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Active NPI 1619009537 Individual Practitioner Male Practitioner

Dr. Brian Harold Cunningham , MD

Emergency Medicine • Waterloo, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Cunningham, MD is a certified Emergency Medicine practicing in Waterloo, IA. With approximately 22 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 2004, Dr. Cunningham delivers high-quality medical care to the local community at 1825 LOGAN AVE.

Dr. Cunningham is affiliated with Nebraska Orthopaedic Hospital Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1825 Logan Ave
Emergency Department

Waterloo, IA 507031916

Telephone 3192353697
Fax 3192353844
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Waterloo, IA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +5.1 yrs vs City Avg
City Avg: 16.9 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
19 Specialists

Practicing in Waterloo, IA (528 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (22 Years) 22 Yrs
Waterloo Specialty Average (16.9 Years) 16.9 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
99285 Emergency department visit for life threatening or functioning severity
116 113 $530.26 $158.54
99284 Emergency department visit with moderate level of medical decision making
97 97 $346.82 $109.48
99283 Emergency department visit with low level of medical decision making
27 26 $221.00 $64.35

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License IA 37170

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine - Emergency Medical Services

NUCC Taxonomy Code: 207PE0004X

State License NE TEP 5009

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0798371 (IA)
Commercial Insurance / Payer ID Railroad Medicare Group Number
CP7479
Commercial Insurance / Payer ID Wellmark Bc/bs Iowa
70036 (IA)
Commercial Insurance / Payer ID Railroad Medicare Ptan
P00465295

Hospital & Practice Group Affiliations

Nebraska Orthopaedic Hospital Llc

2727 S 144th St, Omaha, NE 681445225

Phone: 4026091500

Practice Associates & Co-Workers

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

19 Associated Practitioners
Dr. Kendall Kurt , MD

Emergency Medicine

NPI 1205826443

Doctor of Medicine (M.D.)

Amber Heller , NP

Nurse Practitioner - Acute Care

NPI 1316208663

Nurse Practitioner

Dr. Edward Herold , DO

Emergency Medicine

NPI 1326026279

Doctor of Osteopathic Medicine (D.O.)

Brittany Schmitz , PA-C

Physician Assistant

NPI 1396908083

Physician Assistant (Certified)

Dr. Robert Dekoster , MD

Emergency Medicine

NPI 1417926643

Doctor of Medicine (M.D.)

NPI 1447559893

Doctor of Medicine (M.D.), JD

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 21, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2009

Registered at 1825 LOGAN AVE, EMERGENCY DEPARTMENT, WATERLOO, IA 507031916 (Tel: 3192353697)

📍
Updated Business Mailing Address April 21, 2009

Registered at 1825 LOGAN AVE, EMERGENCY DEPARTMENT, WATERLOO, IA 507031916 (Tel: 3192353697)

👤
Provider Name / Credentials Updated April 21, 2009

Recorded as BRIAN CUNNINGHAM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2009

Emergency Medicine (License #37170 in IA)

🟢
Initial NPI Registration & Enumeration March 09, 2007

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: 1619009537
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2007
Last Update: April 21, 2009
Sole Proprietor: No

Mailing Address

1825 Logan Ave, Emergency Department

Waterloo, IA 507031916

Phone: 3192353697

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.