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MICHAEL J CUNNINGHAM MD
NPI 1942229893
Internal Medicine - Cardiovascular Disease in Cleveland, OH

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
18599 LAKE SHORE BLVD, CLEVELAND, OH 44119(216) 844-8500(216) 383-5370 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 21, 2020, Dec 18, 2020 (2 updates tracked since 2020).

About Michael J Cunningham Md NPPES

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

MICHAEL J CUNNINGHAM MD (NPI 1942229893) is an individual cardiovascular disease provider in Cleveland, Ohio, licensed in Ohio (35-074742) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of University Of Utah School Of Medicine (1982).

NPPES Registry Identity

NPI1942229893
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMICHAEL J CUNNINGHAMCredential: MD
Location Address18599 LAKE SHORE BLVDCleveland, OH 44119-1093
Mailing Address18599 Lake Shore BlvdCleveland, OH 44119-1093 · (216) 383-6060 · Fax (216) 383-5370
Phone(216) 844-8500
Fax(216) 383-5370
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1982
Enumeration DateJuly 19, 2006
Last NPPES UpdateDecember 21, 20202 updates tracked since enumeration
NPPES CertifiedDecember 21, 2020
✔ NPI 1942229893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in OH · 35-074742✔ Licensed in OH · 34-074742
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
18599 LAKE SHORE BLVD, Cleveland, OH 44119
Open in Google Maps ↗

Other Identifiers 8

Other5681753Aetna
Other000000224385Unison
Other60070745OH · Railroad Medicare
OtherP00428928OH · Railroad Medicare
Other000000539419Anthem
Medicaid2100078OH
Other363455Wellcare
Other741769Buckeye

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 and accepts Medicare assignment

Michael J 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 ID3476533282
PECOS Enrollment IDI20040722000664
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 9

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,267 services841 patients
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.
474 services311 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
54 services52 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
42 services42 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
36 services36 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.
34 services34 patients

Hospital Affiliations CMS Care Compare 4

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

Parma Community General Hospital

Acute Care Hospitals · Parma, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360041
Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

University Hospitals Ahuja Medical Center

Acute Care Hospitals · Beachwood, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360359
Location3999 Richmond RoadBeachwood, OH 44122 · Cuyahoga County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44119 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY PRIMARY CARE PRACTICES INC
Psychiatry & Neurology (Neurology)
18599 LAKE SHORE BLVD, STE 500
EUCLID, OH 44119
Cuyahoga County (216) 383-7850
LAURA C MOORE RD
Dietitian, Registered
18599 LAKE SHORE BLVD
EUCLID, OH 44119
Cuyahoga County (216) 383-7813
EILEEN M COLES-HERMAN RN
Registered Nurse
18599 LAKE SHORE BLVD
EUCLID, OH 44119
Cuyahoga County (216) 383-7813
KATHRYN M CORTE RD
Dietitian, Registered
18599 LAKE SHORE BLVD
EUCLID, OH 44119
Cuyahoga County (216) 383-7813
THOMAS WILSON MD
Internal Medicine
18599 LAKE SHORE BLVD
CLEVELAND, OH 44119
Cuyahoga County (216) 844-3800
ANISA RISTA MD
Family Medicine
18599 LAKE SHORE BLVD
EUCLID, OH 44119
Cuyahoga County (216) 383-8500
UNIVERSITY HOSPITALS MEDICAL GROUP, INC
Radiology (Diagnostic Radiology)
18599 LAKE SHORE BLVD, SUITE 111
EUCLID, OH 44119
Cuyahoga County (216) 286-6296
DR. JOAN ELLEN SCHILLER DPM
Podiatrist
18599 LAKE SHORE BLVD, SIUTE 300
EUCLID, OH 44119
Cuyahoga County (216) 383-6090

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 1942229893. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Michael Cunningham located?

Michael Cunningham practices at 18599 Lake Shore Blvd, Cleveland, OH 44119. The listed phone number is (216) 844-8500.

What is Michael Cunningham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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 Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer 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 Parma Community General Hospital, Lake Health, Uh Cleveland Medical Center and University Hospitals Ahuja Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Cunningham was last updated on December 21, 2020. 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.