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THOMAS M CUNNINGHAM M.D.
NPI 1821034125
Specialist in Sebastopol, CA

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
7442 PALM AVE, SEBASTOPOL, CA 95472(707) 318-9256(707) 823-3956 Get Directions Write a Review

NPPES record last updated: January 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas M Cunningham M.d. NPPES

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

THOMAS M CUNNINGHAM M.D. (NPI 1821034125) is an individual specialist in Sebastopol, California, licensed in California (G40423) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1978).

NPPES Registry Identity

NPI1821034125
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameTHOMAS M CUNNINGHAMCredential: M.D.
Location Address7442 PALM AVESebastopol, CA 95472-4331
Mailing Address7442 Palm AveSebastopol, CA 95472-4331 · (707) 318-9256 · Fax (707) 823-3956
Phone(707) 318-9256
Fax(707) 823-3956
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 1978
Enumeration DateJune 22, 2006
Last NPPES UpdateJanuary 6, 2024
NPPES CertifiedJanuary 6, 2024
✔ NPI 1821034125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G40423
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7442 PALM AVE, Sebastopol, CA 95472
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Other Identifiers 1

Medicaid00G404230CA

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 M 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 ID8123214095
PECOS Enrollment IDI20101118000614
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 5

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
448 services220 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
240 services233 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
199 services194 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
32 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

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 Thomas Cunningham's NPI number?

The NPI number for Thomas Cunningham is 1821034125. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Thomas Cunningham located?

Thomas Cunningham practices at 7442 Palm Ave, Sebastopol, CA 95472. The listed phone number is (707) 318-9256.

What is Thomas Cunningham's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Thomas Cunningham enrolled in Medicare?

Yes. Thomas 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.

When was this NPI record last updated?

The NPPES record for Thomas Cunningham was last updated on January 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.