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DR. BRIAN HAROLD CUNNINGHAM M.D.
NPI 1619009537
Emergency Medicine in Waterloo, IA

Active since March 09, 2007PECOS EnrolledAccepts Medicare Assignment
98.32/100
CMS Quality Rating
1825 LOGAN AVE, EMERGENCY DEPARTMENT, WATERLOO, IA 50703(319) 235-3697(319) 235-3844 Get Directions Write a Review

NPPES record last updated: April 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brian Harold Cunningham M.d. NPPES

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

DR. BRIAN HAROLD CUNNINGHAM M.D. (NPI 1619009537) is an individual emergency medicine provider in Waterloo, Iowa, licensed in Iowa (37170) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Chi Health St. Elizabeth, and is a graduate of University Of Nebraska College Of Medicine (2004).

NPPES Registry Identity

NPI1619009537
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BRIAN HAROLD CUNNINGHAMCredential: M.D.
Location Address1825 LOGAN AVE, EMERGENCY DEPARTMENTWaterloo, IA 50703-1916
Mailing Address1825 Logan Ave, Emergency DepartmentWaterloo, IA 50703-1916 · (319) 235-3697 · Fax (319) 235-3844
Phone(319) 235-3697
Fax(319) 235-3844
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2004
Enumeration DateMarch 9, 2007
Last NPPES UpdateApril 21, 2009
✔ NPI 1619009537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IA · 37170
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License TEP 5009 (NE)
1825 LOGAN AVE, Waterloo, IA 50703
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Other Identifiers 6

Medicaid0798371IA
Other70036IA · Wellmark Bc/bs Iowa
OtherP00465295Railroad Medicare Ptan
Medicare PINI9291006IA
Medicare PINI20790IA
OtherCP7479Railroad Medicare Group Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.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. Brian Harold 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 ID9638262033
PECOS Enrollment IDI20100920001189
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
116 services113 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
97 services97 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
27 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280020
Location555 South 70th StLincoln, NE 68510 · Lancaster County
Emergency services Birthing friendly

Nebraska Orthopaedic Hospital

Acute Care Hospitals · Omaha, NE
OwnershipPhysician
CMS Certification Number280129
Location2808 South 143rd PlazaOmaha, NE 68144 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50703 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

98.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.61
Promoting Interoperability100
Improvement Activities40

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. KEERAN GHANDIVEL MD
Anesthesiology
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3886
MS. AMANDA L. VERVAECKE A.R.N.P.
Nurse Practitioner
1825 LOGAN AVE, WOUND & OSTOMY CLINIC
WATERLOO, IA 50703
Black Hawk County (319) 235-3121
TAYLOR KRISTIN KLINE PA, RDN
Physician Assistant
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3941
ALLEN MEMORIAL HOSPITAL CORPORATION LAB
Clinical Medical Laboratory
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3941
ELVIS SABIC ARNP
Nurse Practitioner (Family)
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3941
DR. PRADEEP MANJANBAIL RAMESH MD
Internal Medicine
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3838
SUSAN VOONG PHARMD
Pharmacist
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3510
HANNAH LEIGH KELLEY LMSW
Social Worker (Clinical)
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (563) 271-7700

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 1619009537. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Brian Cunningham located?

Brian Cunningham practices at 1825 Logan Ave Emergency Department, Waterloo, IA 50703. The listed phone number is (319) 235-3697.

What is Brian Cunningham's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

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 Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company 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 Chi Health St. Elizabeth and Nebraska Orthopaedic Hospital.

When was this NPI record last updated?

The NPPES record for Brian Cunningham was last updated on April 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.