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MATTHEW CUNNINGHAM MD
NPI 1114988904
Family Medicine in Clifton Park, NY

Active since March 31, 2006PECOS Enrolled
1 TALLOW WOOD DR, CLIFTON PARK, NY 12065(518) 373-4500(518) 371-7811 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Cunningham Md NPPES

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

MATTHEW CUNNINGHAM MD (NPI 1114988904) is an individual family medicine provider in Clifton Park, New York, licensed in New York (217608) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains a secondary practice location in Rensselaer.

NPPES Registry Identity

NPI1114988904
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW CUNNINGHAMCredential: MD
Location Address1 TALLOW WOOD DRClifton Park, NY 12065-2807
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094
Phone(518) 373-4500
Fax(518) 371-7811
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1997
Enumeration DateMarch 31, 2006
Last NPPES UpdateMay 10, 2021
NPPES CertifiedMay 10, 2021
✔ NPI 1114988904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 217608
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1 TALLOW WOOD DR, Clifton Park, NY 12065
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Secondary Practice Location 1

Location 12 Empire Dr Ste 101Rensselaer, NY 12144-5730 · Phone (518) 286-4960 · Fax (518) 286-4959

Other Identifiers 1

Medicaid02087718NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Cunningham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860517075
PECOS Enrollment IDI20100911000033
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 7

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 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.
328 services195 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
200 services200 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services39 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.
17 services14 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
15 services15 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Sunnyview Hospital And Rehabilitation Center

Acute Care Hospitals · Schenectady, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number330406
Location1270 Belmont AvenueSchenectady, NY 12308 · Schenectady County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12065 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers40 claims100 services$5.78 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers12 claims23 services$1.08 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$69.58 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$36.56 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers19 claims19 services$204.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

STEVEN J BALSAMO DO
Family Medicine
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4500
ERIN KATHRYN STUDENT NP
Nurse Practitioner (Family)
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4444
WILLIAM RAYMOND FIELDING P.A.
Physician Assistant
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4500
NEEMA R. AFEJUKU-ADELAJA M.D.
Family Medicine
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4444
BERNICE MCLELLAN CNM
Advanced Practice Midwife
1 TALLOW WOOD DR, SUITE 2
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4555
HOLLY DENISE PAYNE M.D.
Pediatrics
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 688-0295
SETON HEALTH SYSTEM
General Acute Care Hospital
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 688-0295
RENEE ARRUIRA ARGUBANO MD
Family Medicine
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4500

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 Matthew Cunningham's NPI number?

The NPI number for Matthew Cunningham is 1114988904. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Matthew Cunningham located?

Matthew Cunningham practices at 1 Tallow Wood Dr, Clifton Park, NY 12065. The listed phone number is (518) 373-4500.

What is Matthew Cunningham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Cunningham enrolled in Medicare?

Yes. Matthew Cunningham is registered in the Medicare PECOS enrollment system.

Is Matthew Cunningham affiliated with any hospitals?

According to CMS data, Matthew Cunningham is affiliated with St Peter's Hospital, Ellis Hospital, Samaritan Hospital Of Troy, New York and Sunnyview Hospital And Rehabilitation Center.

When was this NPI record last updated?

The NPPES record for Matthew Cunningham was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.