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JOHN T CUNNINGHAM MD
NPI 1912980418
Pediatrics in Sharon, PA

Active since November 29, 2005PECOS Enrolled
63 PITT ST, SHARON, PA 16146(724) 342-4052(724) 342-4053 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 9, 2017 (2 updates tracked since 2017).

About John T Cunningham Md NPPES

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

JOHN T CUNNINGHAM MD (NPI 1912980418) is an individual pediatrics provider in Sharon, Pennsylvania, licensed in Pennsylvania (MD073399L) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912980418
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOHN T CUNNINGHAMCredential: MD
Location Address63 PITT STSharon, PA 16146-2102
Mailing Address100 Shenango AveSharon, PA 16146-1503 · (724) 342-4052 · Fax (724) 342-4053
Phone(724) 342-4052
Fax(724) 342-4053
Sole ProprietorNo
Enumeration DateNovember 29, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1912980418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD073399L
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
63 PITT ST, Sharon, PA 16146
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Other Identifiers 1

Medicaid001848156PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

John T Cunningham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16146 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

GEORGE CAPELLA GARROW MD
Internal Medicine
63 PITT ST
SHARON, PA 16146
Mercer County (724) 342-6604
TONIA L SKAKALSKI D.O.
Obstetrics & Gynecology
63 PITT ST
SHARON, PA 16146
Mercer County (724) 981-4434
EASTON MARIA MCKINNEY CRNP
Nurse Practitioner (Family)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 342-6604
STEPHEN FREDRICK SEDMAK
Counselor (Professional)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 704-7272
JESSICA MCCANN
Nurse Practitioner (Family)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 342-6604
TERRI LYNN PEARS LCSW
Social Worker (Clinical)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 704-7272
ANNA STRIGHT
Counselor (Mental Health)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 704-7272
RICHARD F HUMPHREY CRNP
Nurse Practitioner (Family)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 981-4434

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 John Cunningham's NPI number?

The NPI number for John Cunningham is 1912980418. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is John Cunningham located?

John Cunningham practices at 63 Pitt St, Sharon, PA 16146. The listed phone number is (724) 342-4052.

What is John Cunningham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is John Cunningham enrolled in Medicare?

Yes. John Cunningham is registered in the Medicare PECOS enrollment system.

What insurance does John Cunningham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list John 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 John Cunningham was last updated on July 21, 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.