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WALTER H CUNNINGTON III M.D.
NPI 1811024508
Family Medicine in Pana, IL

Active since February 28, 2007PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
101 E 9TH ST, PANA, IL 62557(217) 562-2544(217) 562-6288 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walter H Cunnington Iii M.d. NPPES

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

WALTER H CUNNINGTON III M.D. (NPI 1811024508) is an individual family medicine provider in Pana, Illinois, licensed in Illinois (036117342) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Southern Illinois University School Of Medicine (2004).

NPPES Registry Identity

NPI1811024508
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWALTER H CUNNINGTON IIICredential: M.D.
Location Address101 E 9TH STPana, IL 62557-1716
Mailing Address101 E 9th StPana, IL 62557-1716 · (217) 562-2544 · Fax (217) 562-6288
Phone(217) 562-2544
Fax(217) 562-6288
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2004
Enumeration DateFebruary 28, 2007
Last NPPES UpdateFebruary 12, 2021
NPPES CertifiedFebruary 12, 2021
✔ NPI 1811024508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036117342
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
101 E 9TH ST, Pana, IL 62557
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Walter H Cunnington Iii 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 ID9931206075
PECOS Enrollment IDI20070711000752
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.

Hospital Affiliations CMS Care Compare 3

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141339
Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County
Emergency services

Pana Community Hospital

Critical Access Hospitals · Pana, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141341
Location101 E Ninth StreetPana, IL 62557 · Christian County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62557 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 18

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
11 suppliers86 claims214 services$5.64 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers15 claims17 services$1.10 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers13 claims13 services$46.18 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers15 claims15 services$73.83 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers16 claims16 services$25.03 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers12 claims12 services$22.53 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.

GARRETT CLAXON PT, DPT
Physical Therapist
101 E 9TH ST
PANA, IL 62557
Christian County (217) 562-6328
ABDUR RAHMAN FUZAIL AHMAD
Internal Medicine (Clinical Cardiac Electrophysiology)
101 E 9TH ST
PANA, IL 62557
Christian County (217) 562-2131
JODI R SMITH PTA
Physical Therapy Assistant
101 E 9TH ST
PANA, IL 62557
Christian County (217) 562-6328
STACY J VAIL PTA
Physical Therapy Assistant
101 E 9TH ST
PANA, IL 62557
Christian County (217) 562-6328
PANA COMMUNITY HOSPITAL ASSOCIATION
Family Medicine
101 E 9TH ST, SUITE 105
PANA, IL 62557
Christian County (217) 562-2544
ALLISON LEANNE BEYERS FNP-C
Nurse Practitioner (Family)
101 E 9TH ST
PANA, IL 62557
Christian County (217) 562-2131
MR. MARLON TAN MUNESES MD
Family Medicine
101 E 9TH ST
PANA, IL 62557
Christian County (217) 562-2544
MS. LAURIE DOBRINICH LCSW
Social Worker (Clinical)
101 E 9TH ST
PANA, IL 62557
Christian County (217) 562-6246

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 Walter Cunnington's NPI number?

The NPI number for Walter Cunnington is 1811024508. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Walter Cunnington located?

Walter Cunnington practices at 101 E 9th St, Pana, IL 62557. The listed phone number is (217) 562-2544.

What is Walter Cunnington's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Walter Cunnington enrolled in Medicare?

Yes. Walter Cunnington 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 Walter Cunnington accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Walter Cunnington 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 Walter Cunnington affiliated with any hospitals?

According to CMS data, Walter Cunnington is affiliated with Decatur Memorial Hospital, Taylorville Memorial Hospital and Pana Community Hospital.

When was this NPI record last updated?

The NPPES record for Walter Cunnington was last updated on February 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.