DR. ROBERT M CUNNINGHAM MB CHB MPH FACS
NPI 1104268838
Surgery in Council Bluffs, IA

Active since July 23, 2013PECOS EnrolledAccepts Medicare Assignment
201 RIDGE ST STE 214, COUNCIL BLUFFS, IA 51503(712) 396-4320(712) 396-4328 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 30, 2025, Apr 15, 2024, Sep 4, 2023 and 2 more (5 updates tracked since 2018).

About Dr. Robert M Cunningham Mb Chb Mph Facs NPPES

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

DR. ROBERT M CUNNINGHAM MB CHB MPH FACS (NPI 1104268838) is an individual surgery provider in Council Bluffs, Iowa, licensed in Iowa (MD-52296) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Methodist Jennie Edmundson, and maintains a secondary practice location in Sioux City.

NPPES Registry Identity

NPI1104268838
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ROBERT M CUNNINGHAMCredential: MB CHB MPH FACS
Location Address201 RIDGE ST STE 214Council Bluffs, IA 51503-4643
Mailing AddressPo Box 3755Omaha, NE 68103-0755 · (402) 354-2200 · Fax (402) 354-2255
Fax(712) 396-4328
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 23, 2013
Last NPPES UpdateJune 30, 20255 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1104268838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IA · MD-52296
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
201 RIDGE ST STE 214, Council Bluffs, IA 51503

Secondary Practice Location 1

Location 12730 Pierce St Ste 300ASioux City, IA 51104-3796 · Phone (712) 234-8725

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. Robert M Cunningham Mb Chb Mph Facs 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 ID1254569247
PECOS Enrollment IDI20240203000079
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 31

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
56 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services27 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.
20 services13 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
19 services15 patients
Cyanocobalamin (vitamin b-12) level 82607
A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.
19 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Methodist Jennie Edmundson

Acute Care Hospitals · Council Bluffs, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160047
Location933 East Pierce StreetCouncil Bluffs, IA 51503 · Pottawattamie County
Emergency services Birthing friendly

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

George C Grape Community Hospital

Critical Access Hospitals · Hamburg, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161324
Location2959 Us Highway 275Hamburg, IA 51640 · Fremont County
Emergency services

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280040
Location8303 Dodge StOmaha, NE 68114 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51503 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers11 claims11 services$52.48 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers16 claims58 services$1.99 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers13 claims13 services$11.78 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
6 suppliers44 claims44 services$33.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Robert Cunningham's NPI number?

The NPI number for Robert Cunningham is 1104268838. It was assigned to this individual provider in the NPPES registry on July 23, 2013.

Where is Robert Cunningham located?

Robert Cunningham practices at 201 Ridge St Ste 214, Council Bluffs, IA 51503. The listed phone number is (712) 396-4320.

What is Robert Cunningham's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robert Cunningham enrolled in Medicare?

Yes. Robert 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 Robert Cunningham accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and UnitedHealthcare list Robert 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 Robert Cunningham affiliated with any hospitals?

According to CMS data, Robert Cunningham is affiliated with Methodist Jennie Edmundson, St Lukes Regional Medical Center, George C Grape Community Hospital and The Nebraska Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Robert Cunningham was last updated on June 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.