DR. MICHAEL F CUNNINGHAM
NPI 1063859262
Emergency Medicine in Lake Wales, FL

Q: What is Michael Cunningham's NPI number?

The NPI number for Michael Cunningham is 1063859262. It was assigned to this individual provider in the NPPES registry on May 29, 2013.

Q: What is Michael Cunningham's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since May 29, 2013PECOS EnrolledAccepts Medicare Assignment

410 S 11TH ST, LAKE WALES, FL 33853(863) 676-1433(941) 676-9323 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Michael F Cunningham NPPES

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

DR. MICHAEL F CUNNINGHAM (NPI 1063859262) is an individual emergency medicine provider in Lake Wales, Florida, licensed in Florida (OS14869) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Lake Wales, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1063859262

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. MICHAEL F CUNNINGHAM

Location Address410 S 11TH STLake Wales, FL 33853-4203

Mailing Address2900 S Telephone RdMoore, OK 73160-2968 · (405) 237-7500

Phone(863) 676-1433

Fax(941) 676-9323

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 29, 2013

Last NPPES UpdateOctober 29, 2019

✔ NPI 1063859262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in FL · OS14869✔ Licensed in OK · 5962

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

410 S 11TH ST, Lake Wales, FL 33853

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Secondary Practice Locations 3

Location 12900 S Telephone RdMoore, OK 73160-2968 · Phone (405) 237-7500

Location 213695 US Highway 1Sebastian, FL 32958-3230 · Phone (772) 589-3186 · Fax (561) 388-3689

Location 3250 N Wickham RdMelbourne, FL 32935-8625 · Phone (321) 752-1200 · Fax (321) 752-1698

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael F Cunningham 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 ID5698056323

PECOS Enrollment IDI20171120001785

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.

Medicare Billing Reassignments

Medicare enrollment records show Michael Cunningham reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake Wales Emergency Physicians, LLC

Same address

Emergency Medicine

410 S 11TH ST
Lake Wales, FL 33853

Reassigned Medicare billing, Florida enrollment
99 clinicians in this Medicare group

NPI 1033480405 (877) 693-5700

Lake Wales Physician Services, LLC

Same address

Hospitalist

410 S 11TH ST
Lake Wales, FL 33853

Reassigned Medicare billing, Florida enrollment
96 clinicians in this Medicare group

NPI 1164902797 (863) 676-1433

Ridgewood Emergency Group, LLC

8.1 mi

Emergency Medicine

6945 CYPRESS GARDENS BLVD
Winter Haven, FL 33884

Reassigned Medicare billing, Florida enrollment
98 clinicians in this Medicare group

NPI 1679324842 (863) 422-4971

Polk Emergency Group LLC

17 mi

Emergency Medicine

2200 OSPREY BLVD
Bartow, FL 33830

Reassigned Medicare billing, Florida enrollment
51 clinicians in this Medicare group

NPI 1558338574 (863) 519-1440

Tampa Bay Emergency Physicians-Heartland LLC

27 mi

Emergency Medicine

4200 SUN N LAKE BLVD
Sebring, FL 33872

Reassigned Medicare billing, Florida enrollment
318 clinicians in this Medicare group

NPI 1043661408 (330) 493-4443

Mid-Florida Emergency Physicians, LLC

31 mi

Emergency Medicine

3600 S HIGHLANDS AVE
Sebring, FL 33870

Reassigned Medicare billing, Florida enrollment
62 clinicians in this Medicare group

NPI 1558630152 (877) 693-5700

Melbourne Emergency Group, LLC

56 mi

Emergency Medicine

250 N WICKHAM RD
Melbourne, FL 32935

Reassigned Medicare billing, Florida enrollment
54 clinicians in this Medicare group

NPI 1932562915 (321) 752-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

191 services177 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.

172 services150 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

130 services126 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

62 services59 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Lake Wales

Acute Care Hospitals · Lake Wales, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100099

Location410 S 11th StLake Wales, FL 33853 · Polk County

Emergency services

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100137

Location40100 Hwy 27Davenport, FL 33837 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33853 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. MATT MORAES AA

Anesthesiologist Assistant