DR. JOHN DAVID CUNNINGHAM JR. MD, FACS
NPI 1245215904
Otolaryngology in Kinston, NC

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment
701 DOCTORS DR STE K, KINSTON, NC 28501(252) 523-0687(252) 523-0255 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John David Cunningham Jr. Md, Facs NPPES

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

DR. JOHN DAVID CUNNINGHAM JR. MD, FACS (NPI 1245215904) is an individual otolaryngology provider in Kinston, North Carolina, licensed in North Carolina (200101324) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Watauga Medical Center, and maintains a secondary practice location in Goldsboro.

NPPES Registry Identity

NPI1245215904
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JOHN DAVID CUNNINGHAM JR.Credential: MD, FACS
Location Address701 DOCTORS DR STE KKinston, NC 28501-1584
Mailing Address2000 Perimeter Park Dr Ste 200Morrisville, NC 27560-8442
Fax(252) 523-0255
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1979
Enumeration DateDecember 14, 2005
Last NPPES UpdateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
NPI 1245215904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NC · 200101324
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Sleep MedicineTaxonomy 207YS0012X · License 200101324 (NC)
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License 200101324 (NC)
701 DOCTORS DR STE K, Kinston, NC 28501

Secondary Practice Location 1

Location 12707 Medical Office PlGoldsboro, NC 27534-9458 · Phone (919) 735-9146 · Fax (919) 735-0582

Other Identifiers 3

Other040017153NC · Retired Railroad Medicare
Medicaid891297HNC
Other1297HNC · Bcbsnc

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. John David Cunningham Jr. Md, 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 ID8022219344
PECOS Enrollment IDI20111221000250
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 4

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 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.
36 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
24 services24 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Watauga Medical Center

Acute Care Hospitals · Boone, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340051
Location336 Deerfield RoadBoone, NC 28607 · Watauga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28501 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 11

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers170 claims170 services$40.33 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers131 claims131 services$102.09 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers140 claims378 services$38.99 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers55 claims284 services$21.18 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers21 claims113 services$15.50 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers83 claims83 services$60.90 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 5

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

Otolaryngology
701 DOCTORS DR STE K
KINSTON, NC 28501
Audiologist
701 DOCTORS DR STE K
KINSTON, NC 28501
Otolaryngology
701 DOCTORS DR STE K
KINSTON, NC 28501
Otolaryngology
701 DOCTORS DR STE K
KINSTON, NC 28501
Audiologist
701 DOCTORS DR STE K
KINSTON, NC 28501

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 John Cunningham's NPI number?

The NPI number for John Cunningham is 1245215904. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is John Cunningham located?

John Cunningham practices at 701 Doctors Dr Ste K, Kinston, NC 28501. The listed phone number is (252) 523-0687.

What is John Cunningham's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is John Cunningham enrolled in Medicare?

Yes. John 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 John Cunningham affiliated with any hospitals?

According to CMS data, John Cunningham is affiliated with Watauga Medical Center.

When was this NPI record last updated?

The NPPES record for John Cunningham was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.