Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL CUNNINGHAM M.D.
NPI 1558749606
Dermatology in Springfield, MA

Active since May 09, 2015PECOS Enrolled
75/100
CMS Quality Rating
3455 MAIN ST STE 5, SPRINGFIELD, MA 01107(413) 733-9600(413) 732-6534 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michael Cunningham M.d. NPPES

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

MICHAEL CUNNINGHAM M.D. (NPI 1558749606) is an individual dermatology provider in Springfield, Massachusetts, licensed in Massachusetts (278434) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2015).

NPPES Registry Identity

NPI1558749606
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMICHAEL CUNNINGHAMCredential: M.D.
Location Address3455 MAIN ST STE 5Springfield, MA 01107-1147
Mailing Address3455 Main St Ste 5Springfield, MA 01107-1147 · (413) 733-9600 · Fax (413) 732-6534
Fax(413) 732-6534
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2015
Enumeration DateMay 9, 2015
Last NPPES UpdateOctober 19, 2026
NPPES CertifiedOctober 19, 2026
✔ NPI 1558749606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MA · 278434
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3455 MAIN ST STE 5, Springfield, MA 01107

Accepted 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

Michael 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 ID3173814985
PECOS Enrollment IDI20190620000969
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 Reassignment

Medicare enrollment records show Michael Cunningham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dermatology
3455 MAIN ST, SUITE 5
Springfield, MA 01107
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: New England Dermatology PC
  • 11 clinicians in this Medicare group

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 22

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.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
799 services690 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
381 services352 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.
316 services293 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
315 services236 patients
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121
This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.
188 services174 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.
137 services134 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Physician Assistant
3455 MAIN ST STE 5
SPRINGFIELD, MA 01107
Physician Assistant
3455 MAIN ST STE 5
SPRINGFIELD, MA 01107
Physician Assistant
3455 MAIN ST STE 5
SPRINGFIELD, MA 01107
Dermatology (MOHS-Micrographic Surgery)
3455 MAIN ST STE 5, NEW ENGLAND DERMATOLOGY & LASER CENTER
SPRINGFIELD, MA 01107
Physician Assistant
3455 MAIN ST STE 5
SPRINGFIELD, MA 01107
Physician Assistant (Medical)
3455 MAIN ST STE 5
SPRINGFIELD, MA 01107
Physician Assistant
3455 MAIN ST STE 5
SPRINGFIELD, MA 01107
Dermatology
3455 MAIN ST STE 5, NEW ENGLAND DERMATOLOGY & LASER CENTER
SPRINGFIELD, MA 01107

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 Michael Cunningham's NPI number?

The NPI number for Michael Cunningham is 1558749606. It was assigned to this individual provider in the NPPES registry on May 9, 2015.

Where is Michael Cunningham located?

Michael Cunningham practices at 3455 Main St Ste 5, Springfield, MA 01107. The listed phone number is (413) 733-9600.

What is Michael Cunningham's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Michael Cunningham enrolled in Medicare?

Yes. Michael 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.

Which organization bills Medicare for Michael Cunningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Cunningham reassigns Medicare benefits to New England Dermatology, P.C. (Springfield, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Cunningham accept?

Health plans from Taro Health list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Cunningham was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.