MICHAEL CUNNINGHAM
NPI 1821587742
Internal Medicine - Rheumatology in Chapel Hill, NC

Active since May 07, 2018PECOS EnrolledAccepts Medicare Assignment
102 MASON FARM RD, CHAPEL HILL, NC 27599(919) 966-1459(919) 843-2356 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2023, May 7, 2018 (2 updates tracked since 2018).

About Michael Cunningham NPPES

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

MICHAEL CUNNINGHAM (NPI 1821587742) is an individual rheumatology provider in Chapel Hill, North Carolina, licensed in North Carolina (2021-01980) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2018).

NPPES Registry Identity

NPI1821587742
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMICHAEL CUNNINGHAM
Location Address102 MASON FARM RDChapel Hill, NC 27599-6134
Mailing Address102 Mason Farm RdChapel Hill, NC 27599-6134 · (919) 966-1459 · Fax (919) 843-2356
Fax(919) 843-2356
Sole ProprietorYes
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2018
Enumeration DateMay 7, 2018
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
NPI 1821587742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NC · 2021-01980
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 238738 (NC)
102 MASON FARM RD, Chapel Hill, NC 27599

Accepted 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

Michael Cunningham 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 ID4587919394
PECOS Enrollment IDI20230810000521
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.

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.
148 services103 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
49 services49 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.
23 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27599 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Student in an Organized Health Care Education/Training Program
102 MASON FARM RD
CHAPEL HILL, NC 27599
Pharmacy
102 MASON FARM RD, 3RD FLOOR, ROOM 3301
CHAPEL HILL, NC 27599
Nurse Practitioner
102 MASON FARM RD
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
102 MASON FARM RD, AMBULATORY CARE CENTER
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
102 MASON FARM RD
CHAPEL HILL, NC 27599
Internal Medicine
102 MASON FARM RD
CHAPEL HILL, NC 27599
Internal Medicine (Nephrology)
102 MASON FARM RD
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
102 MASON FARM RD
CHAPEL HILL, NC 27599

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 Michael Cunningham's NPI number?

The NPI number for Michael Cunningham is 1821587742. It was assigned to this individual provider in the NPPES registry on May 7, 2018.

Where is Michael Cunningham located?

Michael Cunningham practices at 102 Mason Farm Rd, Chapel Hill, NC 27599. The listed phone number is (919) 966-1459.

What is Michael Cunningham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Michael Cunningham enrolled in Medicare?

Yes. Michael 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 Michael Cunningham accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Michael 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.

Is Michael Cunningham affiliated with any hospitals?

According to CMS data, Michael Cunningham is affiliated with Unc Hospitals and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Michael Cunningham was last updated on August 23, 2023. 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.