MR. PAUL R CUNNINGHAM MD
NPI 1962477935
Family Medicine in Sequim, WA

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
808 N 5TH AVE, SEQUIM, WA 98382(360) 683-5900(360) 582-4800 Get Directions Write a Review

NPPES record last updated: November 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Paul R Cunningham Md NPPES

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

MR. PAUL R CUNNINGHAM MD (NPI 1962477935) is an individual family medicine provider in Sequim, Washington, licensed in Washington (MD00040246) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Olympic Medical Center, and is a graduate of University Of Washington School Of Medicine (1999).

NPPES Registry Identity

NPI1962477935
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. PAUL R CUNNINGHAMCredential: MD
Location Address808 N 5TH AVESequim, WA 98382-3045
Mailing Address808 N 5th AveSequim, WA 98382-3045 · (360) 683-5900 · Fax (360) 582-4800
Fax(360) 582-4800
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1999
Enumeration DateFebruary 22, 2006
Last NPPES UpdateNovember 2, 2010
NPI 1962477935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD00040246
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.
808 N 5TH AVE, Sequim, WA 98382

Other Identifiers 4

Other501872WI · Gp# Part A United Governm
Medicare UPINH23779
Medicaid8320723WA
Medicare ID-Type Unspecified8852949WA

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

Mr. Paul R 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 ID9436057718
PECOS Enrollment IDI20031223000533, I20050614000634
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 2

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
28 services27 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500072
Location939 Caroline StPort Angeles, WA 98362 · Clallam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98382 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$6.24 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims1,980 services$0.48 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier14 claims300 services$11.19 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier14 claims65 services$278.52 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier14 claims65 services$24.90 avg. paid by Medicare
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier12 claims24 services$777.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
808 N 5TH AVE
SEQUIM, WA 98382
Family Medicine
808 N 5TH AVE
SEQUIM, WA 98382
Family Medicine
808 N 5TH AVE
SEQUIM, WA 98382
Family Medicine
808 N 5TH AVE
SEQUIM, WA 98382
Physician Assistant
808 N 5TH AVE
SEQUIM, WA 98382
Family Medicine
808 N 5TH AVE
SEQUIM, WA 98382
Clinic/Center (Federally Qualified Health Center (FQHC))
808 N 5TH AVE
SEQUIM, WA 98382
Counselor (Addiction (Substance Use Disorder))
808 N 5TH AVE
SEQUIM, WA 98382

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 Paul Cunningham's NPI number?

The NPI number for Paul Cunningham is 1962477935. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Paul Cunningham located?

Paul Cunningham practices at 808 N 5th Ave, Sequim, WA 98382. The listed phone number is (360) 683-5900.

What is Paul Cunningham's specialty?

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

Is Paul Cunningham enrolled in Medicare?

Yes. Paul 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 Paul Cunningham accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Paul 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 Paul Cunningham affiliated with any hospitals?

According to CMS data, Paul Cunningham is affiliated with Olympic Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Cunningham was last updated on November 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.