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KELLY EILLEEN CUNNINGHAM M.D.
NPI 1457491227
Family Medicine in Southlake, TX

Active since February 08, 2007PECOS EnrolledAccepts Medicare Assignment
731 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092(817) 912-8800(817) 912-8810 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kelly Eilleen Cunningham M.d. NPPES

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

KELLY EILLEEN CUNNINGHAM M.D. (NPI 1457491227) is an individual family medicine provider in Southlake, Texas, licensed in Texas (N7410) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (2003).

NPPES Registry Identity

NPI1457491227
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLY EILLEEN CUNNINGHAMCredential: M.D.
Location Address731 E SOUTHLAKE BLVD, SUITE 100Southlake, TX 76092-6377
Mailing Address731 E Southlake Blvd, Suite 100Southlake, TX 76092-6377 · (817) 912-8800 · Fax (817) 912-8810
Phone(817) 912-8800
Fax(817) 912-8810
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2003
Enumeration DateFebruary 8, 2007
Last NPPES UpdateMay 10, 2023
NPPES CertifiedMay 10, 2023
✔ NPI 1457491227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · N7410
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.
731 E SOUTHLAKE BLVD, Southlake, TX 76092
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Other Identifiers 3

Medicaid40883272NM
Medicaid281181201TX
Other8CQ192TX · Bcbstx

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

Kelly Eilleen 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 ID4587767512
PECOS Enrollment IDI20110328000364
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 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.

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.
73 services64 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.
28 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 3

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 suppliers14 claims27 services$6.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$66.99 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.98 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.

MONICA M. BRIGGS PT
Physical Therapist
731 E SOUTHLAKE BLVD, SUITE 150
SOUTHLAKE, TX 76092
Tarrant County (817) 442-8600
JAMI L BRAXTON MSN-FNP
Nurse Practitioner (Family)
731 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 424-3366
MRS. MEGGEN SMILEY HEISSERER
Physical Therapist
731 E SOUTHLAKE BLVD, SUITE 150
SOUTHLAKE, TX 76092
Tarrant County (817) 442-8600
DR. ARTHUR ERIC BENZICK MD
Pediatrics
731 E SOUTHLAKE BLVD, 100
SOUTHLAKE, TX 76092
Tarrant County (817) 424-3366
DR. ERICA J ZWERNEMANN M.D.
Pediatrics
731 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 912-8800
STEPHEN DWAYNE KINDRICK DO
Family Medicine
731 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (817) 424-3366
DR. GERALD J HARDER M.D.
Internal Medicine
731 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 912-8800
DR. STACEY L HATCHER M.D.
Internal Medicine
731 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 912-8800

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 Kelly Cunningham's NPI number?

The NPI number for Kelly Cunningham is 1457491227. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Kelly Cunningham located?

Kelly Cunningham practices at 731 E Southlake Blvd Suite 100, Southlake, TX 76092. The listed phone number is (817) 912-8800.

What is Kelly Cunningham's specialty?

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

Is Kelly Cunningham enrolled in Medicare?

Yes. Kelly 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.

When was this NPI record last updated?

The NPPES record for Kelly Cunningham was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.