Active NPI 1558749606 Individual Practitioner Male Practitioner

Dr. Michael Cunningham , MD

Dermatology • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Cunningham, MD is a certified Dermatology practicing in Worcester, MA. With approximately 11 years of clinical experience since graduating from University Of Vermont College Of Medicine in 2015, Dr. Cunningham delivers high-quality medical care to the local community at 281 LINCOLN ST.

Dr. Cunningham is affiliated with New England Dermatology Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm, 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

281 Lincoln St

Worcester, MA 016052138

Telephone 5083345979

Fax 5083345232

Associated Practice Facility / Clinic

🏢 A Jerome Philbin M.d., P.c. Facility NPI 1659319143

Medicare Profile & Education

Medical School

University Of Vermont College Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Worcester, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -9.8 yrs vs City Avg

City Avg: 20.8 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

35 Specialists

Practicing in Worcester, MA (648 Statewide)

Telehealth Adoption Rate

5.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (11 Years) 11 Yrs

Worcester Specialty Average (20.8 Years) 20.8 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
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	799	690	$1998.64	$638.58
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	381	352	$1698.15	$255.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	316	293	$315.71	$129.69
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	315	236	$1220.04	$422.26
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	188	174	$1496.16	$280.63
99213 Established patient office or other outpatient visit, typically 15 minutes	137	134	$218.05	$91.87
29580 Strapping, unna boot	118	78	$200.22	$64.63
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	105	93	$1876.23	$625.06
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	74	72	$1729.00	$264.85
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	48	48	$2896.35	$1016.74
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	40	38	$712.38	$128.17
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	37	37	$2564.54	$779.08
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	36	34	$810.78	$145.92
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	31	31	$1400.13	$352.31
11102 Tangential biopsy of single skin lesion	30	30	$313.27	$84.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$409.00	$168.48
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	21	$1105.09	$289.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$272.36	$112.56
17000 Destruction of skin growth	17	16	$202.06	$42.73
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$502.08	$88.09
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	11	11	$1180.73	$404.82
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$561.82	$107.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	711	595	$2020.00	$627.34
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	336	253	$1235.00	$426.90
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	280	265	$1705.00	$254.79
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	180	167	$1284.38	$274.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	168	$300.00	$130.00
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	94	78	$1900.00	$624.37
99213 Established patient office or other outpatient visit, typically 15 minutes	87	87	$215.00	$92.34
29580 Strapping, unna boot	85	64	$169.12	$61.35
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	79	78	$2925.00	$1029.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$385.00	$169.61
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	57	57	$1518.42	$262.36
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	43	42	$2349.93	$782.44
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	37	36	$715.00	$127.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$265.00	$114.40
11102 Tangential biopsy of single skin lesion	35	32	$269.83	$80.62
17315 Removal and microscopic exam of growth, each additional block after 5 tissue blocks	34	13	$230.00	$81.55
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	31	31	$1110.00	$317.70
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	31	29	$815.00	$144.82
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	25	25	$1173.00	$340.24
17000 Destruction of skin growth	20	20	$205.00	$41.93
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	18	18	$1182.00	$411.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$135.00	$58.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	705	573	$1925.85	$619.79
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	331	231	$1146.90	$433.56
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	295	265	$1466.88	$254.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	140	$265.38	$132.28
99213 Established patient office or other outpatient visit, typically 15 minutes	140	139	$184.43	$93.78
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	106	100	$1250.00	$245.97
29580 Strapping, unna boot	95	60	$165.00	$55.61
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	79	72	$2902.97	$1042.24
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	78	71	$1803.85	$614.80
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	60	58	$963.75	$317.02
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	59	59	$1475.00	$272.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$385.00	$172.85
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	47	47	$2224.79	$784.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$257.09	$116.37
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	43	41	$715.00	$129.28
11102 Tangential biopsy of single skin lesion	41	39	$260.00	$82.77
17000 Destruction of skin growth	28	24	$205.00	$55.82
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	19	19	$1125.00	$206.82
17315 Removal and microscopic exam of growth, each additional block after 5 tissue blocks	19	11	$230.00	$80.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$111.32	$58.97
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	15	$815.00	$146.91
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$480.00	$99.12
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	13	13	$520.00	$176.22
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	12	11	$1084.50	$414.33
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$1155.00	$317.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	668	557	$1895.00	$634.27
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	354	255	$1115.00	$442.44
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	282	266	$1390.00	$273.47
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	192	179	$1250.00	$303.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	118	$241.08	$136.09
99213 Established patient office or other outpatient visit, typically 15 minutes	110	110	$173.09	$96.85
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	88	86	$2895.00	$1055.57
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	87	81	$1775.00	$653.02
29580 Strapping, unna boot	79	47	$170.22	$54.02
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	52	50	$1155.00	$376.27
11102 Tangential biopsy of single skin lesion	46	44	$260.00	$84.21
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	42	42	$1475.00	$285.98
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	41	38	$808.66	$151.70
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	38	28	$1065.00	$424.74
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	32	32	$715.00	$137.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$355.55	$177.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$249.29	$118.90
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	24	24	$2220.00	$801.62
17000 Destruction of skin growth	24	22	$205.00	$50.39
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	22	21	$1230.00	$232.04
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	20	20	$1125.00	$245.67
17315 Removal and microscopic exam of growth, each additional block after 5 tissue blocks	19	11	$230.00	$82.87
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	14	13	$2670.00	$996.50
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$476.15	$93.68
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	13	12	$388.00	$139.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$105.00	$58.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	367	318	$1895.00	$640.19
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	197	144	$1115.00	$427.78
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	156	140	$1390.00	$266.22
99213 Established patient office or other outpatient visit, typically 15 minutes	92	92	$176.87	$75.99
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	85	80	$1250.00	$271.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	82	$236.74	$113.64
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	43	41	$1775.00	$660.03
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	35	34	$1475.00	$278.32
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$192.90	$73.96
29580 Strapping, unna boot	29	23	$167.84	$59.78
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	27	27	$2895.00	$1054.67
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	23	22	$1125.00	$227.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$289.00	$99.35
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	15	15	$2220.00	$823.08
11102 Tangential biopsy of single skin lesion	15	15	$381.20	$57.94
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	14	14	$1230.00	$212.32
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	12	11	$1065.00	$409.05

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	18	18	$316.00	$81.48
11102 Tangential biopsy of single skin lesion	17	17	$462.00	$39.59

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MA 278434

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00274364 (NY)

Hospital & Practice Group Affiliations

New England Dermatology Pc

3455 Main St, Springfield, MA 011071147

Phone: 4137339600

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Ryan Svoboda , MD

Dermatology

NPI 1083972335

Doctor of Medicine (M.D.)

Sara Attari

Student in an Organized Health Care Education/Training Program

NPI 1114716487

Everlyne Njoroge , CNP

Nurse Practitioner - Acute Care

NPI 1164011078

Certified Nurse Practitioner

Dr. Rita Khodosh , MD, PhD

Dermatology

NPI 1184886202

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Tracey Otto , MD

Dermatology

NPI 1215666995

Doctor of Medicine (M.D.)

Heather Galonzka , NP

Nurse Practitioner

NPI 1245602457

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address May 07, 2019

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2019

Dermatology (License #278434 in MA)

✅

NPI Profile Active May 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 23, 2016

Registered at 281 LINCOLN ST, WORCESTER, MA 016052138 (Tel: 5083341000)

📍

Updated Business Mailing Address May 23, 2016

Registered at 281 LINCOLN ST, WORCESTER, MA 016052138 (Tel: 5083341000)

👤

Provider Name / Credentials Updated May 23, 2016

Recorded as MICHAEL CUNNINGHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2016

Student in an Organized Health Care Education/Training Program (License #268309 in MA)

🟢

Initial NPI Registration & Enumeration May 09, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1558749606

Entity Type:

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

Enumeration Date: May 09, 2015

Last Update: May 07, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

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.