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BRIAN PATRICK CUNNINGHAM M.D.
NPI 1447489430
Orthopaedic Surgery in Saint Paul, MN

Active since July 10, 2009PECOS EnrolledAccepts Medicare Assignment
435 PHALEN BLVD, SAINT PAUL, MN 55130(651) 254-8300(651) 254-8379 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 27, 2020, Nov 16, 2016, Aug 9, 2016 (3 updates tracked since 2016).

About Brian Patrick Cunningham M.d. NPPES

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

BRIAN PATRICK CUNNINGHAM M.D. (NPI 1447489430) is an individual orthopaedic surgery provider in Saint Paul, Minnesota, licensed in Minnesota (61276) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Edina.

NPPES Registry Identity

NPI1447489430
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameBRIAN PATRICK CUNNINGHAMCredential: M.D.
Location Address435 PHALEN BLVDSaint Paul, MN 55130-5302
Mailing AddressPo Box 1309, Mail Stop 21110qMinneapolis, MN 55440-1309 · (651) 254-8300 · Fax (651) 254-8379
Phone(651) 254-8300
Fax(651) 254-8379
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2009
Enumeration DateJuly 10, 2009
Last NPPES UpdateAugust 27, 20203 updates tracked since enumeration
NPPES CertifiedAugust 27, 2020
✔ NPI 1447489430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in MN · 61276✔ Licensed in AZ · R71546
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.

435 PHALEN BLVD, Saint Paul, MN 55130
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Secondary Practice Location 1

Location 18100 W 78th St Ste 230Edina, MN 55439-2570 · Phone (952) 946-9777 · Fax (952) 946-9888

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Brian Patrick Cunningham 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 ID9436460698
PECOS Enrollment IDI20160817001055
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 5

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.
53 services41 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
25 services24 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.
19 services19 patients
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236
This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.
16 services15 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55130 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

RANDY S TWITO MD
Orthopaedic Surgery (Orthopaedic Trauma)
435 PHALEN BLVD, HEALTHPARTNERS SPECIALITY CENTER 435
ST. PAUL, MN 55130
Ramsey County (651) 254-8300
ANDREW J THOMAS MD
Pediatrics (Sports Medicine)
435 PHALEN BLVD, MAIL STOP 51103H
SAINT PAUL, MN 55130
Ramsey County (651) 254-8300
HEATHER R CICHANOWSKI MD
Family Medicine (Sports Medicine)
435 PHALEN BLVD, MAIL STOP 51103H
SAINT PAUL, MN 55130
Ramsey County (651) 254-8300
MS. KERSTIN BUETTNER PA-C
Physician Assistant
435 PHALEN BLVD, HP SPECIALTY CENTER; MAIL STOP 51103H
SAINT PAUL, MN 55130
Ramsey County (651) 254-8300
MRS. JENNA R KATORSKI RN CNP
Nurse Practitioner (Family)
435 PHALEN BLVD
SAINT PAUL, MN 55130
Ramsey County (651) 636-9443
KATHRYN LINDSTROM FNP-BC
Nurse Practitioner (Family)
435 PHALEN BLVD
SAINT PAUL, MN 55130
Ramsey County (651) 325-2253
LAUREN CLARKSON
Specialist/Technologist (Athletic Trainer)
435 PHALEN BLVD
SAINT PAUL, MN 55130
Ramsey County (651) 254-8300
JOANNE E HEERWALD CRNA
Nurse Anesthetist, Certified Registered
435 PHALEN BLVD
ST. PAUL, MN 55130
Ramsey County (651) 254-8000

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 Brian Cunningham's NPI number?

The NPI number for Brian Cunningham is 1447489430. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Where is Brian Cunningham located?

Brian Cunningham practices at 435 Phalen Blvd, Saint Paul, MN 55130. The listed phone number is (651) 254-8300.

What is Brian Cunningham's specialty?

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

Is Brian Cunningham enrolled in Medicare?

Yes. Brian 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.

What insurance does Brian Cunningham accept?

Health plans from HealthPartners and Medica list Brian 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 Brian Cunningham affiliated with any hospitals?

According to CMS data, Brian Cunningham is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Brian Cunningham was last updated on August 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.