THOMAS J CUNNINGHAM JR. M.D.
NPI 1700812799
Obstetrics & Gynecology - Gynecology in Monterey, CA

Q: What is Thomas Cunningham's NPI number?

The NPI number for Thomas Cunningham is 1700812799. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Q: What is Thomas Cunningham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Cunningham was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment

77.81/100

CMS Quality Rating

23845 HOLMAN HWY STE 227, MONTEREY, CA 93940(831) 624-3579(831) 886-3611 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2018, Jul 30, 2018 (2 updates tracked since 2018).

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About Thomas J Cunningham Jr. M.d. NPPES

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

THOMAS J CUNNINGHAM JR. M.D. (NPI 1700812799) is an individual gynecology provider in Monterey, California, licensed in California (C155377) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jefferson Hills, and is a graduate of University Of Pittsburgh School Of Medicine (1997).

NPPES Registry Identity

NPI1700812799

Entity TypeIndividualMale

Primary Taxonomy207VG0400X

Provider Legal NameTHOMAS J CUNNINGHAM JR.Credential: M.D.

Location Address23845 HOLMAN HWY STE 227Monterey, CA 93940-5901

Mailing Address23845 Holman Hwy Ste 227Monterey, CA 93940-5901 · (831) 624-3579 · Fax (831) 886-3611

Phone(831) 624-3579

Fax(831) 886-3611

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1997

Enumeration DateJune 23, 2006

Last NPPES UpdateSeptember 18, 20182 updates tracked since enumeration

✔ NPI 1700812799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in CA · C155377

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 01049021 (IN)

23845 HOLMAN HWY STE 227, Monterey, CA 93940

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Secondary Practice Location 1

Location 1575 Coal Valley Rd, suite 575Jefferson Hills, PA 15025-3730 · Phone (412) 267-6280 · Fax (412) 267-6281

Other Identifiers 1

Medicaid200337450IN

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

Thomas J Cunningham Jr. 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 ID244414381

PECOS Enrollment IDI20180828002150

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 10

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.

180 services105 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.

131 services72 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

61 services52 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

50 services50 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

49 services36 patients

Fitting and insertion of vaginal support device 57160

A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.

39 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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

$139.84 typical visit price

range $61.69 – $184.30

Typical copayment $34.96 (range $15.42 – $46.07)

Most-billed visit code 99204

Established Patient

$76.53 typical visit price

range $20.34 – $151.02

Typical copayment $19.13 (range $5.08 – $37.75)

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.

77.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.99

Promoting Interoperability

100

Improvement Activities

Cost

57.04

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.

DR. DAPHNE C. PAPATHOMAS M.D.

Obstetrics & Gynecology