Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KRISTOPHER G CUNNINGHAM MD
NPI 1336324250
Family Medicine in Lewistown, MT

Active since January 09, 2008PECOS EnrolledAccepts Medicare Assignment
800 CASINO CREEK DR, LEWISTOWN, MT 59457(406) 444-3416 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2026, Mar 7, 2023 (2 updates tracked since 2023).

About Dr. Kristopher G Cunningham Md NPPES

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

DR. KRISTOPHER G CUNNINGHAM MD (NPI 1336324250) is an individual family medicine provider in Lewistown, Montana, licensed in Montana (11608) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with St Vincent Healthcare, and maintains a secondary practice location in Billings.

NPPES Registry Identity

NPI1336324250
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KRISTOPHER G CUNNINGHAMCredential: MD
Location Address800 CASINO CREEK DRLewistown, MT 59457-3359
Mailing Address111 N Sanders St Dept 30Helena, MT 59601-4520 · (406) 444-3416
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2006
Enumeration DateJanuary 9, 2008
Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1336324250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MT · 11608
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
800 CASINO CREEK DR, Lewistown, MT 59457

Secondary Practice Location 1

Location 11233 N 30th StBillings, MT 59101-0127 · Phone (406) 657-7000

Other Identifiers 1

Other11608MT · State License

Accepted 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

Dr. Kristopher G 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 ID4587748256
PECOS Enrollment IDI20080220000317
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

6

Medicare enrollment records show Kristopher Cunningham reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Intermediate Care Facility, Mental Illness
800 CASINO CREEK DR
Lewistown, MT 59457
  • Reassigned Medicare billing, Montana enrollment
  • 40 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
311 W MAIN ST STE 5
Lewistown, MT 59457
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: Central Montana Community Health Center, Inc.
  • 8 clinicians in this Medicare group
Rural Health
70 CATTAIL DR
Lewistown, MT 59457
  • Reassigned Medicare billing, Montana enrollment
  • 438 clinicians in this Medicare group
Multi-Specialty
2223 MISSION WAY
Billings, MT 59102
  • Reassigned Medicare billing, Montana enrollment
  • 186 clinicians in this Medicare group
Internal Medicine
2400 CONTINENTAL DR
Butte, MT 59701
  • Reassigned Medicare billing, Montana enrollment
  • 69 clinicians in this Medicare group
Internal Medicine
2827 FORT MISSOULA RD
Missoula, MT 59804
  • Reassigned Medicare billing, Montana enrollment
  • 155 clinicians in this Medicare group

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 2

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.

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.
342 services322 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.
197 services183 patients

Hospital Affiliations CMS Care Compare 5

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

St Vincent Healthcare

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270049
Location1233 N 30th StBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

P H S Indian Hospital Crow / Northern Cheyenne

Critical Access Hospitals · Crow Agency, MT
OwnershipGovernment - Federal
CMS Certification Number271339
Location1010 South 7650 East, Post Office Box 9Crow Agency, MT 59022 · Big Horn County
Emergency services

Sidney Health Center

Critical Access Hospitals · Sidney, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number271344
Location216 14th Ave SWSidney, MT 59270 · Richland County
Emergency services Birthing friendly

Central Montana Medical Center

Critical Access Hospitals · Lewistown, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271345
Location408 Wendell AveLewistown, MT 59457 · Fergus County
Emergency services

Cody Regional Health

Critical Access Hospitals · Cody, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531312
Location707 Sheridan AvenueCody, WY 82414 · Park County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59457 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%315 patients4/55-star benchmark: 100%
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 6

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

Intermediate Care Facility, Mental Illness
800 CASINO CREEK DR
LEWISTOWN, MT 59457
Registered Nurse (Psychiatric/Mental Health, Adult)
800 CASINO CREEK DR
LEWISTOWN, MT 59457
Pharmacy
800 CASINO CREEK DR
LEWISTOWN, MT 59457
Registered Nurse
800 CASINO CREEK DR
LEWISTOWN, MT 59457
Pharmacist
800 CASINO CREEK DR
LEWISTOWN, MT 59457
Dietitian, Registered
800 CASINO CREEK DR
LEWISTOWN, MT 59457

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 Kristopher Cunningham's NPI number?

The NPI number for Kristopher Cunningham is 1336324250. It was assigned to this individual provider in the NPPES registry on January 9, 2008.

Where is Kristopher Cunningham located?

Kristopher Cunningham practices at 800 Casino Creek Dr, Lewistown, MT 59457. The listed phone number is (406) 444-3416.

What is Kristopher Cunningham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristopher Cunningham enrolled in Medicare?

Yes. Kristopher 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 Kristopher Cunningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristopher Cunningham reassigns Medicare benefits to 6 organizations: State Of Montana (Lewistown, MT), Bighorn Valley Health Center Incorporated (Lewistown, MT), Scl Health Medical Group - Billings LLC (Lewistown, MT), Scl Health Montana (Billings, MT), Hospitalist Medicine Physicians Of Montana - Tcs PC (Butte, MT) and 1 more organization, listed in the Medicare section above. 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 Kristopher Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristopher Cunningham accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Kristopher 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 Kristopher Cunningham affiliated with any hospitals?

According to CMS data, Kristopher Cunningham is affiliated with St Vincent Healthcare, P H S Indian Hospital Crow / Northern Cheyenne, Sidney Health Center, Central Montana Medical Center and Cody Regional Health.

When was this NPI record last updated?

The NPPES record for Kristopher Cunningham was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.