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DR. JERRY LEE CUNNINGHAM M.D.
NPI 1326076290
Emergency Medicine in San Diego, CA

Active since June 29, 2006PECOS Enrolled
100/100
CMS Quality Rating
4077 FIFTH AVE, SAN DIEGO, CA 92103(619) 260-7000(619) 260-7050 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jerry Lee Cunningham M.d. NPPES

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

DR. JERRY LEE CUNNINGHAM M.D. (NPI 1326076290) is an individual emergency medicine provider in San Diego, California, licensed in California (A77094) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326076290
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JERRY LEE CUNNINGHAMCredential: M.D.
Location Address4077 FIFTH AVESan Diego, CA 92103-2105
Mailing AddressPo Box 662110Arcadia, CA 91066-2110 · (626) 447-0296 · Fax (626) 447-6057
Phone(619) 260-7000
Fax(619) 260-7050
Sole ProprietorYes
Enumeration DateJune 29, 2006
Last NPPES UpdateJune 27, 2008
✔ NPI 1326076290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A77094
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.
4077 FIFTH AVE, San Diego, CA 92103
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Other Identifiers 3

Medicaid00A770940CA
Medicare UPINH85342CA
Medicare PINWA77094CCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerry Lee Cunningham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jerry Cunningham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Emergency Providers, A Prof. Corp.
Same address
Emergency Medicine
4077 FIFTH AVE
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 75 clinicians in this Medicare group
NPI 1497790539 (619) 686-3800

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

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.

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.
243 services235 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.
214 services197 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.
96 services77 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
64 services63 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
59 services57 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.9
Improvement Activities40

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.

BRIAN BUTLER M.D.
Hospitalist
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (619) 686-3935
DR. SCOT NOLAN DNP, RN, CNS
Clinical Nurse Specialist (Critical Care Medicine)
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (619) 686-3595
BRIANNA ELISE LIPSEY RN, BSN
Registered Nurse (Neuroscience)
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (858) 832-2478
PAUL JIN HAN M.D.
Internal Medicine
4077 FIFTH AVE, MER 35
SAN DIEGO, CA 92103
San Diego County (619) 260-7022
CHRISTIAN NGUYEN KELLY
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (619) 294-8111
LINA MOHAMMED DO
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
AMY MARIE SANTOS CCRN, MSN, ACNP
Nurse Practitioner (Acute Care)
4077 FIFTH AVE, TRAUMA SERVICES, MER62
SAN DIEGO, CA 92103
San Diego County (619) 260-7285
TRACIE LORRAINE GADLER NP
Nurse Practitioner (Family)
4077 FIFTH AVE
SAN DIEGO, CA 92103
San Diego County (619) 565-3892

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 Jerry Cunningham's NPI number?

The NPI number for Jerry Cunningham is 1326076290. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Jerry Cunningham located?

Jerry Cunningham practices at 4077 Fifth Ave, San Diego, CA 92103. The listed phone number is (619) 260-7000.

What is Jerry Cunningham's specialty?

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

Is Jerry Cunningham enrolled in Medicare?

Yes. Jerry Cunningham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jerry Cunningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Cunningham reassigns Medicare benefits to Pacific Emergency Providers, A Prof. Corp. (San Diego, CA). The 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 Jerry Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jerry Cunningham was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.