Active NPI 1578510954 Individual Practitioner Male Practitioner

Dr. Edwin J Cunningham , MD

Neurological Surgery • Springfield, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Cunningham, MD is a certified Neurological Surgery practicing in Springfield, MO. With approximately 30 years of clinical experience since graduating from Saint Louis University School Of Medicine in 1996, Dr. Cunningham delivers high-quality medical care to the local community at 3801 S NATIONAL AVE.

Dr. Cunningham maintains professional affiliations with Lester E Cox Medical Centers, Springfield Neurological And Spine Institute and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, insertion of cage or mesh device to spine bone and disc space during spine fusion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3801 S National Ave
West Tower, Suite 700

Springfield, MO 658075210

Telephone 4178853888

Fax 4178817638

Associated Practice Facility / Clinic

🏢 Lester E Cox Medical Centers Facility NPI 1952355646

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Springfield, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +5.4 yrs vs City Avg

City Avg: 24.6 Yrs

State Avg: 24.5 Yrs

Regional Practice Density

19 Specialists

Practicing in Springfield, MO (204 Statewide)

Telehealth Adoption Rate

42.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (30 Years) 30 Yrs

Springfield Specialty Average (24.6 Years) 24.6 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	99	99	$340.80	$152.51
99213 Established patient office or other outpatient visit, typically 15 minutes	59	54	$148.39	$83.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$218.68	$117.52
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	26	20	$1016.00	$241.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$248.20	$117.03
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	15	$2761.08	$708.20
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$3742.62	$626.09
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	12	12	$565.25	$241.97
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$7287.07	$1694.39

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	82	82	$340.80	$154.75
99213 Established patient office or other outpatient visit, typically 15 minutes	75	60	$148.39	$83.26
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	39	27	$1016.00	$244.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$218.68	$119.07
22614 Fusion of additional segment of spine	17	11	$1412.46	$370.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$248.20	$124.20
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$3742.62	$728.15
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	13	13	$565.25	$244.83
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	12	$2765.07	$723.33
22633 Fusion of spine in lower back with partial removal of spine bone and disc	13	13	$7287.07	$1710.41

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	104	104	$340.80	$156.02
99213 Established patient office or other outpatient visit, typically 15 minutes	64	60	$148.39	$84.15
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	57	37	$1016.10	$242.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$248.20	$127.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$218.68	$119.08
22633 Fusion of spine in lower back with partial removal of spine bone and disc	28	28	$7287.07	$1738.16
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	28	28	$666.49	$243.20
22840 Placement of stabilizing device to back of 1 spine bone in neck	16	16	$2761.08	$714.06
63053 Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	16	11	$548.00	$182.32
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	15	11	$1085.28	$467.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	12	$135.05	$63.95
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$2765.07	$718.36

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	117	117	$340.80	$156.96
99213 Established patient office or other outpatient visit, typically 15 minutes	75	67	$148.39	$84.74
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	39	27	$1016.12	$241.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	34	$218.68	$121.58
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	18	$193.45	$98.21
63048 Partial removal of spine bone with release of spinal cord and/or nerves	24	13	$752.78	$201.68
22614 Fusion of additional segment of spine	24	14	$1412.46	$373.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$248.20	$129.25
22633 Fusion of spine in lower back with partial removal of spine bone and disc	22	22	$7287.07	$1694.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$88.04	$52.03
22840 Placement of stabilizing device to back of 1 spine bone in neck	17	17	$2761.08	$689.92
22842 Placement of stabilizing device to back, 3-6 spine bone segments	15	15	$2765.07	$728.05
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$181.77	$90.37

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	91	91	$340.80	$155.32
99213 Established patient office or other outpatient visit, typically 15 minutes	61	58	$148.39	$70.26
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	47	30	$1016.12	$255.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$218.68	$102.24
22614 Fusion of additional segment of spine	25	16	$1412.46	$385.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$248.20	$133.93
22633 Fusion of spine in lower back with partial removal of spine bone and disc	21	21	$7287.07	$1809.96
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$2765.07	$752.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$88.04	$40.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	13	$193.45	$101.15
22840 Placement of stabilizing device to back of 1 spine bone in neck	12	12	$2761.08	$752.30
22830 Exploration of spinal fusion	11	11	$2777.04	$397.62

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	126	126	$340.97	$155.30
99213 Established patient office or other outpatient visit, typically 15 minutes	88	74	$148.39	$69.01
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	58	37	$989.84	$243.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	37	$218.68	$100.81
22633 Fusion of spine in lower back with partial removal of spine bone and disc	26	26	$7287.07	$1769.66
22614 Fusion of additional segment of spine	26	17	$1371.72	$379.49
22842 Placement of stabilizing device to back, 3-6 spine bone segments	20	20	$2661.38	$733.32
22840 Placement of stabilizing device to back of 1 spine bone in neck	17	17	$2761.08	$727.03
22830 Exploration of spinal fusion	13	13	$2777.04	$373.70
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	13	12	$1085.28	$499.35
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	12	$2496.51	$648.96
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	11	$6361.56	$1480.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$422.45	$197.03

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	109	109	$340.80	$154.05
99213 Established patient office or other outpatient visit, typically 15 minutes	88	77	$148.39	$67.61
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	44	36	$1016.12	$248.14
22840 Placement of stabilizing device to back of 1 spine bone in neck	29	29	$2761.08	$756.89
22633 Fusion of spine in lower back with partial removal of spine bone and disc	26	26	$7287.07	$1818.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$218.68	$96.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	15	$88.04	$39.69
22614 Fusion of additional segment of spine	16	12	$1412.46	$389.38
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	$422.45	$193.77
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$2765.07	$760.02

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	114	114	$340.99	$150.49
99213 Established patient office or other outpatient visit, typically 15 minutes	103	87	$148.39	$67.64
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	50	33	$1000.88	$253.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$226.92	$97.13
22633 Fusion of spine in lower back with partial removal of spine bone and disc	26	25	$7076.87	$1745.07
22840 Placement of stabilizing device to back of 1 spine bone in neck	18	17	$2646.03	$715.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$422.45	$194.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$88.04	$39.84
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$2765.07	$754.43

Medical Specialties & State Licenses

CMS Verified: 2021-09-30

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License MO 2005013024

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License AR E4587

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License OH 82517

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

159350001 (AR)

Medicaid State Provider ID

207278102 (MO)

Commercial Insurance / Payer ID Usps (W/c)

H91289 (MO)

Commercial Insurance / Payer ID Cox Health Plans Upi

23274 (MO)

Commercial Insurance / Payer ID Arkansas Bc/bs

5N434 (AR)

Commercial Insurance / Payer ID Arkansas First Source

5N434 (AR)

Commercial Insurance / Payer ID Qual Choice

6060020300 (AR)

Commercial Insurance / Payer ID Health Advantage

5N434 (AR)

Commercial Insurance / Payer ID Cigna Healthcare

8719997003 (MO)

Commercial Insurance / Payer ID Blue Cross/choice

198370 (MO)

Hospital & Practice Group Affiliations

Springfield Neurological And Spine Institute

3801 S National Ave, Springfield, MO 658075210

Phone: 4178853888

Lester E Cox Medical Centers

510 Hwy 32, Lebanon, MO 655365303

Phone: 4175330848

Lester E Cox Medical Centers

510 Hwy 32, Lebanon, MO 655365303

Phone: 4175330848

Practice Associates & Co-Workers

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

30 Associated Practitioners

Dr. Robert Strang , MD

Neurological Surgery

NPI 1013962935

Doctor of Medicine (M.D.)

Dr. Chad Morgan , MD

Neurological Surgery

NPI 1013964493

Doctor of Medicine (M.D.)

Dr. Michael Workman , MD

Radiology - Neuroradiology

NPI 1104873587

Doctor of Medicine (M.D.)

Dr. John Mace , MD

Neurological Surgery

NPI 1114971264

Doctor of Medicine (M.D.)

Dr. Vyacheslav Makler , DO

Neurological Surgery

NPI 1164472841

Doctor of Osteopathic Medicine (D.O.)

Heather Tackett , PA-C

Physician Assistant - Surgical

NPI 1164649471

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2021

Neurological Surgery (License #E4587 in AR)

✅

NPI Profile Active August 21, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 21, 2015

Registered at 3801 S NATIONAL AVE, WEST TOWER, SUITE 700, SPRINGFIELD, MO 658075210 (Tel: 4178853888)

📍

Updated Business Mailing Address August 21, 2015

Registered at PO BOX 9434, SPRINGFIELD, MO 658019434 (Tel: 4178853888)

👤

Provider Name / Credentials Updated August 21, 2015

Recorded as EDWIN CUNNINGHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2015

Neurological Surgery (License #2005013024 in MO)

🟢

Initial NPI Registration & Enumeration May 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Edwin Cunningham. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1578510954

Entity Type:

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

Enumeration Date: May 30, 2006

Last Update: September 30, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9434

Springfield, MO 658019434

Phone: 4178853888

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.