Active NPI 1891763553 Individual Practitioner Female Practitioner

Dr. Elizabeth A Cunningham , MD

Surgery • Napa, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Elizabeth Cunningham, MD is a certified Surgery practicing in Napa, CA. With approximately 40 years of clinical experience since graduating from Georgetown University School Of Medicine in 1986, Dr. Cunningham delivers high-quality medical care to the local community at 4 FINANCIAL PLZ.

Dr. Cunningham is affiliated with Bass Medical Group and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

4 Financial Plz

Napa, CA 945583043

Telephone 7072667051

Fax 7072667052

Associated Practice Facility / Clinic

🏢 Napa Surgical Specialists Llc Facility NPI 1598518748

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Napa, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +3.7 yrs vs City Avg

City Avg: 36.3 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

8 Specialists

Practicing in Napa, CA (3346 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (40 Years) 40 Yrs

Napa Specialty Average (36.3 Years) 36.3 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	46	$635.00	$203.34
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$770.00	$245.81
19301 Partial removal of breast	23	22	$1830.96	$358.62
38900 Lymph node imaging during surgery	17	17	$427.00	$138.94
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	17	17	$1244.00	$251.77
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	14	14	$3507.00	$953.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	43	$635.00	$199.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$770.00	$242.40
19301 Partial removal of breast	25	24	$1827.84	$406.17
76098 X-ray of surgical specimen	21	20	$60.00	$16.27
38900 Lymph node imaging during surgery	19	19	$427.00	$138.87
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	19	19	$1244.00	$248.63
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	11	11	$3570.82	$950.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	42	$635.00	$199.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$770.00	$241.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$585.00	$183.88
19301 Partial removal of breast	13	13	$1792.00	$398.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$460.00	$142.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	83	58	$610.06	$201.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$757.67	$245.12
19301 Partial removal of breast	23	21	$1830.96	$407.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$579.60	$179.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$432.92	$145.03
38900 Lymph node imaging during surgery	12	12	$427.00	$142.70
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1244.00	$247.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	111	66	$497.00	$162.30
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$696.00	$230.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$558.00	$184.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$372.00	$119.97
76098 X-ray of surgical specimen	19	16	$60.00	$17.40
38900 Lymph node imaging during surgery	16	15	$440.38	$151.09
19301 Partial removal of breast	16	16	$1848.00	$447.12
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	14	$1285.47	$264.80
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	11	11	$3507.00	$843.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	147	92	$497.00	$160.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	52	52	$696.00	$229.17
19301 Partial removal of breast	18	18	$1792.00	$350.11
76098 X-ray of surgical specimen	18	18	$60.00	$8.82
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$1244.00	$236.94
38900 Lymph node imaging during surgery	13	13	$427.00	$143.64
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	12	12	$2460.00	$604.01
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	11	11	$2468.00	$771.83
76642 Limited ultrasound scan of 1 breast	11	11	$336.00	$96.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	125	67	$497.00	$162.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	46	46	$696.00	$229.75
76098 X-ray of surgical specimen	31	28	$60.00	$8.81
19301 Partial removal of breast	30	29	$1851.73	$423.57
76642 Limited ultrasound scan of 1 breast	27	26	$324.00	$103.01
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	19	19	$1309.47	$261.10
38900 Lymph node imaging during surgery	19	19	$449.53	$150.57
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	17	16	$2468.00	$818.11
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	15	14	$2460.00	$635.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$372.00	$121.91
76998 Ultrasonic guidance during surgery	13	12	$206.00	$65.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$558.00	$173.53
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	13	13	$3507.00	$941.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	79	55	$497.00	$163.17
76642 Limited ultrasound scan of 1 breast	33	32	$300.00	$106.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$558.00	$183.40
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	$696.00	$230.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$372.00	$121.98
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	12	12	$2468.00	$822.09

Medical Specialties & State Licenses

CMS Verified: 2025-01-02

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA C52928

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

Bass Medical Group

4 Financial Plz, Napa, CA 945583043

Phone: 9259326330

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Nicolas Wozmak , MD

Anesthesiology

NPI 1467619353

Doctor of Medicine (M.D.)

Dr. Lawrence Goldstein , MD

Surgery - Vascular Surgery

NPI 1972571636

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location February 11, 2021

Registered at 4 FINANCIAL PLZ, NAPA, CA 945583043 (Tel: 7072667051)

📍

Updated Business Mailing Address February 11, 2021

Registered at 4 FINANCIAL PLZ, NAPA, CA 945583043 (Tel: 7072667051)

✅

NPI Profile Active August 28, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address August 28, 2017

Registered at 2637 SHADELANDS DR, WALNUT CREEK, CA 945982512 (Tel: 9259488143)

📍

Updated Practice Location August 28, 2017

Registered at 3443 VILLA LN, SUITE 3, NAPA, CA 945586417 (Tel: 7072262031)

👤

Provider Name / Credentials Updated August 28, 2017

Recorded as ELIZABETH CUNNINGHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2017

Surgery (License #C52928 in CA)

✅

NPI Profile Active January 20, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 20, 2011

Registered at 3443 VILLA LN, SUITE 3, NAPA, CA 945586417 (Tel: 7072262031)

📍

Updated Business Mailing Address January 20, 2011

Registered at 3443 VILLA LN, SUITE 3, NAPA, CA 945586417 (Tel: 7072262031)

👤

Provider Name / Credentials Updated January 20, 2011

Recorded as ELIZABETH CUNNINGHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2011

Surgery (License #C52928 in CA)

🟢

Initial NPI Registration & Enumeration March 09, 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: 1891763553

Entity Type:

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

Enumeration Date: March 09, 2006

Last Update: January 02, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4 Financial Plz

Napa, CA 945583043

Phone: 7072667051

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.