Active NPI 1205902186 Individual Practitioner Female Practitioner

Dr. Ellen Cunningham , MD

Dermatology • Mishawaka, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ellen Cunningham, MD is a certified Dermatology practicing in Mishawaka, IN. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Cunningham delivers high-quality medical care to the local community at 1802 DAY RD.

Dr. Cunningham is affiliated with The South Bend Clinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1802 Day Rd

Mishawaka, IN 465454329

Telephone 5742047200

Fax 5742520633

Associated Practice Facility / Clinic

🏢 Mc Medical Group Llc Facility NPI 1174984967

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Mishawaka, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs -0.3 yrs vs City Avg

City Avg: 31.3 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Mishawaka, IN (235 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (31 Years) 31 Yrs

Mishawaka Specialty Average (31.3 Years) 31.3 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
17003 Destruction of precancer skin growth, 2-14 growths	648	119	$42.00	$6.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	420	226	$230.00	$116.97
17000 Destruction of skin growth	256	152	$150.00	$48.16
99213 Established patient office or other outpatient visit, typically 15 minutes	193	131	$214.00	$82.26
11102 Tangential biopsy of single skin lesion	177	139	$235.00	$84.21
17110 Destruction of up to 14 skin growths	72	54	$250.00	$100.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$260.00	$153.28
11103 Biopsy of related skin growth, each additional growth	50	38	$148.00	$44.71
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	31	28	$602.00	$270.18
11104 Punch biopsy, first skin growth	26	26	$301.00	$112.04
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	21	$490.00	$110.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$240.00	$100.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	212	41	$39.15	$6.31
99213 Established patient office or other outpatient visit, typically 15 minutes	153	99	$212.58	$85.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	87	$232.07	$121.65
17000 Destruction of skin growth	91	65	$135.77	$54.20
11102 Tangential biopsy of single skin lesion	84	74	$234.97	$90.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$240.00	$101.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$262.95	$157.14
17110 Destruction of up to 14 skin growths	31	21	$251.32	$109.64
11103 Biopsy of related skin growth, each additional growth	28	25	$148.00	$47.07
11104 Punch biopsy, first skin growth	19	19	$295.68	$119.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	966	388	$168.07	$102.83
17003 Destruction of precancer skin growth, 2-14 growths	699	147	$24.15	$8.10
17000 Destruction of skin growth	403	229	$177.62	$68.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	167	$249.91	$144.66
11102 Tangential biopsy of single skin lesion	229	179	$259.42	$117.38
17110 Destruction of up to 14 skin growths	165	100	$258.67	$132.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$250.26	$126.92
11103 Biopsy of related skin growth, each additional growth	55	43	$137.91	$60.41
11104 Punch biopsy, first skin growth	46	42	$234.40	$152.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$382.87	$188.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$99.72	$64.37
11900 Injection into skin growth, 1-7 growths	19	13	$128.78	$54.27
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	16	$714.31	$349.70
10040 Acne surgery	14	14	$237.10	$137.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	864	349	$163.24	$103.74
17003 Destruction of precancer skin growth, 2-14 growths	808	161	$21.15	$7.40
17000 Destruction of skin growth	384	208	$172.41	$67.50
11102 Tangential biopsy of single skin lesion	163	138	$124.47	$103.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	118	$237.65	$146.65
17110 Destruction of up to 14 skin growths	132	91	$251.82	$134.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$241.79	$127.63
11103 Biopsy of related skin growth, each additional growth	42	35	$50.58	$38.82
11900 Injection into skin growth, 1-7 growths	40	18	$136.11	$61.38
11104 Punch biopsy, first skin growth	32	31	$186.66	$155.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$98.47	$64.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$369.60	$189.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	622	304	$162.45	$84.31
17003 Destruction of precancer skin growth, 2-14 growths	577	119	$21.97	$6.99
17000 Destruction of skin growth	237	163	$170.64	$65.69
11102 Tangential biopsy of single skin lesion	105	94	$105.87	$102.83
17110 Destruction of up to 14 skin growths	100	69	$250.94	$127.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	72	$235.24	$123.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$239.19	$119.79
11900 Injection into skin growth, 1-7 growths	46	20	$134.38	$58.86
11104 Punch biopsy, first skin growth	29	27	$181.11	$147.10
11103 Biopsy of related skin growth, each additional growth	25	22	$37.23	$34.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	20	$96.76	$48.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	781	131	$20.94	$5.93
99213 Established patient office or other outpatient visit, typically 15 minutes	692	282	$162.50	$79.80
17000 Destruction of skin growth	318	180	$171.26	$62.48
11102 Tangential biopsy of single skin lesion	133	109	$105.18	$94.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	92	$235.24	$116.38
17110 Destruction of up to 14 skin growths	123	82	$250.94	$122.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$240.66	$116.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	27	$98.28	$49.19
11104 Punch biopsy, first skin growth	30	28	$182.22	$133.76
11103 Biopsy of related skin growth, each additional growth	24	20	$33.16	$31.66
11900 Injection into skin growth, 1-7 growths	19	13	$124.76	$45.27
17004 Destruction of precancer skin growth, 15 or more growths	18	15	$338.22	$167.16
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$684.78	$335.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	875	342	$150.78	$78.90
17003 Destruction of precancer skin growth, 2-14 growths	777	132	$14.90	$5.01
17000 Destruction of skin growth	320	177	$167.74	$63.92
11100 Biopsy of single growth of skin and/or tissue	167	144	$210.97	$111.23
17110 Destruction of up to 14 skin growths	153	95	$235.96	$125.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	75	$217.94	$116.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$212.40	$116.57
11900 Injection into skin growth, 1-7 growths	19	14	$116.94	$48.89
11101 Biopsy of each additional growth of skin and/or tissue	19	18	$70.73	$35.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$96.00	$47.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	759	330	$148.23	$78.10
17003 Destruction of precancer skin growth, 2-14 growths	581	116	$23.24	$6.05
17000 Destruction of skin growth	280	166	$167.04	$67.69
11100 Biopsy of single growth of skin and/or tissue	155	135	$202.44	$111.00
17110 Destruction of up to 14 skin growths	137	96	$233.46	$121.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$219.69	$115.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	43	$205.68	$114.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	34	$92.69	$47.04
11900 Injection into skin growth, 1-7 growths	19	16	$116.94	$54.40
11101 Biopsy of each additional growth of skin and/or tissue	17	16	$75.65	$35.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$354.59	$174.08

Medical Specialties & State Licenses

CMS Verified: 2025-04-22

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IN 01089272A

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

The South Bend Clinic Llc

1802 Day Rd, Mishawaka, IN 465454329

Phone: 5742047200

Secondary Practice Locations

2102 E Inwood Rd

South Bend, IN 466142443

Phone: 5742047200

Practice Associates & Co-Workers

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

7 Associated Practitioners

Natalie Emmert

Nurse Practitioner - Family

NPI 1285058081

Dr. Todd Rozycki , MD

Dermatology

NPI 1407846967

Doctor of Medicine (M.D.)

Gabriela Vettorello

Physician Assistant

NPI 1447121066

Jean Bahu , FNP-BC

Nurse Practitioner - Family

NPI 1669869954

Family Nurse Practitioner (Board Certified)

April Rozycki , FNP-BC

Nurse Practitioner - Family

NPI 1699009902

Family Nurse Practitioner (Board Certified)

Cynthia Seigel , FNP

Nurse Practitioner - Family

NPI 1740467539

Family Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 16, 2024

Registered at 1802 DAY RD, MISHAWAKA, IN 465454329 (Tel: 5742047200)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2024

Dermatology (License #01089272A in IN)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1425 POMPTON AVE, CEDAR GROVE, NJ 070091043 (Tel: 9737858686)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1425 POMPTON AVE, CEDAR GROVE, NJ 070091043 (Tel: 9737858686)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ELLEN CUNNINGHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dermatology (License #25MA07362900 in NJ)

🟢

Initial NPI Registration & Enumeration November 24, 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: 1205902186

Entity Type:

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

Enumeration Date: November 24, 2006

Last Update: April 22, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1425 Pompton Ave

Cedar Grove, NJ 070091043

Phone: 9737858686

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.