EMILY CUNNINGHAM
NPI 1982694139
Obstetrics & Gynecology in Waco, TX

Active since October 27, 2005PECOS Enrolled
77.5/100
CMS Quality Rating
120 HILLCREST MEDICAL BLVD, WACO, TX 76712(254) 313-6500 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 1, 2023, May 24, 2021 (2 updates tracked since 2021).

About Emily Cunningham NPPES

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

EMILY CUNNINGHAM (NPI 1982694139) is an individual obstetrics & gynecology provider in Waco, Texas, licensed in Kentucky (36519) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1982694139
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameEMILY CUNNINGHAM
Location Address120 HILLCREST MEDICAL BLVDWaco, TX 76712-8948
Mailing Address800 Rose St Rm C366Lexington, KY 40536-0293
Sole ProprietorNo
Enumeration DateOctober 27, 2005
Last NPPES UpdateMay 1, 20232 updates tracked since enumeration
NPPES CertifiedApril 21, 2023
✔ NPI 1982694139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in KY · 36519✔ Licensed in TX · J7293
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
120 HILLCREST MEDICAL BLVD, Waco, TX 76712

Secondary Practice Location 1

Location 1125 E Maxwell St, SUITE 140Lexington, KY 40508-2678 · Phone (859) 323-0005

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Federally Qualified Health Center (FQHC)
6500 IMPERIAL DR., STE 200
Waco, TX 76712
  • Reassigned Medicare billing, Texas enrollment
  • 166 clinicians in this Medicare group
Obstetrics & Gynecology
405 LONDONDERRY DR STE 106
Waco, TX 76712
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
Multi-Specialty
787 PARKWAY DR
Salyersville, KY 41465
  • Reassigned Medicare billing, Kentucky enrollment
  • 242 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 76712 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 17

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

Obstetrics & Gynecology
120 HILLCREST MEDICAL BLVD, SUITE 300
WACO, TX 76712
Physician Assistant
120 HILLCREST MEDICAL BLVD
WACO, TX 76712
Pediatrics
120 HILLCREST MEDICAL BLVD
WACO, TX 76712
Nurse Practitioner (Women's Health)
120 HILLCREST MEDICAL BLVD, OFFICE BUILDING II, STE 300
WACO, TX 76712
Pediatrics
120 HILLCREST MEDICAL BLVD, SUITE 200
WACO, TX 76712
Pediatrics
120 HILLCREST MEDICAL BLVD, OFFICE BUILDING 2, SUITE 200
WACO, TX 76712
Obstetrics & Gynecology
120 HILLCREST MEDICAL BLVD, OFFICE BUILDING II,STE 300
WACO, TX 76712
Nurse Practitioner (Pediatrics)
120 HILLCREST MEDICAL BLVD
WACO, TX 76712

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 Emily Cunningham's NPI number?

The NPI number for Emily Cunningham is 1982694139. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Emily Cunningham located?

Emily Cunningham practices at 120 Hillcrest Medical Blvd, Waco, TX 76712. The listed phone number is (254) 313-6500.

What is Emily Cunningham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Emily Cunningham enrolled in Medicare?

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

Which organizations bill Medicare for Emily Cunningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Cunningham reassigns Medicare benefits to 4 organizations: Heart Of Texas Community Health Center Inc (Waco, TX), Complete Women's Care, PLLC (Waco, TX), Kentucky Medical Services Foundation, Inc (Lexington, KY) and Arh Tug Valley Health Services, Inc. (Salyersville, KY). 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 Emily Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Cunningham accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Emily 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 Emily Cunningham was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.