Active NPI 1174621593 Individual Practitioner Male Practitioner

Dr. Mark Alan Cunningham , MD

Surgery • Fresno, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Cunningham, MD is a certified Surgery practicing in Fresno, CA. With approximately 35 years of clinical experience since completing medical education in 1991, Dr. Cunningham delivers high-quality medical care to the local community at 1125 EAST SPRUCE AVENUE.

Dr. Cunningham is affiliated with Community Health Partners and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of gallbladder using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1125 East Spruce Avenue
Suite 101

Fresno, CA 937203330

Telephone 5594503901

Fax 5594503903

Associated Practice Facility / Clinic

🏢 Valley Surgical Specialists Medical Grp Inc Facility NPI 1356425110

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fresno, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +11.5 yrs vs City Avg

City Avg: 23.5 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

73 Specialists

Practicing in Fresno, CA (3346 Statewide)

Telehealth Adoption Rate

23.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (35 Years) 35 Yrs

Fresno Specialty Average (23.5 Years) 23.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	54	$252.42	$91.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$460.32	$166.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	29	$357.64	$131.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	15	$159.42	$58.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$605.40	$222.99
47562 Removal of gallbladder using an endoscope	13	13	$1820.92	$634.76
49650 Repair of groin hernia using an endoscope	13	13	$1488.82	$454.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	58	$222.79	$93.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$428.16	$171.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	20	$131.60	$59.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$324.06	$132.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$286.74	$115.98
49650 Repair of groin hernia using an endoscope	13	13	$1420.52	$487.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	61	$281.13	$92.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$514.87	$169.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	41	$169.37	$57.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$348.26	$113.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$390.53	$128.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$678.56	$229.45
47562 Removal of gallbladder using an endoscope	15	15	$2013.00	$668.12
49568 Placement of mesh to repair incisional or abdominal hernia	12	11	$787.92	$247.96
49650 Repair of groin hernia using an endoscope	11	11	$1536.73	$413.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	73	$247.19	$94.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$497.07	$169.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$325.87	$114.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$159.36	$59.38
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$652.05	$222.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$368.10	$136.14
47562 Removal of gallbladder using an endoscope	14	14	$1976.57	$677.16
49650 Repair of groin hernia using an endoscope	13	13	$1454.92	$421.80
49568 Placement of mesh to repair incisional or abdominal hernia	11	11	$762.73	$268.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	146	109	$192.62	$78.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$427.00	$170.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$282.00	$114.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$537.00	$217.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$282.00	$110.21
49650 Repair of groin hernia using an endoscope	24	24	$1442.67	$491.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$115.00	$46.24
47562 Removal of gallbladder using an endoscope	17	17	$1843.00	$684.03
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$102.00	$79.50
49587 Repair of trapped hernia at navel patient age 5 years or older	12	12	$1201.00	$434.20
49568 Placement of mesh to repair incisional or abdominal hernia	11	11	$666.00	$274.83
49561 Repair of trapped incisional or abdominal hernia	11	11	$2307.00	$919.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	218	148	$192.00	$75.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$427.00	$167.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	50	50	$537.00	$212.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	41	$282.00	$110.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$282.00	$111.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	35	$115.00	$47.11
49650 Repair of groin hernia using an endoscope	27	27	$1522.81	$487.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	14	$187.00	$71.82
47562 Removal of gallbladder using an endoscope	23	23	$1778.91	$615.00
49568 Placement of mesh to repair incisional or abdominal hernia	20	20	$666.00	$267.94
49587 Repair of trapped hernia at navel patient age 5 years or older	13	13	$1201.00	$372.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$391.25	$138.94
49561 Repair of trapped incisional or abdominal hernia	12	12	$2307.00	$938.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	168	121	$192.00	$74.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$427.60	$168.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	72	72	$537.61	$206.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	56	$282.00	$108.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	28	$115.00	$43.37
49650 Repair of groin hernia using an endoscope	24	24	$1352.50	$475.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$378.00	$149.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$282.00	$105.82
47562 Removal of gallbladder using an endoscope	16	16	$1843.00	$659.91
49568 Placement of mesh to repair incisional or abdominal hernia	12	12	$666.00	$265.39
49561 Repair of trapped incisional or abdominal hernia	12	12	$2307.00	$890.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	169	122	$139.85	$75.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$310.23	$165.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	71	$205.15	$108.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	62	62	$378.74	$207.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	32	$259.82	$142.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$208.38	$108.43
47562 Removal of gallbladder using an endoscope	28	28	$1843.00	$652.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$86.04	$45.32
49568 Placement of mesh to repair incisional or abdominal hernia	26	25	$666.00	$249.03
49650 Repair of groin hernia using an endoscope	25	25	$1341.68	$445.84
49561 Repair of trapped incisional or abdominal hernia	19	18	$2307.00	$837.53

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G75261

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Community Health Partners

45 E River Park Pl W, Fresno, CA 937201565

Phone: 5593200530

Community Health Partners

45 E River Park Pl W, Fresno, CA 937201565

Community Health Partners

2755 Herndon Ave, Clovis, CA 936116800

Phone: 5593244000

Community Health Partners

782 Medical Ctr Dr E, Clovis, CA 936116890

Phone: 5592564111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Siew-Ming Lee , MD

Surgery

NPI 1568559342

Doctor of Medicine (M.D.)

Dr. Michael Maruyama , MD

Surgery

NPI 1649354408

Doctor of Medicine (M.D.)

Dr. Deborah Gumina , MD

Surgery

NPI 1679671002

Doctor of Medicine (M.D.)

Dr. Vassi Gardikas , MD

Surgery

NPI 1881792208

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 19, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 19, 2013

Registered at 1125 EAST SPRUCE AVENUE, SUITE 101, FRESNO, CA 937203330 (Tel: 5594503901)

📍

Updated Business Mailing Address February 19, 2013

Registered at 1125 EAST SPRUCE AVENUE, SUITE 101, FRESNO, CA 937203330 (Tel: 5594503901)

👤

Provider Name / Credentials Updated February 19, 2013

Recorded as MARK CUNNINGHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2013

Surgery (License #G75261 in CA)

🟢

Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174621593

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 20, 2006

Last Update: February 19, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1125 East Spruce Avenue, Suite 101

Fresno, CA 937203330

Phone: 5594503901

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.