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STEPHANIE PRINCE CUNNINGHAM D.O.
NPI 1255422259
Obstetrics & Gynecology in Port Arthur, TX

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
2501 JIMMY JOHNSON BLVD STE 400, PORT ARTHUR, TX 77640(409) 729-9222(409) 722-9020 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephanie Prince Cunningham D.o. NPPES

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

STEPHANIE PRINCE CUNNINGHAM D.O. (NPI 1255422259) is an individual obstetrics & gynecology provider in Port Arthur, Texas, licensed in Texas (K1285) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1255422259
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSTEPHANIE PRINCE CUNNINGHAMCredential: D.O.
Location Address2501 JIMMY JOHNSON BLVD STE 400Port Arthur, TX 77640-2013
Mailing Address2501 Jimmy Johnson Blvd Ste 400Port Arthur, TX 77640-2013 · (409) 729-9222 · Fax (409) 722-9020
Phone(409) 729-9222
Fax(409) 722-9020
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
✔ NPI 1255422259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · K1285
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2501 JIMMY JOHNSON BLVD STE 400, Port Arthur, TX 77640
Open in Google Maps ↗

Other Identifiers 4

Medicaid003853TX
Other092341901TX · Tpi
Other10589293TX · Caqh
Other4133871TX · Bluelink

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Prince Cunningham D.o. 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 ID1456259480
PECOS Enrollment IDI20031229000480
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stephanie Cunningham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stephanie P. Cunningham Do PA
0.4 mi
Obstetrics & Gynecology
2875 JIMMY JOHNSON BLVD # 100
Port Arthur, TX 77640
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1801058987 (409) 729-9222
Obhg Texas Holdings, P.A.
225 mi
Obstetrics & Gynecology
12221 N MOPAC EXPY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Obhg Texas Holdings PA
  • 998 clinicians in this Medicare group
NPI 1083917769 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2195348

Stephanie P Cunningham Do PA · Port Arthur, TX
Expired · Oct 7, 2026
CLIA Number45D2195348
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorStephanie P. Cunningham
Laboratory Phone(409) 729-9222
Laboratory LocationStephanie P Cunningham Do PA2501 Jimmy Johnson Blvd Ste 400, Port Arthur, TX 77640
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.
122 services100 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
93 services93 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.
68 services61 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
39 services39 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
23 services23 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

Baptist Beaumont Hospital

Acute Care Hospitals · Beaumont, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450346
Location3080 College StreetBeaumont, TX 77701 · Jefferson County
Emergency services Birthing friendly

The Medical Center Of Southeast Texas

Acute Care Hospitals · Port Arthur, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450518
Location2555 Jimmy Johnson BlvdPort Arthur, TX 77640 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77640 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
$124.88 typical visit price
range $54.04 – $164.93
Typical copayment $31.22 (range $13.51 – $41.23)
Most-billed visit code 99204
Established Patient
$67.64 typical visit price
range $17.17 – $134.47
Typical copayment $16.91 (range $4.29 – $33.61)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
81%507 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
91%1,356 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,908 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%976 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
16%2,343 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%2,000 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 1,627 patients
Patients tobacco: 25% · 132 patients
94%1,627 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,343 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
72%2,343 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
88%2,343 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Stephanie Cunningham's NPI number?

The NPI number for Stephanie Cunningham is 1255422259. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Stephanie Cunningham located?

Stephanie Cunningham practices at 2501 Jimmy Johnson Blvd Ste 400, Port Arthur, TX 77640. The listed phone number is (409) 729-9222.

What is Stephanie Cunningham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Stephanie Cunningham enrolled in Medicare?

Yes. Stephanie 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.

Which organizations bill Medicare for Stephanie Cunningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Cunningham reassigns Medicare benefits to 2 organizations: Stephanie P. Cunningham Do PA (Port Arthur, TX) and Obhg Texas Holdings, P.A. (Austin, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Cunningham accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Stephanie 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 Stephanie Cunningham affiliated with any hospitals?

According to CMS data, Stephanie Cunningham is affiliated with Christus Southeast Texas- St Elizabeth, Baptist Beaumont Hospital and The Medical Center Of Southeast Texas.

When was this NPI record last updated?

The NPPES record for Stephanie Cunningham was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.