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CATHERINE CUNNINGHAM MD
NPI 1982009486
Psychiatry & Neurology - Psychiatry in Lakewood, NJ

Active since October 27, 2014PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
600 RIVER AVE, LAKEWOOD, NJ 08701(732) 886-4474 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Catherine Cunningham Md NPPES

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

CATHERINE CUNNINGHAM MD (NPI 1982009486) is an individual psychiatry provider in Lakewood, New Jersey, licensed in New Jersey (25MA10251000) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Southern Ocean Medical Center, and maintains a secondary practice location in Manahawkin.

NPPES Registry Identity

NPI1982009486
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameCATHERINE CUNNINGHAMCredential: MD
Location Address600 RIVER AVELakewood, NJ 08701-5237
Mailing Address600 River AveLakewood, NJ 08701-5237 · (732) 886-4474
Phone(732) 886-4474
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2014
Enumeration DateOctober 27, 2014
Last NPPES UpdateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1982009486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NJ · 25MA10251000
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
600 RIVER AVE, Lakewood, NJ 08701
Open in Google Maps ↗

Secondary Practice Location 1

Location 124 Nautilus Dr Ste 2Manahawkin, NJ 08050-2490 · Phone (609) 978-3170

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

Catherine 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 ID2264786474
PECOS Enrollment IDI20181106002570
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 5

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.

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.
95 services50 patients
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.
47 services29 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.
33 services19 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.
32 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08701 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
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.5
Promoting Interoperability100
Improvement Activities40
Cost60.9

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.

KIMBALL MEDICAL CENTER HOUSE STAFF/EKG
Internal Medicine (Cardiovascular Disease)
600 RIVER AVE
LAKEWOOD, NJ 08701
Ocean County (732) 886-4443
KIMBALL MEDICAL CENTER, INC
Pediatrics
600 RIVER AVE
LAKEWOOD, NJ 08701
Ocean County (732) 363-1900
KATE BIANCHINI APN
Nurse Practitioner (Family)
600 RIVER AVE
LAKEWOOD, NJ 08701
Ocean County (732) 773-5340
JOHN SOLAS DO
Emergency Medicine
600 RIVER AVE, KIMBALL MEDICAL CENTER
LAKEWOOD, NJ 08701
Ocean County (732) 363-1900
GOWRI RAJESWARAN MD
Emergency Medicine
600 RIVER AVE, KIMBALL MEDICAL CENTER
LAKEWOOD, NJ 08701
Ocean County (732) 222-5200
HEATHER NOELLE ZWEIDINGER APN
Nurse Practitioner
600 RIVER AVE
LAKEWOOD, NJ 08701
Ocean County (732) 806-3210
DEBRA SAUNDERS APN-C
Nurse Practitioner (Family)
600 RIVER AVE
LAKEWOOD, NJ 08701
Ocean County (732) 886-4525
MRS. ANA FILIPA STEUSSING NP-C
Nurse Practitioner (Family)
600 RIVER AVE
LAKEWOOD, NJ 08701
Ocean County (732) 886-4525

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 Catherine Cunningham's NPI number?

The NPI number for Catherine Cunningham is 1982009486. It was assigned to this individual provider in the NPPES registry on October 27, 2014.

Where is Catherine Cunningham located?

Catherine Cunningham practices at 600 River Ave, Lakewood, NJ 08701. The listed phone number is (732) 886-4474.

What is Catherine Cunningham's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Catherine Cunningham enrolled in Medicare?

Yes. Catherine 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.

Is Catherine Cunningham affiliated with any hospitals?

According to CMS data, Catherine Cunningham is affiliated with Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Catherine Cunningham was last updated on March 24, 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.