DR. MICHAEL A CUNNINGHAM D.O.
NPI 1295754612
Emergency Medicine in Auburn, NY

Q: What is Michael Cunningham's NPI number?

The NPI number for Michael Cunningham is 1295754612. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Michael Cunningham's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment

95.19/100

CMS Quality Rating

17 LANSING ST, AUBURN, NY 13021(315) 567-0437(315) 567-0437 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Michael A Cunningham D.o. NPPES

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

DR. MICHAEL A CUNNINGHAM D.O. (NPI 1295754612) is an individual emergency medicine provider in Auburn, New York, licensed in New York (193082) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Newark-wayne Community Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1295754612

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. MICHAEL A CUNNINGHAMCredential: D.O.

Location Address17 LANSING STAuburn, NY 13021-1983

Mailing Address8 Wickersham LnPittsford, NY 14534-4166 · (585) 802-3466

Phone(315) 567-0437

Fax(315) 567-0437

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1992

Enumeration DateJuly 18, 2006

Last NPPES UpdateMarch 4, 2019

✔ NPI 1295754612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NY · 193082

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

17 LANSING ST, Auburn, NY 13021

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Secondary Practice Locations 3

Location 12 Coulter RoadClifton Springs, NY 14432-1127 · Phone (315) 462-0106 · Fax (315) 462-2504

Location 21425 Portland AveRochester, NY 14621-3001 · Phone (585) 922-4528

Location 31200 Driving Park AveNewark, NY 14513-1090 · Phone (585) 922-3536

Other Identifiers 2

Medicaid01831369NY

Other000912131003NY · Bcbs

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. Michael A 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 ID2466433156

PECOS Enrollment IDI20040527001217

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 9

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

204 services189 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

143 services134 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

82 services72 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.

63 services53 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.

34 services34 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.

29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Newark-Wayne Community Hospital

Acute Care Hospitals · Newark, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330030

Location111 Driving Park AvenueNewark, NY 14513 · Wayne County

Emergency services Birthing friendly

Auburn Community Hospital

Acute Care Hospitals · Auburn, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330235

Location17 Lansing StreetAuburn, NY 13021 · Cayuga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13021 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.

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.

95.19/100

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

Scored through an Alternative Payment Model

Quality

70.62

Promoting Interoperability

100

Improvement Activities

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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.

DR. ROBERT L SINGLETARY MD

Emergency Medicine