DR. THOMAS FRANCIS CUNNINGHAM M.D.
NPI 1164411575
Internal Medicine - Cardiovascular Disease in Great Neck, NY

Q: What is Thomas Cunningham's NPI number?

The NPI number for Thomas Cunningham is 1164411575. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Q: What is Thomas Cunningham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Cunningham was last updated on December 27, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

1000 NORTHERN BLVD, SUITE 120, GREAT NECK, NY 11021(516) 466-8900(516) 482-1808 Get Directions Write a Review

NPPES record last updated: December 27, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Thomas Francis Cunningham M.d. NPPES

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

DR. THOMAS FRANCIS CUNNINGHAM M.D. (NPI 1164411575) is an individual cardiovascular disease provider in Great Neck, New York, licensed in New York (161395-1) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Js Weill Medical College, Cornell University (1983).

NPPES Registry Identity

NPI1164411575

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. THOMAS FRANCIS CUNNINGHAMCredential: M.D.

Location Address1000 NORTHERN BLVD, SUITE 120Great Neck, NY 11021-5312

Mailing Address1000 Northern Blvd, Suite 120Great Neck, NY 11021-5312 · (516) 466-8900 · Fax (516) 482-1808

Phone(516) 466-8900

Fax(516) 482-1808

Sole ProprietorNo

Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1983

Enumeration DateOctober 18, 2005

Last NPPES UpdateDecember 27, 2011

✔ NPI 1164411575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NY · 161395-1

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1000 NORTHERN BLVD, Great Neck, NY 11021

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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. Thomas Francis Cunningham M.d. 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 ID9234295668

PECOS Enrollment IDI20090310000035

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 16

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

933 services461 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.

700 services408 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

324 services319 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.

201 services154 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

187 services100 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

98 services89 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

68 services66 patients

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.

57 services38 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

44 services44 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

30 services30 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.

22 services17 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

17 services17 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

16 services16 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

13 services13 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

13 services13 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.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

91.25/100

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

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Leave this field empty

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.

SOUNDVIEW MEDICAL GROUP, PLLC

Internal Medicine

1000 NORTHERN BLVD, SUITE 175
GREAT NECK, NY 11021

Nassau County (516) 439-5223

NY MEDICAL HEALTHCARE P.C

Internal Medicine (Cardiovascular Disease)

1000 NORTHERN BLVD, SUITE 300
GREAT NECK, NY 11021

Nassau County (516) 482-0500

ORTHOPAEDIC CARE OF LONG ISLAND PC

Orthopaedic Surgery

1000 NORTHERN BLVD, SUITE 110
GREAT NECK, NY 11021

Nassau County (516) 482-0302

LAURENCE N. SPIER M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1000 NORTHERN BLVD, SUITE 380
GREAT NECK, NY 11021

Nassau County (516) 773-0096

DR. RICHARD PAUL STECHEL M.D.

Internal Medicine (Cardiovascular Disease)

1000 NORTHERN BLVD, SUITE 120
GREAT NECK, NY 11021

Nassau County (516) 466-8900

DAVID GODFRIED MD PC

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)

1000 NORTHERN BLVD, SUITE 250
GREAT NECK, NY 11021

Nassau County (516) 439-4766

MR. MICHAEL J BORDOY OTR/L

Occupational Therapist

1000 NORTHERN BLVD
GREAT NECK, NY 11021

Nassau County (516) 466-9730

BRYAN BARACALDO DPT

Physical Therapist

1000 NORTHERN BLVD
GREAT NECK, NY 11021

Nassau County (516) 466-9730

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 Thomas Cunningham's NPI number?

The NPI number for Thomas Cunningham is 1164411575. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Thomas Cunningham located?

Thomas Cunningham practices at 1000 Northern Blvd Suite 120, Great Neck, NY 11021. The listed phone number is (516) 466-8900.

What is Thomas Cunningham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Thomas Cunningham enrolled in Medicare?

Yes. Thomas 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.

Is Thomas Cunningham affiliated with any hospitals?

According to CMS data, Thomas Cunningham is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Cunningham was last updated on December 27, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.