Active NPI 1346211703 Individual Practitioner Male Practitioner

Dr. James G Cunningham , MD

Orthopaedic Surgery • Greenwich, CT

Professional Overview & Biography Verified Profile Summary

Dr. James Cunningham, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Greenwich, CT. Practice services are available at 6 GREENWICH OFFICE PARK under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6 Greenwich Office Park

Greenwich, CT 068315151

Telephone 2038691145

Fax 2036181721

Associated Practice Facility / Clinic

🏢 Orthopaedic & Neurosurgery Specialists, Pllc Facility NPI 1033318720

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Greenwich, CT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 26.1 Yrs

State Avg: 30.5 Yrs

Regional Practice Density

16 Specialists

Practicing in Greenwich, CT (374 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	471	36	$95.00	$27.00
97140 Therapy procedure using manual technique, each 15 minutes	294	35	$89.00	$21.30
99213 Established patient office or other outpatient visit, typically 15 minutes	155	123	$232.00	$94.26
20610 Aspiration and/or injection of fluid from large joint	112	77	$470.98	$75.84
J1030 Injection, methylprednisolone acetate, 40 mg	69	53	$31.00	$7.72
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	56	16	$220.00	$127.51
73564 X-ray of knee, 4 or more views	54	46	$113.00	$50.06
73030 X-ray of shoulder, minimum of 2 views	49	37	$84.00	$37.60
97161 Evaluation of physical therapy, typically 20 minutes	19	19	$306.00	$108.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$345.00	$118.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	785	56	$59.52	$28.74
97140 Therapy procedure using manual technique, each 15 minutes	478	54	$49.74	$23.02
99213 Established patient office or other outpatient visit, typically 15 minutes	375	248	$220.68	$98.79
20610 Aspiration and/or injection of fluid from large joint	330	173	$159.49	$76.41
J1030 Injection, methylprednisolone acetate, 40 mg	221	153	$18.50	$6.07
73564 X-ray of knee, 4 or more views	164	136	$128.23	$52.61
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	143	38	$201.69	$130.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$274.68	$121.80
73030 X-ray of shoulder, minimum of 2 views	93	75	$107.17	$39.19
97161 Evaluation of physical therapy, typically 20 minutes	49	47	$297.46	$111.76
73721 Mri scan of leg joint without contrast	36	36	$566.79	$240.74
73221 Mri scan of arm joint without contrast	22	22	$624.12	$240.98
97530 Therapy procedure using functional activities	20	14	$125.54	$35.26
73502 X-ray of hip, 2-3 views	15	15	$127.82	$53.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$661.49	$138.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	683	50	$32.77	$29.69
97140 Therapy procedure using manual technique, each 15 minutes	543	50	$29.96	$23.80
99213 Established patient office or other outpatient visit, typically 15 minutes	441	273	$98.63	$98.84
20610 Aspiration and/or injection of fluid from large joint	319	184	$87.30	$74.56
J1030 Injection, methylprednisolone acetate, 40 mg	224	164	$5.80	$5.64
73564 X-ray of knee, 4 or more views	160	138	$57.41	$51.82
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	122	31	$156.31	$132.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$123.37	$122.59
73030 X-ray of shoulder, minimum of 2 views	87	72	$38.19	$38.69
97161 Evaluation of physical therapy, typically 20 minutes	46	43	$107.96	$109.41
73721 Mri scan of leg joint without contrast	27	25	$277.05	$253.50
73221 Mri scan of arm joint without contrast	12	12	$250.86	$254.38
72040 X-ray of upper spine, 2-3 views	11	11	$43.49	$44.07
73502 X-ray of hip, 2-3 views	11	11	$70.33	$53.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	438	38	$31.86	$28.53
97140 Therapy procedure using manual technique, each 15 minutes	354	35	$28.81	$22.92
99213 Established patient office or other outpatient visit, typically 15 minutes	326	192	$79.11	$76.47
J1100 Injection, dexamethasone sodium phosphate, 1 mg	322	63	$0.14	$0.12
20610 Aspiration and/or injection of fluid from large joint	246	132	$77.72	$67.50
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	102	28	$149.79	$136.58
73564 X-ray of knee, 4 or more views	87	78	$49.23	$43.88
J1030 Injection, methylprednisolone acetate, 40 mg	81	66	$6.24	$5.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$119.78	$111.11
73030 X-ray of shoulder, minimum of 2 views	57	45	$38.22	$32.33
97530 Therapy procedure using functional activities	42	15	$41.90	$37.24
97161 Evaluation of physical therapy, typically 20 minutes	33	32	$88.28	$88.23
73221 Mri scan of arm joint without contrast	16	16	$246.41	$243.43
73721 Mri scan of leg joint without contrast	15	15	$295.19	$242.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	941	58	$32.09	$27.81
97140 Therapy procedure using manual technique, each 15 minutes	703	58	$29.08	$21.54
J1100 Injection, dexamethasone sodium phosphate, 1 mg	567	146	$0.12	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	403	243	$85.86	$75.45
20610 Aspiration and/or injection of fluid from large joint	287	165	$75.97	$64.26
73564 X-ray of knee, 4 or more views	103	90	$51.75	$42.71
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	79	23	$142.60	$134.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$125.85	$109.89
73030 X-ray of shoulder, minimum of 2 views	63	53	$35.58	$31.48
97530 Therapy procedure using functional activities	62	25	$41.86	$37.95
97161 Evaluation of physical therapy, typically 20 minutes	49	44	$87.83	$87.10
73721 Mri scan of leg joint without contrast	19	19	$248.66	$244.34
73221 Mri scan of arm joint without contrast	16	16	$247.50	$244.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	623	36	$32.51	$27.60
97140 Therapy procedure using manual technique, each 15 minutes	459	35	$29.33	$21.90
J1100 Injection, dexamethasone sodium phosphate, 1 mg	409	98	$0.12	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	372	236	$84.10	$74.43
20610 Aspiration and/or injection of fluid from large joint	227	157	$74.33	$62.20
73564 X-ray of knee, 4 or more views	99	86	$46.91	$41.39
J1030 Injection, methylprednisolone acetate, 40 mg	74	63	$6.48	$6.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$124.47	$110.90
97530 Therapy procedure using functional activities	70	14	$41.45	$39.17
73030 X-ray of shoulder, minimum of 2 views	60	52	$35.01	$31.13
97161 Evaluation of physical therapy, typically 20 minutes	30	28	$86.88	$85.69
73721 Mri scan of leg joint without contrast	18	18	$252.16	$248.12
73221 Mri scan of arm joint without contrast	18	18	$252.23	$248.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	686	51	$37.38	$27.86
97140 Therapy procedure using manual technique, each 15 minutes	498	49	$34.54	$21.87
99213 Established patient office or other outpatient visit, typically 15 minutes	404	234	$84.30	$74.32
20610 Aspiration and/or injection of fluid from large joint	198	135	$75.02	$63.15
J1030 Injection, methylprednisolone acetate, 40 mg	175	130	$5.46	$5.34
73564 X-ray of knee, 4 or more views	85	79	$48.29	$41.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$129.20	$109.78
73030 X-ray of shoulder, minimum of 2 views	59	46	$35.22	$30.11
97530 Therapy procedure using functional activities	47	16	$38.35	$32.87
97161 Evaluation of physical therapy, typically 20 minutes	44	42	$99.80	$81.20

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CT 029791

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare

200026663 (CT)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Sabrina Douglass

Physical Therapist

NPI 1003459579

Dr. Mark Vitale , MD, MPH

Orthopaedic Surgery - Hand Surgery

NPI 1013174697

Doctor of Medicine (M.D.), Master of Public Health

Dr. Elizabeth Graveline , DPT

Physical Therapist

NPI 1013367796

Doctor of Physical Therapy

Dr. Jonathan Berliner , MD

Orthopaedic Surgery

NPI 1063706232

Doctor of Medicine (M.D.)

Deanna Dichello , PT, MMSC

Physical Therapist

NPI 1073682571

Physical Therapist, MMSC

Tara O'connor , PTA

Physical Therapy Assistant

NPI 1083008486

Physical Therapist Assistant

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 27, 2017

Registered at 6 GREENWICH OFFICE PARK, GREENWICH, CT 068315151 (Tel: 2038691145)

📍

Updated Business Mailing Address February 27, 2017

Registered at 6 GREENWICH OFFICE PARK, GREENWICH, CT 068315151 (Tel: 2038691145)

👤

Provider Name / Credentials Updated February 27, 2017

Recorded as JAMES CUNNINGHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2017

Orthopaedic Surgery (License #029791 in CT)

✅

NPI Profile Active January 21, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 21, 2008

Registered at 6 GREENWICH OFFICE PARK, GREENWICH, CT 068315151 (Tel: 2038691147)

📍

Updated Business Mailing Address January 21, 2008

Registered at 6 GREENWICH OFFICE PARK, GREENWICH, CT 068315151 (Tel: 2038691147)

👤

Provider Name / Credentials Updated January 21, 2008

Recorded as JAMES CUNNINGHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2008

Orthopaedic Surgery (License #029791 in CT)

🟢

Initial NPI Registration & Enumeration February 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1346211703

Entity Type:

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

Enumeration Date: February 01, 2006

Last Update: February 27, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6 Greenwich Office Park

Greenwich, CT 068315151

Phone: 2038691145

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.