Active NPI 1750782991 Individual Practitioner Male Practitioner

Paul Cunningham , PA-C

Physician Assistant • Petoskey, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Paul Cunningham, PA-C is a certified Physician Assistant practicing in Petoskey, MI. With approximately 12 years of clinical experience since completing medical education in 2014, Paul Cunningham delivers high-quality medical care to the local community at 416 CONNABLE AVE.

Paul Cunningham maintains professional affiliations with Grand Traverse Physician Services Pc, Sound Inpatient Physicians-Michigan Pllc, Wexford Physician Services Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hospital discharge day management, more than, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

416 Connable Ave

Petoskey, MI 497702212

Telephone 2314874000

Fax 2314873063

Associated Practice Facility / Clinic

🏢 Northern Imaging Associates P C Facility NPI 1801895412

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Petoskey, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -4.4 yrs vs City Avg

City Avg: 16.4 Yrs

State Avg: 12.2 Yrs

Regional Practice Density

32 Specialists

Practicing in Petoskey, MI (7057 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

88.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (12 Years) 12 Yrs

Petoskey Specialty Average (16.4 Years) 16.4 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
99239 Hospital discharge day management, more than 30 minutes	69	67	$737.00	$92.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	42	$500.00	$64.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	63	42	$718.00	$96.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$1389.00	$141.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	42	32	$718.00	$97.78
99239 Hospital discharge day management, more than 30 minutes	32	32	$737.00	$91.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	21	$500.00	$64.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$1389.00	$142.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	93	54	$723.71	$85.39
99239 Hospital discharge day management, more than 30 minutes	39	39	$741.79	$87.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$1394.61	$164.62
99217 Hospital observation care on day of discharge	12	12	$505.88	$59.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	180	71	$741.10	$85.85
99239 Hospital discharge day management, more than 30 minutes	65	58	$763.71	$87.42
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	34	34	$158.27	$18.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$1439.50	$163.26
99217 Hospital observation care on day of discharge	21	20	$517.52	$59.98
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	20	20	$105.51	$12.26
99226 Subsequent observation care, typically 35 minutes per day	16	14	$746.13	$86.21
99220 Hospital observation care, typically 70 minutes	15	15	$1318.91	$151.81
99497 Advance care planning, first 30 minutes	13	12	$562.59	$65.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	161	74	$741.10	$87.72
99239 Hospital discharge day management, more than 30 minutes	88	75	$763.71	$89.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	83	75	$1439.50	$170.44
99220 Hospital observation care, typically 70 minutes	31	31	$1318.91	$156.06
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	27	27	$105.51	$12.54
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	26	26	$158.27	$18.81
99217 Hospital observation care on day of discharge	25	25	$517.52	$60.93
99497 Advance care planning, first 30 minutes	15	14	$562.59	$66.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	219	111	$474.11	$86.42
99239 Hospital discharge day management, more than 30 minutes	115	106	$465.37	$88.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	102	95	$987.63	$167.50
99220 Hospital observation care, typically 70 minutes	67	65	$695.83	$152.80
99217 Hospital observation care on day of discharge	57	56	$288.68	$60.61
99226 Subsequent observation care, typically 35 minutes per day	31	28	$345.78	$84.37
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	14	14	$1283.41	$181.50
99291 Critical care, first 30-74 minutes	13	12	$797.30	$186.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	307	129	$131.00	$95.16
99239 Hospital discharge day management, more than 30 minutes	112	106	$158.00	$97.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	70	$263.00	$183.69
99220 Hospital observation care, typically 70 minutes	64	60	$254.00	$168.93
99217 Hospital observation care on day of discharge	50	49	$105.00	$66.08
99226 Subsequent observation care, typically 35 minutes per day	27	15	$144.00	$96.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	212	99	$131.00	$85.17
99239 Hospital discharge day management, more than 30 minutes	57	54	$158.00	$87.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	47	$263.00	$165.27
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth	35	35	$263.00	$162.14
99217 Hospital observation care on day of discharge	32	32	$105.00	$58.27
99220 Hospital observation care, typically 70 minutes	22	22	$254.00	$154.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$254.00	$140.32
99226 Subsequent observation care, typically 35 minutes per day	13	12	$144.00	$87.07

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Sound Inpatient Physicians-Michigan Pllc

580 W College Ave, Marquette, MI 498552736

Phone: 9062289440

Wexford Physician Services Pc

400 Hobart St, Cadillac, MI 496012331

Phone: 2318767200

Grand Traverse Physician Services Pc

1105 6th St, Traverse City, MI 496842345

Phone: 2319355000

Sound Inpatient Physicians-Michigan Pllc

400 Hobart St, Cadillac, MI 496012331

Phone: 2318767200

North Michigan Physician Services Pc

14700 Lake Shore Dr, Charlevoix, MI 497201931

Phone: 2315474024

Practice Associates & Co-Workers

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

20 Associated Practitioners

Keely Blosh , NP

Nurse Practitioner

NPI 1013438530

Nurse Practitioner

Lynda Bartosh , RTRM, RPA

Radiology Practitioner Assistant

NPI 1033434261

Dr. Judith Hoschner , MD

Specialist

NPI 1063495927

Doctor of Medicine (M.D.)

Dr. Michael Angileri , MD

Radiology - Diagnostic Radiology

NPI 1073512687

Doctor of Medicine (M.D.)

Dr. William Henry , MD

Radiology - Diagnostic Radiology

NPI 1205835824

Doctor of Medicine (M.D.)

Dr. Khalil Attie , MD

Emergency Medicine

NPI 1235185901

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 26, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 26, 2014

Registered at 416 CONNABLE AVE, PETOSKEY, MI 497702212 (Tel: 2314874000)

📍

Updated Business Mailing Address September 26, 2014

Registered at 1014 SIXTH ST, # 103, TRAVERSE CITY, MI 496842381 (Tel: 9893401211)

👤

Provider Name / Credentials Updated September 26, 2014

Recorded as PAUL CUNNINGHAM, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2014

Physician Assistant

🟢

Initial NPI Registration & Enumeration September 08, 2014

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: 1750782991

Entity Type:

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

Enumeration Date: September 08, 2014

Last Update: September 26, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1014 Sixth St, # 103

Traverse City, MI 496842381

Phone: 9893401211

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.