue Advantage (*Available in select counties only), Duke Options (*Beginning January 2026), Duke Basic, Duke USA (*Beginning January 2026), Ambetter, Experience Health, Aetna Select HMO, Aetna PCP Coordinated POS Plan, Blue Select, Blue Medicare (HMO, PPO)*, Aetna Limited Benefit Insurance PPO, Vaya Health (*Beginning January 2026), Healthy Blue, Trillium (*Beginning January 2026), Aetna Health Network Only, Aetna Health Network Option, All Savers Fully Insured, Blue Value (*Duke Health Lake Norman and Kernodle Clinics only), First Medicare Direct, Carolina Complete Health, Healthgram, All Savers Alternate Funding, Aetna Medicare Assure Plan (HMO D-SNP), Aetna/CVS Health, Aetna Elect Choice HMO, Aetna Open Access Elect Choice, Partners (*Beginning January 2026), Aetna Voluntary Indemnity Group Plan, Duke Select, Aetna Open Access HMO, Open Access Aetna Select, Aetna Open Access Managed Choice, NC State Employees Health Plan, Ambetter of North Carolina and United Medical Resources (UMR).

Insurance Accepted by Provider includes:

According to our sources, Dr. Thomas J. Cummings, MD accepts the following insurance providers:

MedCost

Aetna Traditional Choice

Aetna Medicare PPO

BlueCross BlueShield of North Carolina

CIGNA Open Access Plus

WellCare

AmeriHealth

Medicare Part B

Medicare Advantage

AARP

CIGNA Open Access

United Healthcare PPO

United Healthcare POS

United Healthcare HMO

Aetna

Aetna Workers' Compensation

TRICARE Prime

TRICARE Prime Remote

United Healthcare

Aetna Open Choice PPO

Medicare

Medicaid

Humana

Cigna

TRICARE

Harvard Pilgrim Health Care

Aetna Managed Choice POS

Gateway Health Alliance

Aetna HMO

Alliance Health (*Beginning January 2026)

*Duke HomeCare and Hospice does not participate in the plan.

Duke Employee Plans

Blue Options (123, PPO, HSA)

*Duke HomeCare and Hospice and mental health providers do not participate with the plan.

Aetna Quality Point of Service (QPOS)

Aetna Choice POS, Aetna Choice POS II

Duke Advantage (*Beginning January 2026)

Aetna Medicare Value Plan (HMO)

Blue Advantage (*Available in select counties only)

Duke Options (*Beginning January 2026)

Duke Basic

Duke USA (*Beginning January 2026)

Ambetter

Experience Health

Aetna Select HMO

Aetna PCP Coordinated POS Plan

Blue Select

Blue Medicare (HMO, PPO)*

Aetna Limited Benefit Insurance PPO

Vaya Health (*Beginning January 2026)

Healthy Blue

Trillium (*Beginning January 2026)

Aetna Health Network Only, Aetna Health Network Option

All Savers Fully Insured

Blue Value (*Duke Health Lake Norman and Kernodle Clinics only)

First Medicare Direct

Carolina Complete Health

Healthgram

All Savers Alternate Funding

Aetna Medicare Assure Plan (HMO D-SNP)

Aetna/CVS Health

Aetna Elect Choice HMO, Aetna Open Access Elect Choice

Partners (*Beginning January 2026)

Aetna Voluntary Indemnity Group Plan

Duke Select

Aetna Open Access HMO, Open Access Aetna Select, Aetna Open Access Managed Choice

NC State Employees Health Plan

Ambetter of North Carolina

United Medical Resources (UMR)

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Thomas J. Cummings, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
LIFECELL CORPORATION	$92 AlloDerm $92
Mentor Worldwide LLC	$30 Augmentation $30

**Types of Payments**
Food and Beverage	$122

Biography

Dr. Thomas Cummings practices neuropathology in Durham, NC. Dr. Cummings is professionally affiliated with Duke Health. After attending UMDNJ-Robert Wood Johnson Medical School, he completed his residency training at Duke University Medical Center. He seems to honor several insurance carriers, including Blue California, CIGNA Plans, and TRICARE.