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JAMES G CUNNINGHAM MD
NPI 1346211703
Orthopaedic Surgery in Greenwich, CT

Active since February 01, 2006PECOS Enrolled
75/100
CMS Quality Rating
6 GREENWICH OFFICE PARK, GREENWICH, CT 06831(203) 869-1145(203) 618-1721 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James G Cunningham Md NPPES

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

JAMES G CUNNINGHAM MD (NPI 1346211703) is an individual orthopaedic surgery provider in Greenwich, Connecticut, licensed in Connecticut (029791) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346211703
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES G CUNNINGHAMCredential: MD
Location Address6 GREENWICH OFFICE PARKGreenwich, CT 06831-5151
Mailing Address6 Greenwich Office ParkGreenwich, CT 06831-5151 · (203) 869-1145 · Fax (203) 618-1721
Phone(203) 869-1145
Fax(203) 618-1721
Sole ProprietorNo
Enumeration DateFebruary 1, 2006
Last NPPES UpdateFebruary 27, 2017
✔ NPI 1346211703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CT · 029791
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

6 GREENWICH OFFICE PARK, Greenwich, CT 06831
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Other Identifiers 3

Medicare ID-Type Unspecified200000449CT
Other200026663CT · Railroad Medicare
Medicare UPINB74907CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James G Cunningham Md 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.

Areas of Expertise CMS Part B claims 15

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
785 services56 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
478 services54 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
375 services248 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
330 services173 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
221 services153 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
164 services136 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06831 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
33%36 patients2/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
93%2,276 patients4/55-star benchmark: 100%
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.
100%33 patients5/55-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.
100%230 patients5/55-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.
25%441 patients2/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
1%379 patients1/55-star benchmark: 90%
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…
58%1,250 patients3/55-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: 72% · 379 patients
Patients tobacco: 71% · 379 patients
85%20 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…
96%441 patients4/55-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…
18%441 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 379 patients
2%379 patients4/55-star benchmark: 100%
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.
29%441 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.

JOHN F CROWE MD
Orthopaedic Surgery
6 GREENWICH OFFICE PARK
GREENWICH, CT 06831
Western Connecticut Planning Region (203) 869-1147
JENNIFER MUCCI-CRUZ OT
Occupational Therapist
6 GREENWICH OFFICE PARK
GREENWICH, CT 06831
Western Connecticut Planning Region (203) 869-1145
DIANE K LONG PT
Physical Therapist
6 GREENWICH OFFICE PARK
GREENWICH, CT 06831
Western Connecticut Planning Region (203) 869-1145
GEORGEANN C TORINA P.A.
Dietitian, Registered
6 GREENWICH OFFICE PARK
GREENWICH, CT 06831
Western Connecticut Planning Region (203) 869-1145
NICOLE BRANCK R.P.T.
Physical Therapist
6 GREENWICH OFFICE PARK
GREENWICH, CT 06831
Western Connecticut Planning Region (203) 869-1145
ELENA G NOVAKOVA P.A.
Physician Assistant
6 GREENWICH OFFICE PARK
GREENWICH, CT 06831
Western Connecticut Planning Region (203) 869-1145
GEOFFREY FOAT R.P.T.
Physical Therapist
6 GREENWICH OFFICE PARK
GREENWICH, CT 06831
Western Connecticut Planning Region (203) 869-1145
MS. JESSICA HINERTH CURRAN MSPT
Physical Therapist
6 GREENWICH OFFICE PARK
GREENWICH, CT 06831
Western Connecticut Planning Region (203) 869-1145

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 James Cunningham's NPI number?

The NPI number for James Cunningham is 1346211703. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is James Cunningham located?

James Cunningham practices at 6 Greenwich Office Park, Greenwich, CT 06831. The listed phone number is (203) 869-1145.

What is James Cunningham's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Cunningham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for James Cunningham was last updated on February 27, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.