DR. CRYSTAL CUNNINGHAM MD
NPI 1922294628
Surgery in Sedona, AZ

Active since September 18, 2007PECOS Enrolled
6050 STATE ROUTE 179 STE 6, SEDONA, AZ 86351(928) 814-5269(928) 268-0378 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2021, Aug 17, 2021 (2 updates tracked since 2021).

About Dr. Crystal Cunningham Md NPPES

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

DR. CRYSTAL CUNNINGHAM MD (NPI 1922294628) is an individual surgery provider in Sedona, Arizona, licensed in Pennsylvania (MT189164) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ulysses.

NPPES Registry Identity

NPI1922294628
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. CRYSTAL CUNNINGHAMCredential: MD
Location Address6050 STATE ROUTE 179 STE 6Sedona, AZ 86351-7986
Mailing Address6050 State Route 179 Ste 6Sedona, AZ 86351-7986 · (928) 814-5269 · Fax (928) 268-0378
Fax(928) 268-0378
Sole ProprietorNo
Enumeration DateSeptember 18, 2007
Last NPPES UpdateSeptember 30, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
✔ NPI 1922294628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MT189164
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
6050 STATE ROUTE 179 STE 6, Sedona, AZ 86351

Secondary Practice Location 1

Location 1505 N Main StUlysses, KS 67880-2135 · Phone (620) 356-1261 · Fax (620) 356-3846

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Crystal 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Crystal Cunningham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
NAVAJO ROUTE 4
Pinon, AZ 86510
  • Reassigned Medicare billing, Texas enrollment
  • 476 clinicians in this Medicare group
General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
Diagnostic Radiology
1525 W 5TH ST
Storm Lake, IA 50588
  • Reassigned Medicare billing, Iowa enrollment
  • 66 clinicians in this Medicare group
General Acute Care Hospital
2817 NEW PINERY RD
Portage, WI 53901
  • Reassigned Medicare billing, Wisconsin enrollment
  • 359 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86351 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Crystal Cunningham's NPI number?

The NPI number for Crystal Cunningham is 1922294628. It was assigned to this individual provider in the NPPES registry on September 18, 2007.

Where is Crystal Cunningham located?

Crystal Cunningham practices at 6050 State Route 179 Ste 6, Sedona, AZ 86351. The listed phone number is (928) 814-5269.

What is Crystal Cunningham's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Crystal Cunningham enrolled in Medicare?

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

Which organizations bill Medicare for Crystal Cunningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Cunningham reassigns Medicare benefits to 4 organizations: Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Pinon, AZ), Rosebud Indian Health Service (Rosebud, SD), Buena Vista Regional Medical Center (Storm Lake, IA) and Divine Savior Healthcare, Inc. (Portage, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Crystal Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Crystal Cunningham was last updated on September 30, 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.