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MRS. MADISON MARIE CUNNINGHAM PA-C
NPI 1639715873
Physician Assistant in Traverse City, MI

Active since November 22, 2019PECOS Enrolled
1000 PAVILIONS CIR, TRAVERSE CITY, MI 49684(231) 866-8274 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2024, Oct 31, 2020, Nov 22, 2019 (3 updates tracked since 2019).

About Mrs. Madison Marie Cunningham Pa-c NPPES

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

MRS. MADISON MARIE CUNNINGHAM PA-C (NPI 1639715873) is an individual physician assistant in Traverse City, Michigan and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639715873
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MADISON MARIE CUNNINGHAMCredential: PA-C
Location Address1000 PAVILIONS CIRTraverse City, MI 49684-3198
Mailing Address1000 Pavilions CirTraverse City, MI 49684-3198 · (231) 866-8274
Phone(231) 866-8274
Sole ProprietorNo
Enumeration DateNovember 22, 2019
Last NPPES UpdateDecember 19, 20243 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1639715873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1000 PAVILIONS CIR, Traverse City, MI 49684
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Madison Marie Cunningham Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
703 services190 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
166 services95 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
108 services105 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
68 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
2 suppliers22 claims22 services$13.37 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers24 claims24 services$61.20 avg. paid by Medicare
Patient lift, electric with seat or sling E0635
DME-Other DME · category DE000N
2 suppliers20 claims20 services$88.72 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$30.83 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 3

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

CHRISTOPHER JACOB HINZE PT
Physical Therapist
1000 PAVILIONS CIR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 932-3169
ALEXANDRA PAIGE WALDRON PTA
Physical Therapy Assistant
1000 PAVILIONS CIR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 932-3000
KELSEA ROBINSON
Recreational Therapist Assistant
1000 PAVILIONS CIR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 932-3172

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 Madison Cunningham's NPI number?

The NPI number for Madison Cunningham is 1639715873. It was assigned to this individual provider in the NPPES registry on November 22, 2019.

Where is Madison Cunningham located?

Madison Cunningham practices at 1000 Pavilions Cir, Traverse City, MI 49684. The listed phone number is (231) 866-8274.

What is Madison Cunningham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Madison Cunningham enrolled in Medicare?

Yes. Madison Cunningham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madison Cunningham was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.