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

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: July 26, 2026.

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
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

Secondary Practice Locations 3

Location 113695 US Highway 1Sebastian, FL 32958-3230 · Phone (772) 589-3186 · Fax (561) 388-3689
Location 2250 N Wickham RdMelbourne, FL 32935-8625 · Phone (321) 752-1200 · Fax (321) 752-1698
Location 32900 S Telephone RdMoore, OK 73160-2968 · Phone (405) 237-7500

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

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.

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.

Anesthesiologist Assistant
410 S 11TH ST
LAKE WALES, FL 33853
Internal Medicine
410 S 11TH ST
LAKE WALES, FL 33853
Anesthesiology
410 S 11TH ST
LAKE WALES, FL 33853
General Acute Care Hospital
410 S 11TH ST
LAKE WALES, FL 33853
Emergency Medicine
410 S 11TH ST
LAKE WALES, FL 33853
Psychiatric Unit
410 S 11TH ST
LAKE WALES, FL 33853
General Acute Care Hospital
410 S 11TH ST
LAKE WALES, FL 33853
Anesthesiology
410 S 11TH ST
LAKE WALES, FL 33853

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 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.

Where is Michael Cunningham located?

Michael Cunningham practices at 410 S 11th St, Lake Wales, FL 33853. The listed phone number is (863) 676-1433.

What is Michael Cunningham's specialty?

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

Is Michael Cunningham enrolled in Medicare?

Yes. Michael Cunningham 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 Michael Cunningham accept?

Health plans from Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Michael Cunningham 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 Michael Cunningham affiliated with any hospitals?

According to CMS data, Michael Cunningham is affiliated with Adventhealth Lake Wales and Adventhealth Heart Of Florida.

When was this NPI record last updated?

The NPPES record for Michael Cunningham was last updated on October 29, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.