DR. EMMETT T CUNNINGHAM JR. M.D.,PHD,MPH
NPI 1083706261
Ophthalmology - Retina Specialist in San Francisco, CA

Q: What is Emmett Cunningham's NPI number?

The NPI number for Emmett Cunningham is 1083706261. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Q: What is Emmett Cunningham's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Emmett Cunningham was last updated on August 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment

70/100

CMS Quality Rating

1445 BUSH ST, SAN FRANCISCO, CA 94109(415) 972-4600(415) 975-0999 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 21, 2020, Feb 3, 2020, Jul 23, 2019 (3 updates tracked since 2019).

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About Dr. Emmett T Cunningham Jr. M.d.,phd,mph NPPES

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

DR. EMMETT T CUNNINGHAM JR. M.D.,PHD,MPH (NPI 1083706261) is an individual retina specialist in San Francisco, California, licensed in California (A051186) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1990).

NPPES Registry Identity

NPI1083706261

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. EMMETT T CUNNINGHAM JR.Credential: M.D.,PHD,MPH

Location Address1445 BUSH STSan Francisco, CA 94109-5520

Mailing Address1445 Bush StSan Francisco, CA 94109-5520 · (415) 972-4600 · Fax (415) 975-0999

Phone(415) 972-4600

Fax(415) 975-0999

Sole ProprietorNo

Medical School CMSJohns Hopkins University School Of MedicineGraduated 1990

Enumeration DateSeptember 28, 2006

Last NPPES UpdateAugust 21, 20203 updates tracked since enumeration

NPPES CertifiedAugust 21, 2020

✔ NPI 1083706261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in CA · A051186

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License A051186 (CA)

1445 BUSH ST, San Francisco, CA 94109

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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. Emmett T Cunningham Jr. M.d.,phd,mph 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 ID2961449533

PECOS Enrollment IDI20070313000300

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 3

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.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

35 services17 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

28 services16 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94109 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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.

70/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 15

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

WEST COAST RETINA MEDICAL GROUP, INC.

Ophthalmology (Retina Specialist)