Active NPI 1093881344 Individual Practitioner Male Practitioner

Dr. Paul Shannon Cunningham , MD

Ophthalmology • Clinton, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Cunningham, MD is a certified Ophthalmology practicing in Clinton, MD. With approximately 38 years of clinical experience since graduating from University Of Virginia School Of Medicine in 1988, Dr. Cunningham delivers high-quality medical care to the local community at 9131 PISCATAWAY RD STE 150.

Dr. Cunningham is affiliated with Paul Shannon Cunningham and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9131 Piscataway Rd Ste 150

Clinton, MD 207352510

Telephone 3018688300

Fax 3018687250

Associated Practice Facility / Clinic

🏢 Chirokei Consulting, Llc Facility NPI 1740477330

Medicare Profile & Education

Medical School

University Of Virginia School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Clinton, MD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +11.0 yrs vs City Avg

City Avg: 27.0 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Clinton, MD (624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (38 Years) 38 Yrs

Clinton Specialty Average (27.0 Years) 27.0 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
92014 Established patient complete exam of visual system	1,375	1,200	$160.00	$140.67
99213 Established patient office or other outpatient visit, typically 15 minutes	824	550	$120.00	$100.31
92133 Imaging of optic nerve	702	657	$100.00	$40.08
92083 Exam of visual field with extended testing	570	494	$103.87	$71.68
92134 Imaging of retina	502	371	$150.00	$44.48
92250 Photography of the retina	438	410	$88.00	$40.40
92012 Established patient problem focused exam of visual system	216	167	$110.00	$99.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	168	168	$215.00	$182.86
92020 Examination of cornea and iris using lens device and slit lamp	156	152	$57.20	$30.34
92136 Measurement of corneal curvature and depth of eye	148	122	$150.00	$45.00
92060 Exam to measure eye deviation and range of motion	133	94	$64.98	$63.75
66984 Removal of cataract with insertion of lens	110	90	$1726.00	$560.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	103	$170.00	$136.54
76514 Ultrasound scan of cornea to determine thickness	56	56	$25.00	$11.66
92004 New patient complete exam of visual system	24	24	$190.00	$160.86
65855 Laser repair to improve eye fluid flow	22	20	$750.00	$271.37
66821 Removal of recurring cataract in lens capsule using a laser	22	21	$497.12	$373.25
66174 Dilation of fluid outflow drainage within eye	16	14	$1200.00	$674.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,076	907	$160.00	$145.24
99213 Established patient office or other outpatient visit, typically 15 minutes	666	401	$120.00	$101.70
92133 Imaging of optic nerve	602	561	$100.00	$41.64
92083 Exam of visual field with extended testing	451	383	$104.00	$73.00
92134 Imaging of retina	429	288	$150.00	$45.90
92250 Photography of the retina	331	307	$88.00	$42.04
92012 Established patient problem focused exam of visual system	189	150	$110.00	$103.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	188	188	$215.00	$186.59
92136 Measurement of corneal curvature and depth of eye	117	91	$150.00	$47.35
92060 Exam to measure eye deviation and range of motion	93	73	$47.00	$46.47
92020 Examination of cornea and iris using lens device and slit lamp	71	71	$57.20	$31.39
66984 Removal of cataract with insertion of lens	69	56	$1726.00	$574.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	63	$170.00	$140.63
76514 Ultrasound scan of cornea to determine thickness	54	54	$25.00	$12.29
92004 New patient complete exam of visual system	43	43	$190.00	$171.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	35	$220.00	$201.69
65855 Laser repair to improve eye fluid flow	17	16	$750.00	$266.39
66821 Removal of recurring cataract in lens capsule using a laser	14	13	$497.12	$361.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	960	838	$160.00	$148.30
99213 Established patient office or other outpatient visit, typically 15 minutes	554	384	$120.00	$104.17
92133 Imaging of optic nerve	547	514	$100.00	$42.81
92083 Exam of visual field with extended testing	412	365	$104.00	$74.76
92134 Imaging of retina	380	281	$150.00	$47.27
92250 Photography of the retina	301	282	$88.00	$42.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	166	166	$215.00	$189.38
92012 Established patient problem focused exam of visual system	164	117	$110.00	$105.27
92136 Measurement of corneal curvature and depth of eye	93	73	$150.00	$49.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	86	74	$220.00	$207.59
76514 Ultrasound scan of cornea to determine thickness	74	73	$25.00	$12.57
66984 Removal of cataract with insertion of lens	71	59	$1726.00	$582.05
92020 Examination of cornea and iris using lens device and slit lamp	61	58	$57.20	$32.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	57	$170.00	$138.72
92004 New patient complete exam of visual system	39	39	$190.00	$174.98
92060 Exam to measure eye deviation and range of motion	16	15	$47.00	$46.25
66821 Removal of recurring cataract in lens capsule using a laser	13	12	$497.12	$392.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	889	771	$159.74	$150.83
99213 Established patient office or other outpatient visit, typically 15 minutes	703	406	$117.94	$106.25
92133 Imaging of optic nerve	614	566	$100.00	$44.18
92134 Imaging of retina	411	282	$150.00	$48.42
92083 Exam of visual field with extended testing	381	352	$104.00	$76.79
92250 Photography of the retina	370	337	$88.00	$46.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	242	242	$215.00	$194.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	187	155	$216.26	$205.97
92012 Established patient problem focused exam of visual system	178	140	$110.00	$107.28
92136 Measurement of corneal curvature and depth of eye	151	113	$150.00	$53.42
66984 Removal of cataract with insertion of lens	116	94	$1726.00	$634.28
76514 Ultrasound scan of cornea to determine thickness	113	111	$25.00	$13.02
92020 Examination of cornea and iris using lens device and slit lamp	90	87	$57.20	$32.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	78	$168.17	$147.21
92004 New patient complete exam of visual system	32	32	$190.00	$178.17
65855 Laser repair to improve eye fluid flow	30	26	$750.00	$293.26
66821 Removal of recurring cataract in lens capsule using a laser	18	17	$497.12	$401.59
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$269.69	$257.44
66982 Complex removal of cataract with insertion of prosthetic lens	12	11	$1984.00	$871.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	693	608	$160.00	$147.50
92133 Imaging of optic nerve	455	436	$100.00	$43.50
99213 Established patient office or other outpatient visit, typically 15 minutes	437	286	$95.00	$86.44
92083 Exam of visual field with extended testing	296	278	$104.00	$75.23
92134 Imaging of retina	269	216	$150.00	$47.19
92250 Photography of the retina	249	237	$88.00	$52.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	222	222	$215.00	$187.81
92012 Established patient problem focused exam of visual system	160	123	$110.00	$104.00
76514 Ultrasound scan of cornea to determine thickness	123	122	$25.00	$13.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	107	92	$185.00	$167.31
92136 Measurement of corneal curvature and depth of eye	82	70	$150.00	$62.93
92020 Examination of cornea and iris using lens device and slit lamp	50	49	$57.20	$32.01
66984 Removal of cataract with insertion of lens	48	41	$1726.00	$626.09
92004 New patient complete exam of visual system	37	37	$190.00	$175.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$140.00	$122.22
65855 Laser repair to improve eye fluid flow	22	17	$750.00	$288.52
99441 Telephone medical discussion with physician, 5-10 minutes	17	16	$100.00	$52.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	812	705	$160.00	$144.75
99213 Established patient office or other outpatient visit, typically 15 minutes	551	339	$95.00	$84.14
92133 Imaging of optic nerve	435	413	$100.00	$42.37
92083 Exam of visual field with extended testing	343	309	$104.00	$74.56
92134 Imaging of retina	336	245	$150.00	$46.74
92250 Photography of the retina	275	267	$88.00	$58.35
92012 Established patient problem focused exam of visual system	184	140	$110.00	$101.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	131	108	$185.00	$162.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$215.00	$185.03
92020 Examination of cornea and iris using lens device and slit lamp	101	98	$57.20	$31.29
92136 Measurement of corneal curvature and depth of eye	77	65	$150.00	$64.09
66984 Removal of cataract with insertion of lens	66	55	$1872.17	$722.70
76514 Ultrasound scan of cornea to determine thickness	49	47	$25.00	$13.67
65855 Laser repair to improve eye fluid flow	25	19	$1159.36	$283.22
66821 Removal of recurring cataract in lens capsule using a laser	19	18	$497.12	$359.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$140.00	$119.63
92004 New patient complete exam of visual system	17	17	$190.00	$172.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	804	712	$160.00	$140.40
99213 Established patient office or other outpatient visit, typically 15 minutes	613	367	$95.00	$80.08
92133 Imaging of optic nerve	542	492	$100.00	$41.60
92083 Exam of visual field with extended testing	374	320	$104.00	$72.73
92134 Imaging of retina	309	247	$150.00	$45.96
92250 Photography of the retina	308	283	$88.00	$63.98
92012 Established patient problem focused exam of visual system	198	147	$110.00	$97.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	106	91	$185.00	$158.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$215.00	$179.01
92020 Examination of cornea and iris using lens device and slit lamp	89	85	$57.20	$29.50
92136 Measurement of corneal curvature and depth of eye	80	66	$150.00	$67.92
66984 Removal of cataract with insertion of lens	79	63	$1911.52	$709.12
76514 Ultrasound scan of cornea to determine thickness	47	47	$25.00	$16.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$140.00	$109.76
66821 Removal of recurring cataract in lens capsule using a laser	16	16	$497.12	$348.94
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$95.00	$54.91
92004 New patient complete exam of visual system	12	12	$190.00	$167.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$60.00	$48.93
65855 Laser repair to improve eye fluid flow	11	11	$1352.00	$274.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	873	738	$159.19	$136.77
92133 Imaging of optic nerve	697	510	$100.00	$40.67
99213 Established patient office or other outpatient visit, typically 15 minutes	582	369	$94.63	$79.91
92134 Imaging of retina	434	299	$150.00	$45.07
92083 Exam of visual field with extended testing	413	353	$104.00	$70.66
92250 Photography of the retina	299	251	$88.00	$74.70
92012 Established patient problem focused exam of visual system	186	142	$108.28	$94.15
92020 Examination of cornea and iris using lens device and slit lamp	162	150	$57.20	$29.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	123	105	$183.13	$156.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$211.57	$178.94
92136 Measurement of corneal curvature and depth of eye	84	70	$150.00	$81.76
66984 Removal of cataract with insertion of lens	71	57	$1911.52	$704.37
76514 Ultrasound scan of cornea to determine thickness	41	40	$25.00	$15.72
92004 New patient complete exam of visual system	27	27	$189.26	$164.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$139.50	$105.90
65855 Laser repair to improve eye fluid flow	17	14	$1352.00	$270.00

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MD D0044573

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rail Road

180043653 (MD)

Commercial Insurance / Payer ID Medicare Id Type Unspecified

G02102P01

Hospital & Practice Group Affiliations

Paul Shannon Cunningham

9131 Piscataway Rd, Clinton, MD 207352510

Phone: 3018688300

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Keita Vanterpool , DC

Specialist

NPI 1326169541

Doctor of Chiropractic

Tameka Gabourel-Anthony , CRNP

Nurse Practitioner - Family

NPI 1699439091

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 31, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 31, 2012

Registered at 9131 PISCATAWAY RD STE 150, CLINTON, MD 207352510 (Tel: 3018688300)

📍

Updated Business Mailing Address July 31, 2012

Registered at 9131 PISCATAWAY RD, #150, CLINTON, MD 207352510 (Tel: 3018688300)

👤

Provider Name / Credentials Updated July 31, 2012

Recorded as PAUL CUNNINGHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2012

Ophthalmology (License #D0044573 in MD)

🟢

Initial NPI Registration & Enumeration November 28, 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: 1093881344

Entity Type:

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

Enumeration Date: November 28, 2006

Last Update: July 31, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9131 Piscataway Rd, #150

Clinton, MD 207352510

Phone: 3018688300

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.