Active NPI 1861477218 Individual Practitioner Male Practitioner

Dr. Carson C Cunningham , MD

Surgery • Cape Girardeau, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carson Cunningham, MD is a certified Surgery practicing in Cape Girardeau, MO. With approximately 29 years of clinical experience since graduating from Louisiana State University School Of Medicine In Shreveport in 1997, Dr. Cunningham delivers high-quality medical care to the local community at 3250 GORDONVILLE RD STE 384.

Dr. Cunningham maintains professional affiliations with Mercy Hospital Perry, Southeast Missouri Hospital Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, 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

3250 Gordonville Rd Ste 384

Cape Girardeau, MO 637035095

Telephone 5733315522

Fax 5733315523

Associated Practice Facility / Clinic

🏢 Saint Francis Medical Center Facility NPI 1356304489

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In Shreveport

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cape Girardeau, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +6.2 yrs vs City Avg

City Avg: 22.8 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

15 Specialists

Practicing in Cape Girardeau, MO (766 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (29 Years) 29 Yrs

Cape Girardeau Specialty Average (22.8 Years) 22.8 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$421.00	$154.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	31	$148.00	$74.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$337.00	$163.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	17	$103.00	$46.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$271.00	$119.46
47562 Removal of gallbladder using an endoscope	23	23	$3889.00	$627.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$312.00	$123.51
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$182.00	$84.05
49650 Repair of groin hernia using an endoscope	15	15	$2911.20	$449.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$525.00	$206.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$272.00	$103.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$109.00	$52.07
76937 Ultrasonic guidance for blood vessel access	12	12	$49.00	$13.21
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$73.00	$17.05
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$3311.00	$296.49
99238 Hospital discharge day management, 30 minutes or less	11	11	$178.00	$75.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	21	$148.00	$75.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$337.00	$166.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$272.00	$102.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$421.00	$156.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$271.00	$119.74
76937 Ultrasonic guidance for blood vessel access	12	12	$49.00	$13.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$312.00	$124.96
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$73.00	$17.33
49650 Repair of groin hernia using an endoscope	11	11	$2646.55	$430.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	43	$148.00	$68.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	45	$337.00	$185.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$421.00	$157.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$272.00	$105.45
47562 Removal of gallbladder using an endoscope	27	27	$3889.00	$636.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	22	$271.00	$116.77
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$73.00	$17.87
76937 Ultrasonic guidance for blood vessel access	18	18	$49.00	$13.33
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$251.00	$95.90
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$3311.00	$317.88
49650 Repair of groin hernia using an endoscope	13	13	$2985.85	$464.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	73	46	$150.71	$67.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$272.00	$102.74
99221 Initial hospital inpatient care per day, typically 30 minutes	33	33	$251.00	$96.88
76937 Ultrasonic guidance for blood vessel access	29	29	$49.00	$13.55
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	28	27	$73.00	$18.15
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$3311.00	$322.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	15	$104.30	$36.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	16	$271.00	$122.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	18	$265.84	$92.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$421.00	$159.44
99225 Subsequent observation care, typically 25 minutes per day	15	14	$191.00	$69.00
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$182.00	$86.24

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	17	15	$307.00	$77.04
47562 Removal of gallbladder using an endoscope	12	12	$3138.25	$371.16
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$259.00	$100.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$308.00	$73.70

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	45	34	$307.00	$76.54
43644 Bypass operation of stomach using an endoscope	31	31	$5205.00	$795.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$308.00	$74.16
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$208.00	$49.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$473.00	$125.55
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$878.00	$115.53
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	14	14	$3629.00	$516.72
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	13	13	$4649.00	$1145.68

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	50	41	$415.00	$75.69
43644 Bypass operation of stomach using an endoscope	41	41	$7253.00	$759.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$644.00	$121.34
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	27	$949.80	$121.99
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	26	26	$5111.00	$643.32
47562 Removal of gallbladder using an endoscope	11	11	$3066.00	$168.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43644 Bypass operation of stomach using an endoscope	37	37	$6996.43	$636.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$624.70	$116.13
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	31	31	$4964.89	$683.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	20	$404.42	$72.08
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$265.55	$41.47
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$1171.07	$107.04

Medical Specialties & State Licenses

CMS Verified: 2021-01-22

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO 2016007347

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License LA 023960

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1486639 (LA)

Hospital & Practice Group Affiliations

Mercy Hospital Perry

434 N W St, Perryville, MO 637751359

Phone: 5735472536

Mercy Hospital Perry

212 Hospital Ln, Perryville, MO 637754204

Phone: 5735478390

Southeast Missouri Hospital Physicians Llc

1723 Broadway St, Cape Girardeau, MO 637014556

Phone: 5733317850

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Joseph Mcclain , MD

Surgery

NPI 1073564985

Doctor of Medicine (M.D.)

Dr. Nicholas Boston , MD

Surgery

NPI 1275820862

Doctor of Medicine (M.D.)

Rachel Peck , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1326612060

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Ryan Fortner , FNP

Nurse Practitioner - Family

NPI 1427943596

Family Nurse Practitioner

Aaron Dodge , PA-C

Physician Assistant

NPI 1568003622

Physician Assistant (Certified)

Allison Metje , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1730680380

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location January 22, 2021

Registered at 3250 GORDONVILLE RD STE 384, CAPE GIRARDEAU, MO 637035095 (Tel: 5733315522)

📍

Updated Business Mailing Address January 22, 2021

Registered at PO BOX 801143, KANSAS CITY, MO 641801143 (Tel: 5733315583)

📍

Updated Business Mailing Address October 30, 2020

Registered at 211 SAINT FRANCIS DR, ATTN MEDICAL AFFAIRS, CAPE GIRARDEAU, MO 637035049 (Tel: 5733315583)

✅

NPI Profile Active April 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 29, 2016

Registered at 211 SAINT FRANCIS DR, SUITE 1222, CAPE GIRARDEAU, MO 637035049 (Tel: 5733313993)

📍

Updated Business Mailing Address April 29, 2016

Registered at PO BOX 843225, KANSAS CITY, MO 641843225 (Tel: 8132628160)

👤

Provider Name / Credentials Updated April 29, 2016

Recorded as CARSON CUNNINGHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2016

Surgery (License #2016007347 in MO)

🟢

Initial NPI Registration & Enumeration December 08, 2005

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: 1861477218

Entity Type:

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

Enumeration Date: December 08, 2005

Last Update: January 22, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 801143

Kansas City, MO 641801143

Phone: 5733315583

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.