DANIEL JOSEPH EDWARD CUNNINGHAM MD
NPI 1427308980
Family Medicine in Myrtle Beach, SC

Q: What is Daniel Cunningham's NPI number?

The NPI number for Daniel Cunningham is 1427308980. It was assigned to this individual provider in the NPPES registry on September 12, 2012.

Q: What is Daniel Cunningham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Daniel Cunningham was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 September 12, 2012PECOS EnrolledAccepts Medicare Assignment

4320 HOLMESTOWN RD, MYRTLE BEACH, SC 29588(843) 652-8440(843) 652-8441 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 21, 2025, Jan 18, 2019 (2 updates tracked since 2019).

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About Daniel Joseph Edward Cunningham Md NPPES

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

DANIEL JOSEPH EDWARD CUNNINGHAM MD (NPI 1427308980) is an individual family medicine provider in Myrtle Beach, South Carolina, licensed in New York (284338) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Tidelands Georgetown Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1427308980

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDANIEL JOSEPH EDWARD CUNNINGHAMCredential: MD

Location Address4320 HOLMESTOWN RDMyrtle Beach, SC 29588-7837

Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 527-7000

Phone(843) 652-8440

Fax(843) 652-8441

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateSeptember 12, 2012

Last NPPES UpdateMarch 21, 20252 updates tracked since enumeration

NPPES CertifiedMarch 21, 2025

✔ NPI 1427308980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 284338

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.

4320 HOLMESTOWN RD, Myrtle Beach, SC 29588

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Other Identifiers 1

Medicaid04503417NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Daniel Joseph Edward 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 ID9537478698

PECOS Enrollment IDI20230726001750

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

Medicare enrollment records show Daniel Cunningham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Georgetown Physician Associates, LLC

Same address

Pediatrics

4320 HOLMESTOWN RD STE B
Myrtle Beach, SC 29588

Reassigned Medicare billing, South Carolina enrollment
266 clinicians in this Medicare group

NPI 1053967943 (843) 652-8440

Waccamaw Community Hospital

5.0 mi

General Acute Care Hospital

4070 HIGHWAY 17 BYPASS
Murrells Inlet, SC 29576

Reassigned Medicare billing, South Carolina enrollment
249 clinicians in this Medicare group

NPI 1972503910 (843) 652-1000

Georgetown Memorial Hospital

23 mi

General Acute Care Hospital

606 BLACK RIVER RD
Georgetown, SC 29440

Reassigned Medicare billing, South Carolina enrollment
261 clinicians in this Medicare group

NPI 1982604021 (843) 527-7000

Musc Community Physicians

118 mi

Internal Medicine

506 NORTH ST
Bamberg, SC 29003

Reassigned Medicare billing, South Carolina enrollment
2,389 clinicians in this Medicare group

NPI 1841878006 (803) 245-6290

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 14

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 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.

423 services354 patients

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.

233 services189 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

182 services145 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

128 services44 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

52 services52 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

26 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

25 services25 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

24 services23 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

20 services19 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

20 services19 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

19 services19 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

19 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420020

Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County

Emergency services

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420085

Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County

Emergency services Birthing friendly

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420098

Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29588 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

4 suppliers19 claims26 services$6.59 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

1 supplier11 claims293 services$6.76 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219

DME-Medical/Surgical Supplies · category DA023N

1 supplier22 claims735 services$0.92 avg. paid by Medicare

Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252

DME-Medical/Surgical Supplies · category DA023N

1 supplier12 claims668 services$2.87 avg. paid by Medicare

Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard A6449

DME-Medical/Surgical Supplies · category DA023N

1 supplier12 claims170 services$1.59 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier17 claims22 services$15.44 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 20

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

DR. ROBERT J HEINECK M.D.

Obstetrics & Gynecology