PAUL SHANNON CUNNINGHAM MD
NPI 1093881344
Ophthalmology in Clinton, MD

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
9131 PISCATAWAY RD STE 150, CLINTON, MD 20735(301) 868-8300(301) 868-7250 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul Shannon Cunningham Md NPPES

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

PAUL SHANNON CUNNINGHAM MD (NPI 1093881344) is an individual ophthalmology provider in Clinton, Maryland, licensed in Maryland (D0044573) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1988).

NPPES Registry Identity

NPI1093881344
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePAUL SHANNON CUNNINGHAMCredential: MD
Location Address9131 PISCATAWAY RD STE 150Clinton, MD 20735-2510
Mailing Address9131 Piscataway Rd, #150Clinton, MD 20735-2510 · (301) 868-8300 · Fax (301) 868-7250
Fax(301) 868-7250
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1988
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 31, 2012
NPI 1093881344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MD · D0044573
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

9131 PISCATAWAY RD STE 150, Clinton, MD 20735

Other Identifiers 3

Other180043653MD · Rail Road
OtherG02102P01Medicare Id Type Unspecified
Medicare UPINF63036MD

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 Shannon Cunningham Md 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 ID7517991490
PECOS Enrollment IDI20050921000283
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 18

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.

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.
1,375 services1,200 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.
824 services550 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
702 services657 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
570 services494 patients
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.
502 services371 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.
438 services410 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20735 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 4

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

Specialist
9131 PISCATAWAY RD STE 150
CLINTON, MD 20735
Nurse Practitioner (Family)
9131 PISCATAWAY RD STE 150
CLINTON, MD 20735
Chiropractor
9131 PISCATAWAY RD STE 150
CLINTON, MD 20735
Clinic/Center (Primary Care)
9131 PISCATAWAY RD STE 150
CLINTON, MD 20735

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 Cunningham's NPI number?

The NPI number for Paul Cunningham is 1093881344. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Paul Cunningham located?

Paul Cunningham practices at 9131 Piscataway Rd Ste 150, Clinton, MD 20735. The listed phone number is (301) 868-8300.

What is Paul Cunningham's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Paul Cunningham enrolled in Medicare?

Yes. Paul 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.

When was this NPI record last updated?

The NPPES record for Paul Cunningham was last updated on July 31, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.