DR. KAREKIN R CUNNINGHAM MD
NPI 1316162779
Radiology - Diagnostic Radiology in Macon, GA

Active since April 13, 2007PECOS EnrolledAccepts Medicare Assignment
770 PINE ST, SUITE 290, MACON, GA 31201(478) 743-1458 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Karekin R Cunningham Md NPPES

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

DR. KAREKIN R CUNNINGHAM MD (NPI 1316162779) is an individual diagnostic radiology provider in Macon, Georgia, licensed in Georgia (060822) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2000).

NPPES Registry Identity

NPI1316162779
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KAREKIN R CUNNINGHAMCredential: MD
Location Address770 PINE ST, SUITE 290Macon, GA 31201-2173
Mailing Address770 Pine St, Suite 290Macon, GA 31201-2173 · (478) 743-1458
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2000
Enumeration DateApril 13, 2007
Last NPPES UpdateMay 19, 2016
NPI 1316162779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in GA · 060822
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
770 PINE ST, Macon, GA 31201

Other Identifiers 1

Medicare PIN202I301217GA

Accepted 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. Karekin R Cunningham 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 ID5193898468
PECOS Enrollment IDI20080718000598
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 34

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
830 services650 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
257 services248 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
131 services127 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
125 services109 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
90 services90 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
89 services87 patients

Hospital Affiliations CMS Care Compare 5

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

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Navicent Health Baldwin

Acute Care Hospitals · Milledgeville, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110150
Location821 North Cobb StreetMilledgeville, GA 31061 · Baldwin County
Emergency services Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Piedmont Macon North Hospital

Acute Care Hospitals · Macon, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110201
Location400 Charter BoulevardMacon, GA 31210 · Bibb County
Emergency services

Atrium Health Navicent Peach

Critical Access Hospitals · Byron, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111310
Location1960 Highway 247 ConnectorByron, GA 31008 · Peach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
2%90 patients
Appropriate Follow-up Imaging for Incidental Thyroid Nodules in Patients
Percentage of final reports for computed tomography (CT), CT angiography (CTA) or magnetic resonance imaging (MRI) or magnetic resonance angiogram (MRA) studies of the chest or neck for patients aged 18 years and older with no known thyroid disease with a…
Lower rates are better for this measure.
6%34 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
98%907 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
96%96 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.

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.

Internal Medicine (Cardiovascular Disease)
770 PINE ST, SUITE 310
MACON, GA 31201
Surgery
770 PINE ST, SUITE 550
MACON, GA 31201
Obstetrics & Gynecology (Gynecology)
770 PINE ST, SIUTE 580
MACON, GA 31201
Specialist
770 PINE ST, SUITE 400
MACON, GA 31201
Specialist
770 PINE ST, SUITE 400
MACON, GA 31201
Radiology (Diagnostic Radiology)
770 PINE ST, SUITE 290
MACON, GA 31201
Radiology (Diagnostic Radiology)
770 PINE ST, SUITE 290
MACON, GA 31201
Pharmacy (Community/Retail Pharmacy)
770 PINE ST, STE 100
MACON, GA 31201

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 Karekin Cunningham's NPI number?

The NPI number for Karekin Cunningham is 1316162779. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Karekin Cunningham located?

Karekin Cunningham practices at 770 Pine St Suite 290, Macon, GA 31201. The listed phone number is (478) 743-1458.

What is Karekin Cunningham's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Karekin Cunningham enrolled in Medicare?

Yes. Karekin 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 Karekin Cunningham accept?

Health plans from Alliant Health Plans, Inc. list Karekin 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 Karekin Cunningham affiliated with any hospitals?

According to CMS data, Karekin Cunningham is affiliated with Atrium Health Navicent The Medical Center, Navicent Health Baldwin, Coliseum Medical Centers, LLC, Dba, Piedmont Macon North Hospital and Atrium Health Navicent Peach.

When was this NPI record last updated?

The NPPES record for Karekin Cunningham was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.