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CLAIRE CUNNINGHAM M.D.
NPI 1639332190
Internal Medicine in Cincinnati, OH

Active since July 05, 2008PECOS EnrolledAccepts Medicare Assignment
3200 VINE ST, PRIMARY CARE DEPARTMENT, CINCINNATI, OH 45220(513) 861-3100(513) 475-6528 Get Directions Write a Review

NPPES record last updated: December 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Claire Cunningham M.d. NPPES

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

CLAIRE CUNNINGHAM M.D. (NPI 1639332190) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Ohio (35.097763) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of University Of Maryland School Of Medicine (2008).

NPPES Registry Identity

NPI1639332190
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCLAIRE CUNNINGHAMCredential: M.D.
Location Address3200 VINE ST, PRIMARY CARE DEPARTMENTCincinnati, OH 45220-2213
Mailing Address3200 Vine St, Primary Care DepartmentCincinnati, OH 45220-2213 · (513) 861-3100 · Fax (513) 475-6528
Phone(513) 861-3100
Fax(513) 475-6528
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2008
Enumeration DateJuly 5, 2008
Last NPPES UpdateDecember 15, 2011
✔ NPI 1639332190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.097763
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3200 VINE ST, Cincinnati, OH 45220
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Claire 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 ID9739320805
PECOS Enrollment IDI20180730001410
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 9

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 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.
169 services109 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
85 services61 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
68 services68 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.
56 services44 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
19 services19 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
18 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45220 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 suppliers12 claims37 services$6.62 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims16 services$1.13 avg. paid by Medicare
High strength, lightweight wheelchair K0004
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$24.17 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.

CASEY TURNER
Physical Therapist
3200 VINE ST, REHABILITATION CARE LINE
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
MS. CYNTHIA ANN MALLOY RD
Dietitian, Registered
3200 VINE ST
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
CHRISTOPHER GREGORY FLOYD M.S., M.A.
Psychologist
3200 VINE ST
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
DR. ROBIN H. VANDIVIER-PLETSCH M.D.
Internal Medicine (Cardiovascular Disease)
3200 VINE ST, CARDIOLOGY SECTION (111C)
CINCINNATI, OH 45220
Hamilton County (513) 475-6383
RACHELLE ANN SEKERKA PHD
Psychologist
3200 VINE ST, 116B
CINCINNATI, OH 45220
Hamilton County (513) 475-6402
MRS. LESA JANE HORNBACH RPH
Pharmacist
3200 VINE ST
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
MR. MICHAEL PAUL LAGERSTRAND SR. CO
Specialist (Prosthetics Case Management)
3200 VINE ST, 539/121
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
KATELYN MCBRIDE PHARMD, RPH
Pharmacist
3200 VINE ST
CINCINNATI, OH 45220
Hamilton County (513) 861-3100

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 Claire Cunningham's NPI number?

The NPI number for Claire Cunningham is 1639332190. It was assigned to this individual provider in the NPPES registry on July 5, 2008.

Where is Claire Cunningham located?

Claire Cunningham practices at 3200 Vine St Primary Care Department, Cincinnati, OH 45220. The listed phone number is (513) 861-3100.

What is Claire Cunningham's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Claire Cunningham enrolled in Medicare?

Yes. Claire 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 Claire Cunningham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Claire 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 Claire Cunningham affiliated with any hospitals?

According to CMS data, Claire Cunningham is affiliated with Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Claire Cunningham was last updated on December 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.