Active NPI 1821034125 Individual Practitioner Male Practitioner

Dr. Thomas M Cunningham , MD

Specialist • Sebastopol, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Cunningham, MD is a certified Specialist practicing in Sebastopol, CA. With approximately 48 years of clinical experience since graduating from Creighton University School Of Medicine in 1978, Dr. Cunningham delivers high-quality medical care to the local community at 7442 PALM AVE.

Dr. Cunningham is affiliated with Aretaeus Telemedicine Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, ultrasound of heart with color-depicted blood flow, rate, direction and valve function, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7442 Palm Ave

Sebastopol, CA 954724331

Telephone 7073189256

Fax 7078233956

Medicare Profile & Education

Medical School

Creighton University School Of Medicine

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Sebastopol, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs Matches City Avg

City Avg: 48.0 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Sebastopol, CA (6446 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

46.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (48 Years) 48 Yrs

Sebastopol Specialty Average (48.0 Years) 48.0 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	448	220	$150.66	$121.66
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	240	233	$219.73	$71.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	199	194	$232.39	$178.28
93308 Ultrasound of heart, follow-up	32	29	$75.00	$25.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$326.00	$144.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	398	200	$148.05	$124.07
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	337	334	$225.00	$71.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	240	222	$225.00	$181.07
93308 Ultrasound of heart, follow-up	26	25	$75.00	$25.93
99291 Critical care, first 30-74 minutes	25	16	$300.00	$219.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	475	467	$225.00	$74.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	300	151	$125.00	$107.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	245	228	$225.00	$207.83
99226 Subsequent observation care, typically 35 minutes per day	30	30	$150.00	$105.91
93308 Ultrasound of heart, follow-up	16	16	$75.00	$26.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	587	560	$40.01	$8.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	444	259	$150.00	$141.47
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	390	387	$227.15	$75.15
99213 Established patient office or other outpatient visit, typically 15 minutes	164	116	$125.00	$99.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	147	146	$225.00	$210.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	109	70	$125.00	$108.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	96	77	$200.00	$196.77
93000 Routine ekg using at least 12 leads including interpretation and report	80	64	$75.00	$16.30
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	63	59	$505.00	$233.70
93280 Programming of dual lead pacemaker system	42	27	$220.00	$88.49
99441 Telephone medical discussion with physician, 5-10 minutes	22	19	$84.09	$62.08
93288 Evaluation of single, dual, multiple lead or leadless pacemaker system	20	16	$145.00	$62.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	720	661	$39.82	$9.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	506	280	$149.79	$117.88
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	262	253	$226.07	$78.71
99213 Established patient office or other outpatient visit, typically 15 minutes	221	146	$124.91	$81.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	140	107	$199.89	$157.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	129	60	$125.00	$110.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	103	102	$225.00	$214.59
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	96	89	$499.17	$231.10
93280 Programming of dual lead pacemaker system	61	33	$220.00	$79.64
93000 Routine ekg using at least 12 leads including interpretation and report	60	51	$75.00	$18.63
99441 Telephone medical discussion with physician, 5-10 minutes	40	33	$70.63	$49.30
93290 Evaluation of implantable heart and blood vessel monitoring system	36	14	$85.00	$46.48
99358 Prolonged patient service without direct patient contact first hour	30	29	$150.00	$118.78
93289 Evaluation of single, dual, or multiple lead implantable defibrillator system	29	14	$155.00	$73.20
93288 Evaluation of single, dual, multiple lead or leadless pacemaker system	24	17	$145.00	$55.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	14	$100.00	$48.75
0298T Review and interpretation of external EKG recording for more than 48 hours up to 21 days	15	15	$75.00	$27.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$250.00	$223.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	665	355	$135.00	$114.89
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	452	370	$39.64	$8.78
99213 Established patient office or other outpatient visit, typically 15 minutes	269	174	$105.00	$78.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	180	132	$183.72	$152.13
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	170	164	$200.73	$76.71
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	131	124	$505.00	$227.28
93000 Routine ekg using at least 12 leads including interpretation and report	109	82	$75.00	$18.21
93280 Programming of dual lead pacemaker system	76	40	$220.00	$69.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	61	26	$125.00	$107.09
99358 Prolonged patient service without direct patient contact first hour	50	45	$120.00	$115.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	43	$225.00	$208.28
93290 Evaluation of implantable heart and blood vessel monitoring system	37	17	$85.00	$35.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$235.00	$216.15
93289 Evaluation of single, dual, or multiple lead implantable defibrillator system	31	14	$155.00	$56.25
93288 Evaluation of single, dual, multiple lead or leadless pacemaker system	25	16	$145.00	$47.97
0298T Review and interpretation of external EKG recording for more than 48 hours up to 21 days	24	23	$75.00	$27.74
0296T External EKG recording for more than 48 hours up to 21 days	17	17	$50.00	$29.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$65.00	$48.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	719	377	$135.00	$112.82
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	480	379	$38.38	$8.72
99213 Established patient office or other outpatient visit, typically 15 minutes	291	206	$105.00	$76.61
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	175	166	$503.40	$225.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	146	33	$125.00	$107.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	145	113	$183.00	$152.00
93000 Routine ekg using at least 12 leads including interpretation and report	134	106	$75.00	$17.88
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	116	107	$202.09	$76.21
93280 Programming of dual lead pacemaker system	79	40	$220.00	$61.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	48	$225.00	$208.22
93290 Evaluation of implantable heart and blood vessel monitoring system	47	20	$85.00	$34.97
93289 Evaluation of single, dual, or multiple lead implantable defibrillator system	38	20	$155.00	$55.86
0298T Review and interpretation of external EKG recording for more than 48 hours up to 21 days	35	33	$75.00	$27.91
99358 Prolonged patient service without direct patient contact first hour	35	32	$120.00	$114.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$235.00	$214.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$175.00	$171.66
0296T External EKG recording for more than 48 hours up to 21 days	23	23	$50.00	$29.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$65.00	$46.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	729	375	$135.05	$107.96
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	455	373	$38.33	$8.42
99213 Established patient office or other outpatient visit, typically 15 minutes	255	178	$105.00	$73.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	173	136	$183.84	$144.98
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	160	147	$505.00	$237.38
93000 Routine ekg using at least 12 leads including interpretation and report	143	115	$75.00	$17.20
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	136	135	$198.77	$63.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	135	51	$125.00	$103.41
93280 Programming of dual lead pacemaker system	98	46	$220.00	$59.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	52	$225.00	$200.61
93290 Evaluation of implantable heart and blood vessel monitoring system	35	19	$85.00	$27.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	12	$100.00	$71.61
93289 Evaluation of single, dual, or multiple lead implantable defibrillator system	25	15	$155.00	$64.17
0298T Review and interpretation of external EKG recording for more than 48 hours up to 21 days	23	20	$75.00	$27.73
93279 Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report	22	14	$235.00	$51.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$235.00	$206.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$175.00	$164.04
99358 Prolonged patient service without direct patient contact first hour	14	14	$120.00	$110.87
0296T External EKG recording for more than 48 hours up to 21 days	12	11	$50.00	$27.34
93288 Evaluation of single, dual, multiple lead or leadless pacemaker system	12	11	$145.00	$37.53

Medical Specialties & State Licenses

CMS Verified: 2024-01-06

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA G40423

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G404230 (CA)

Hospital & Practice Group Affiliations

Aretaeus Telemedicine Inc

1 Madrone St, Willits, CA 954904225

Phone: 7074596801

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 06, 2024

Registered at 7442 PALM AVE, SEBASTOPOL, CA 954724331 (Tel: 7073189256)

📍

Updated Business Mailing Address January 06, 2024

Registered at 7442 PALM AVE, SEBASTOPOL, CA 954724331 (Tel: 7073189256)

✅

NPI Profile Active June 24, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 24, 2010

Registered at 652 PETALUMA AVE, STE. G, SEBASTOPOL, CA 954724256 (Tel: 7078238708)

📍

Updated Business Mailing Address June 24, 2010

Registered at 652 PETALUMA AVE, STE. G, SEBASTOPOL, CA 954724256 (Tel: 7078238708)

👤

Provider Name / Credentials Updated June 24, 2010

Recorded as THOMAS CUNNINGHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2010

Specialist (License #G40423 in CA)

🟢

Initial NPI Registration & Enumeration June 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Thomas Cunningham. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1821034125

Entity Type:

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

Enumeration Date: June 22, 2006

Last Update: January 06, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

7442 Palm Ave

Sebastopol, CA 954724331

Phone: 7073189256

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.