1. Home
  2. Directory
  3. New Hampshire
  4. Manchester
  5. Optometrist
  6. NPI Profile

DR. KARL ETHAN CUNNINGHAM OD
NPI 1740700913
Optometrist in Manchester, NH

Active since June 20, 2017PECOS EnrolledAccepts Medicare Assignment
1093 ELM ST, MANCHESTER, NH 03101(603) 296-0235(603) 296-0242 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2022, Jun 20, 2017 (2 updates tracked since 2017).

About Dr. Karl Ethan Cunningham Od NPPES

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

DR. KARL ETHAN CUNNINGHAM OD (NPI 1740700913) is an individual optometrist in Manchester, New Hampshire, licensed in New Hampshire (1052) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2017).

NPPES Registry Identity

NPI1740700913
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KARL ETHAN CUNNINGHAMCredential: OD
Location Address1093 ELM STManchester, NH 03101-1505
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (571) 223-6780
Phone(603) 296-0235
Fax(603) 296-0242
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2017
Enumeration DateJune 20, 2017
Last NPPES UpdateMarch 11, 20222 updates tracked since enumeration
NPPES CertifiedMarch 11, 2022
✔ NPI 1740700913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NH · 1052✔ Licensed in VT · 030.0131034
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1093 ELM ST, Manchester, NH 03101
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield 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

Dr. Karl Ethan Cunningham Od 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 ID1052681608
PECOS Enrollment IDI20220318000930
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

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03101 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%48 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

DR. ARIADNE ROWE OD
Optometrist
1093 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 296-0235
MYEYEDR OPTOMETRY OF NEW HAMPSHIRE, PLLC
Optometrist
1093 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 296-0235
DOUGLAS J BLAIR OD
Optometrist
1093 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 296-0235
ECONOMY VISION
Optometrist
1093 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 644-6100

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 Karl Cunningham's NPI number?

The NPI number for Karl Cunningham is 1740700913. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Karl Cunningham located?

Karl Cunningham practices at 1093 Elm St, Manchester, NH 03101. The listed phone number is (603) 296-0235.

What is Karl Cunningham's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Karl Cunningham enrolled in Medicare?

Yes. Karl 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 Karl Cunningham accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Karl 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 Karl Cunningham was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.