DR. KENT N CUNNINGHAM MD
NPI 1508839606
Internal Medicine - Gastroenterology in Sumter, SC

Active since February 09, 2006PECOS EnrolledAccepts Medicare Assignment
84.87/100
CMS Quality Rating
641 W WESMARK BLVD, SUMTER, SC 29150(803) 905-6944(803) 469-3944 Get Directions Write a Review

NPPES record last updated: August 21, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kent N Cunningham Md NPPES

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

DR. KENT N CUNNINGHAM MD (NPI 1508839606) is an individual gastroenterology provider in Sumter, South Carolina, licensed in South Carolina (14494) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1988).

NPPES Registry Identity

NPI1508839606
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. KENT N CUNNINGHAMCredential: MD
Location Address641 W WESMARK BLVDSumter, SC 29150-1900
Mailing Address641 W Wesmark BlvdSumter, SC 29150-1900 · (803) 905-6944 · Fax (803) 469-3944
Fax(803) 469-3944
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1988
Enumeration DateFebruary 9, 2006
Last NPPES UpdateAugust 21, 2013
NPI 1508839606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in SC · 14494
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

641 W WESMARK BLVD, Sumter, SC 29150

Other Identifiers 6

MedicaidGP5689SC
Medicaid144944SC
Medicare PINP00198223SC
OtherC30400SC · Rrmedicare
Medicare UPINF43980
Medicare PIN9827SC

Accepted 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

Dr. Kent N 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 ID6103874268
PECOS Enrollment IDI20050106000032
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 11

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
964 services309 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.
360 services245 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
342 services112 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
235 services235 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
232 services232 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
199 services105 patients

Hospital Affiliations CMS Care Compare 4

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Prisma Health Tuomey Hospital

Acute Care Hospitals · Sumter, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420070
Location129 N Washington StSumter, SC 29150 · Sumter County
Emergency services Birthing friendly

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County
Emergency services Birthing friendly

Mcleod Health Clarendon

Acute Care Hospitals · Manning, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420109
Location10 East Hospital StreetManning, SC 29102 · Clarendon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29150 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
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.

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.

84.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost49.58

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Gastroenterology)
641 W WESMARK BLVD
SUMTER, SC 29150
Internal Medicine (Gastroenterology)
641 W WESMARK BLVD
SUMTER, SC 29150
Physician Assistant
641 W WESMARK BLVD
SUMTER, SC 29150
Nurse Practitioner
641 W WESMARK BLVD
SUMTER, SC 29150
Family Medicine (Adult Medicine)
641 W WESMARK BLVD
SUMTER, SC 29150
Internal Medicine (Gastroenterology)
641 W WESMARK BLVD
SUMTER, SC 29150
Nurse Practitioner (Primary Care)
641 W WESMARK BLVD
SUMTER, SC 29150
Internal Medicine (Gastroenterology)
641 W WESMARK BLVD
SUMTER, SC 29150

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 Kent Cunningham's NPI number?

The NPI number for Kent Cunningham is 1508839606. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Kent Cunningham located?

Kent Cunningham practices at 641 W Wesmark Blvd, Sumter, SC 29150. The listed phone number is (803) 905-6944.

What is Kent Cunningham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kent Cunningham enrolled in Medicare?

Yes. Kent 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 Kent Cunningham accept?

Health plans from BlueCross BlueShield of South Carolina list Kent 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 Kent Cunningham affiliated with any hospitals?

According to CMS data, Kent Cunningham is affiliated with Prisma Health Richland Hospital, Prisma Health Tuomey Hospital, Musc Health Florence Medical Center and Mcleod Health Clarendon.

When was this NPI record last updated?

The NPPES record for Kent Cunningham was last updated on August 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.