CHARLES MICHAEL CUNNINGHAM MD
NPI 1851978431
Family Medicine in Louisville, KY

Active since March 28, 2021PECOS EnrolledAccepts Medicare Assignment
200 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 299-6817 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2024, Mar 28, 2021 (2 updates tracked since 2021).

About Charles Michael Cunningham Md NPPES

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

CHARLES MICHAEL CUNNINGHAM MD (NPI 1851978431) is an individual family medicine provider in Louisville, Kentucky, licensed in Kentucky (59272) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1851978431
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES MICHAEL CUNNINGHAMCredential: MD
Location Address200 E CHESTNUT STLouisville, KY 40202-1831
Mailing Address200 E Chestnut StLouisville, KY 40202-1831 · (502) 299-6817
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 28, 2021
Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
NPI 1851978431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 59272
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.
200 E CHESTNUT ST, Louisville, KY 40202

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

Charles Michael Cunningham Md 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 ID8325586191
PECOS Enrollment IDI20240813000244
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 3

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
158 services43 patients
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.
27 services16 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150009
Location1220 Missouri AveJeffersonville, IN 47130 · Clark County
Emergency services Birthing friendly

Norton-King's Daughters' Health

Acute Care Hospitals · Madison, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150069
Location1373 East Sr 62Madison, IN 47250 · Jefferson County
Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Physician Assistant (Medical)
200 E CHESTNUT ST, SUITE 303
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Nurse Practitioner (Acute Care)
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Pharmacy (Institutional Pharmacy)
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Internal Medicine
200 E CHESTNUT ST, SUITE 303
LOUISVILLE, KY 40202
Obstetrics & Gynecology
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Internal Medicine
200 E CHESTNUT ST, SERVICE BUILDING SUITE 303
LOUISVILLE, KY 40202

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 Charles Cunningham's NPI number?

The NPI number for Charles Cunningham is 1851978431. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Charles Cunningham located?

Charles Cunningham practices at 200 E Chestnut St, Louisville, KY 40202. The listed phone number is (502) 299-6817.

What is Charles Cunningham's specialty?

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

Is Charles Cunningham enrolled in Medicare?

Yes. Charles 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 Charles Cunningham accept?

Health plans from CareSource list Charles 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 Charles Cunningham affiliated with any hospitals?

According to CMS data, Charles Cunningham is affiliated with Clark Memorial Hospital, Norton-King's Daughters' Health and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Charles Cunningham was last updated on July 3, 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.