PAUL E CUNDEY III M.D.
NPI 1063447464
Internal Medicine - Cardiovascular Disease in Augusta, GA

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1348 WALTON WAY, SUITE 5100, AUGUSTA, GA 30901(706) 724-8611(706) 724-6202 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul E Cundey Iii M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL E CUNDEY III M.D. (NPI 1063447464) is an individual cardiovascular disease provider in Augusta, Georgia, licensed in Georgia (035399) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (1989).

NPPES Registry Identity

NPI1063447464
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NamePAUL E CUNDEY IIICredential: M.D.
Location Address1348 WALTON WAY, SUITE 5100Augusta, GA 30901-5104
Mailing Address1348 Walton Way, Suite 5100Augusta, GA 30901-5104 · (706) 724-8611 · Fax (706) 724-6202
Fax(706) 724-6202
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1989
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1063447464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in GA · 035399 Licensed in SC · 17507
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1348 WALTON WAY, Augusta, GA 30901

Other Identifiers 9

Other2124563Aetna Hmo
Medicare UPINE45151GA
Other2211751-004GA · Cigna
Other595431GA · Bcbs
Other4599825Aetna Ppo
Medicare ID-Type UnspecifiedE45151SC
Medicaid00661086BGA
Medicare ID-Type Unspecified06BDFKWGA
MedicaidG35399SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Paul E Cundey Iii M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385726181
PECOS Enrollment IDI20101210000108
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
443 services433 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
361 services314 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
347 services342 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
341 services269 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
317 services282 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
186 services31 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

University Mcduffie County Regional Medical Center

Acute Care Hospitals · Thomson, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110111
Location2460 Washington RoadThomson, GA 30824 · Mc Duffie County
Emergency services

Burke Medical Center

Acute Care Hospitals · Waynesboro, GA
OwnershipProprietary
CMS Certification Number110113
Location351 South Liberty StreetWaynesboro, GA 30830 · Burke County

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420082
Location302 University ParkwayAiken, SC 29801 · Aiken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%839 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1348 WALTON WAY, STE 4100
AUGUSTA, GA 30901
Specialist
1348 WALTON WAY, SUITE 5500
AUGUSTA, GA 30901
Obstetrics & Gynecology
1348 WALTON WAY, SUITE 4100
AUGUSTA, GA 30901
Registered Nurse (Registered Nurse First Assistant)
1348 WALTON WAY
AUGUSTA, GA 30901
Internal Medicine (Cardiovascular Disease)
1348 WALTON WAY, SUITE 5100
AUGUSTA, GA 30901
Internal Medicine (Cardiovascular Disease)
1348 WALTON WAY, SUITE 5100
AUGUSTA, GA 30901
Psychiatry & Neurology (Neurology)
1348 WALTON WAY, SUITE 4500
AUGUSTA, GA 30901
Specialist
1348 WALTON WAY, STE 6700
AUGUSTA, GA 30901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Cundey's NPI number?

The NPI number for Paul Cundey is 1063447464. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Paul Cundey located?

Paul Cundey practices at 1348 Walton Way Suite 5100, Augusta, GA 30901. The listed phone number is (706) 724-8611.

What is Paul Cundey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Paul Cundey enrolled in Medicare?

Yes. Paul Cundey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Cundey accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Paul Cundey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Cundey affiliated with any hospitals?

According to CMS data, Paul Cundey is affiliated with Piedmont Augusta Hospital, Au Medical Center, University Mcduffie County Regional Medical Center, Burke Medical Center and Aiken Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Cundey was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.