1. Home
  2. Directory
  3. Virginia
  4. Alexandria
  5. Obstetrics Gynecology
  6. NPI Profile

DR. THELMA DENISE CUNNINGHAM MD
NPI 1992879522
Obstetrics & Gynecology in Alexandria, VA

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
92.73/100
CMS Quality Rating
4660 KENMORE AVE, 902, ALEXANDRIA, VA 22304(703) 370-4300(703) 370-0044 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thelma Denise Cunningham Md NPPES

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

DR. THELMA DENISE CUNNINGHAM MD (NPI 1992879522) is an individual obstetrics & gynecology provider in Alexandria, Virginia, licensed in Virginia (0101236221) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of Georgetown University School Of Medicine (1995).

NPPES Registry Identity

NPI1992879522
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. THELMA DENISE CUNNINGHAMCredential: MD
Location Address4660 KENMORE AVE, 902Alexandria, VA 22304-1313
Mailing Address3122 Batter Sea LnAlexandria, VA 22309-2104 · (703) 619-6479
Phone(703) 370-4300
Fax(703) 370-0044
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1995
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1992879522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in VA · 0101236221
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.
4660 KENMORE AVE, Alexandria, VA 22304
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINI08211VA
Medicare ID-Type Unspecified014369T52VA

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

Dr. Thelma Denise 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 ID4284613738
PECOS Enrollment IDI20040717000139, I20210217000356
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 6

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
89 services89 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
29 services29 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.
23 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 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.
16 services14 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Sentara Northern Virginia Medical Center

Acute Care Hospitals · Woodbridge, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490113
Location2300 Opitz BoulevardWoodbridge, VA 22191 · Prince William County
Emergency services Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22304 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

92.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.3
Improvement Activities40
Cost79.36

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
79%466 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
97%1,702 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
83%1,751 patients2/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
87%287 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%572 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
29%3,407 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
39%1,842 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 96% · 1,575 patients
93%1,575 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%3,407 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
87%3,407 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
85%3,407 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. KENNETH MICHAEL AHDOOT MD
Obstetrics & Gynecology
4660 KENMORE AVE, SUITE #902
ALEXANDRIA, VA 22304
Alexandria City (703) 370-4300
STEFANO FRANCO AGOLINI
Surgery
4660 KENMORE AVE, SUITE 419
ALEXANDRIA, VA 22304
Alexandria City (703) 823-4066
KELLY L COOPER PT
Physical Therapist
4660 KENMORE AVE, SUITE 420
ALEXANDRIA, VA 22304
Alexandria City (703) 751-1008
NIYADELL, INC
Technician/Technologist (Optician)
4660 KENMORE AVE, SUITE 101
ALEXANDRIA, VA 22304
Alexandria City (703) 751-2800
GEORGE W TAWIL MD
Urology
4660 KENMORE AVE, SUITE 735
ALEXANDRIA, VA 22304
Alexandria City (703) 370-2132
COMPUTED TOMOGRAPHY ASSOCIATES
Radiology (Diagnostic Radiology)
4660 KENMORE AVE, SUITE 608
ALEXANDRIA, VA 22304
Alexandria City (703) 824-3260
MS. GINA KARLIN HALDEMAN CNM
Nurse Practitioner (Obstetrics & Gynecology)
4660 KENMORE AVE, #902
ALEXANDRIA, VA 22304
Alexandria City (703) 370-4300
DR. KRISTINA KATHLEEN HIBSHMAN M.D.
Obstetrics & Gynecology
4660 KENMORE AVE, SUITE 1100
ALEXANDRIA, VA 22304
Alexandria City (703) 370-0400

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 Thelma Cunningham's NPI number?

The NPI number for Thelma Cunningham is 1992879522. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Thelma Cunningham located?

Thelma Cunningham practices at 4660 Kenmore Ave 902, Alexandria, VA 22304. The listed phone number is (703) 370-4300.

What is Thelma Cunningham's specialty?

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

Is Thelma Cunningham enrolled in Medicare?

Yes. Thelma 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 Thelma Cunningham affiliated with any hospitals?

According to CMS data, Thelma Cunningham is affiliated with Virginia Hospital Center, Sentara Northern Virginia Medical Center and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Thelma Cunningham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.