DONALD CUNDIFF JR. M.D.
NPI 1376580050
Internal Medicine - Obesity Medicine in Sandusky, OH

Q: What is Donald Cundiff's NPI number?

The NPI number for Donald Cundiff is 1376580050. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Q: What is Donald Cundiff's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Obesity Medicine, with taxonomy code 207RB0002X.

Q: When was this NPI record last updated?

The NPPES record for Donald Cundiff was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment

87.25/100

CMS Quality Rating

1221 HAYES AVE STE B, SANDUSKY, OH 44870(419) 557-6990 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Donald Cundiff Jr. M.d. NPPES

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

DONALD CUNDIFF JR. M.D. (NPI 1376580050) is an individual obesity medicine provider in Sandusky, Ohio, licensed in Ohio (35.055630) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1376580050

Entity TypeIndividualMale

Primary Taxonomy207RB0002X

Provider Legal NameDONALD CUNDIFF JR.Credential: M.D.

Location Address1221 HAYES AVE STE BSandusky, OH 44870-3345

Mailing Address1912 Hayes Ave Ste 1eSandusky, OH 44870-4736 · (419) 557-5541

Phone(419) 557-6990

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateJune 1, 2006

Last NPPES UpdateApril 14, 2022

NPPES CertifiedApril 14, 2022

✔ NPI 1376580050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Obesity MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RB0002X

Licenses✔ Licensed in OH · 35.055630✔ Licensed in MA · 253754

Definition

An internal medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35-05-5630-C (OH)

1221 HAYES AVE STE B, Sandusky, OH 44870

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Other Identifiers 1

Medicaid0779840OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Donald Cundiff Jr. M.d. 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 ID4688704760

PECOS Enrollment IDI20100616000575

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

259 services71 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.

15 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360025

Location1111 Hayes AvenueSandusky, OH 44870 · Erie County

Emergency services Birthing friendly

Bellevue Hospital

Acute Care Hospitals · Bellevue, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360107

Location1400 West Main StreetBellevue, OH 44811 · Sandusky County

Birthing friendly

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.

87.25/100

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

Scored as part of a group practice

Quality

76.83

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers18 claims48 services$6.19 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

8 suppliers41 claims41 services$188.61 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

ANDREA TRAUT RD

Dietitian, Registered

1221 HAYES AVE STE B
SANDUSKY, OH 44870

Erie County (419) 557-6550

ADAM DENGLER RD, LD

Dietitian, Registered

1221 HAYES AVE STE B
SANDUSKY, OH 44870

Erie County (717) 304-2358

KATHERINE M MCGRAW RN, MSN, NP-C

Nurse Practitioner (Adult Health)

1221 HAYES AVE STE B
SANDUSKY, OH 44870

Erie County (419) 557-7858

DAWN FITT

Pharmacist (Ambulatory Care)

1221 HAYES AVE STE B
SANDUSKY, OH 44870

Erie County (419) 557-6550

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 Donald Cundiff's NPI number?

The NPI number for Donald Cundiff is 1376580050. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Donald Cundiff located?

Donald Cundiff practices at 1221 Hayes Ave Ste B, Sandusky, OH 44870. The listed phone number is (419) 557-6990.

What is Donald Cundiff's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Obesity Medicine, with taxonomy code 207RB0002X.

Is Donald Cundiff enrolled in Medicare?

Yes. Donald Cundiff 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 Donald Cundiff accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Donald Cundiff 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 Donald Cundiff affiliated with any hospitals?

According to CMS data, Donald Cundiff is affiliated with Firelands Regional Medical Center and Bellevue Hospital.

When was this NPI record last updated?

The NPPES record for Donald Cundiff was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.