DR. RICHARD BURNS CUNNINGHAM JR. MD
NPI 1205812948
Orthopaedic Surgery - Sports Medicine in Somerset, KY

Q: What is Richard Cunningham's NPI number?

The NPI number for Richard Cunningham is 1205812948. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Q: What is Richard Cunningham's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since December 15, 2005PECOS EnrolledAccepts Medicare Assignment

353 BOGLE ST, SOMERSET, KY 42503(606) 678-2220(606) 451-0595 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2018, Mar 27, 2018 (2 updates tracked since 2018).

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About Dr. Richard Burns Cunningham Jr. Md NPPES

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

DR. RICHARD BURNS CUNNINGHAM JR. MD (NPI 1205812948) is an individual sports medicine provider in Somerset, Kentucky, licensed in Kentucky (34264) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Aspirus Iron River Hospital & Clinics, Inc, and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1205812948

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. RICHARD BURNS CUNNINGHAM JR.Credential: MD

Location Address353 BOGLE STSomerset, KY 42503

Mailing AddressPo Box 32569Knoxville, TN 37930-2569 · (865) 694-0062

Phone(606) 678-2220

Fax(606) 451-0595

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateDecember 15, 2005

Last NPPES UpdateJune 4, 20182 updates tracked since enumeration

✔ NPI 1205812948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Licenses✔ Licensed in KY · 34264✔ Licensed in TN · 34264

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

353 BOGLE ST, Somerset, KY 42503

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Secondary Practice Location 1

Location 19430 Park West Blvd, Suite 130Knoxville, TN 37923-4200 · Phone (865) 690-4861 · Fax (865) 560-8525

Other Identifiers 1

Medicaid3851816TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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. Richard Burns Cunningham Jr. 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 ID9830271865

PECOS Enrollment IDI20200219000286, I20211007003547

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 5

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.

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.

62 services62 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

20 services20 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.

18 services16 patients

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236

This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.

14 services14 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Aspirus Iron River Hospital & Clinics, Inc

Critical Access Hospitals · Iron River, MI

OwnershipVoluntary non-profit - Other

CMS Certification Number231318

Location1400 W Ice Lake RoadIron River, MI 49935 · Iron County

Emergency services

Magnolia Regional Health Center

Acute Care Hospitals · Corinth, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number250009

Location611 Alcorn DriveCorinth, MS 38834 · Alcorn County

Emergency services Birthing friendly

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520019

Location2251 North Shore DrRhinelander, WI 54501 · Oneida County

Emergency services Birthing friendly

Howard Young Medical Center

Acute Care Hospitals · Woodruff, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520091

Location240 Maple StWoodruff, WI 54568 · Vilas County

Emergency services

Aspirus Eagle River Hospital

Critical Access Hospitals · Eagle River, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521300

Location201 Hospital RoadEagle River, WI 54521 · Vilas County

Emergency services

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Other Providers at the Same Location NPPES 12

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

MRS. TAMARA B CRANFILL CCC/SLP

Speech-Language Pathologist

353 BOGLE ST, SUITE 203
SOMERSET, KY 42503

Pulaski County (606) 679-1761

LAKE CUMBERLAND REGIONAL HOSPITAL LLC

Nurse Practitioner (Family)

353 BOGLE ST, SUITE A
SOMERSET, KY 42503

Pulaski County (606) 451-6005

LAKE CUMBERLAND PHYSICIAN PRACTICES LLC

Orthopaedic Surgery

353 BOGLE ST, SUITE B
SOMERSET, KY 42503

Pulaski County (606) 678-2663

MRS. NICOLE L BLEVINS OTR/L

Occupational Therapist

353 BOGLE ST, SUITE 203
SOMERSET, KY 42503

Pulaski County (606) 679-1761

MR. STEPHEN SIMS ATC

Specialist/Technologist (Athletic Trainer)

353 BOGLE ST, SUITE 203
SOMERSET, KY 42503

Pulaski County (606) 679-1761

NAUTILUS HEALTH CARE GROUP, PLC

Preventive Medicine (Undersea and Hyperbaric Medicine)

353 BOGLE ST
SOMERSET, KY 42503

Pulaski County (606) 451-3820

MRS. ALLYSON MORGAN PT

Physical Therapist

353 BOGLE ST, SUITE 203
SOMERSET, KY 42503

Pulaski County (606) 679-1761

MRS. AMY LANKFORD JONES PA-C

Physician Assistant

353 BOGLE ST, SUITE C
SOMERSET, KY 42503

Pulaski County (606) 678-2220

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 Richard Cunningham's NPI number?

The NPI number for Richard Cunningham is 1205812948. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Richard Cunningham located?

Richard Cunningham practices at 353 Bogle St, Somerset, KY 42503. The listed phone number is (606) 678-2220.

What is Richard Cunningham's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Richard Cunningham enrolled in Medicare?

Yes. Richard 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 Richard Cunningham accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 5 other insurers list Richard 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 Richard Cunningham affiliated with any hospitals?

According to CMS data, Richard Cunningham is affiliated with Aspirus Iron River Hospital & Clinics, Inc, Magnolia Regional Health Center, Aspirus Rhinelander Hospital, Howard Young Medical Center and Aspirus Eagle River Hospital.

When was this NPI record last updated?

The NPPES record for Richard Cunningham was last updated on June 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.