Active NPI 1033256243 Individual Practitioner Male Practitioner

Dr. Michael J Cunningham , MD

Orthopaedic Surgery • Holmdel, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Cunningham, MD is a certified Orthopaedic Surgery practicing in Holmdel, NJ. With approximately 41 years of clinical experience since graduating from New York University School Of Medicine in 1985, Dr. Cunningham delivers high-quality medical care to the local community at 733 N BEERS ST.

Dr. Cunningham maintains professional affiliations with Suburban Orthopaedic Medical Center, Llc, Hackensack Meridian Health Medical Group - Specialty Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg, hyaluronan or derivative, orthovisc, for intra-articular injection, per dose. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

733 N Beers St
Suite L-3

Holmdel, NJ 077331528

Telephone 7322645454

Fax 7322642043

Associated Practice Facility / Clinic

🏢 Kotiyark Inc Facility NPI 1689660029

Medicare Profile & Education

Medical School

New York University School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Holmdel, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs Matches City Avg

City Avg: 41.0 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

2 Specialists

Practicing in Holmdel, NJ (746 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

90.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (41 Years) 41 Yrs

Holmdel Specialty Average (41.0 Years) 41.0 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
J1010 Injection, methylprednisolone acetate, 1 mg	5,923	101	$2.68	$0.13
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	901	170	$4.99	$0.98
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	643	105	$352.78	$123.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	553	245	$179.16	$59.01
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	443	109	$766.26	$128.90
99213 Established patient office or other outpatient visit, typically 15 minutes	438	274	$274.27	$93.57
20610 Aspiration and/or injection of fluid from large joint	377	247	$621.19	$73.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	201	201	$361.64	$115.24
J1030 Injection, methylprednisolone acetate, 40 mg	169	103	$65.00	$6.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	85	69	$90.00	$15.21
20550 Injection into tendon or ligament	33	29	$527.27	$55.90
20605 Aspiration and/or injection of medium joint or joint capsule	32	21	$427.19	$59.06
20600 Aspiration and/or injection of fluid from small joint	28	18	$557.86	$63.01
20552 Injections of trigger points in 1 or 2 muscles	25	18	$631.00	$44.78
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	20	12	$157.50	$38.62
29880 Removal of both knee cartilages using an endoscope	14	14	$10192.29	$592.13
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	13	13	$300.00	$77.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	20,675	115	$74.00	$7.17
J1030 Injection, methylprednisolone acetate, 40 mg	620	299	$65.00	$7.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	588	320	$150.00	$61.04
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	560	118	$1373.21	$130.19
20610 Aspiration and/or injection of fluid from large joint	535	259	$1084.67	$78.84
99213 Established patient office or other outpatient visit, typically 15 minutes	421	261	$230.00	$96.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	208	208	$350.00	$120.22
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	197	41	$524.62	$133.57
20552 Injections of trigger points in 1 or 2 muscles	50	39	$561.60	$51.48
20605 Aspiration and/or injection of medium joint or joint capsule	43	32	$858.60	$58.08
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	40	39	$300.00	$84.55
20550 Injection into tendon or ligament	35	30	$888.00	$55.68
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	19	16	$150.00	$41.79
20600 Aspiration and/or injection of fluid from small joint	18	15	$793.33	$63.11
29880 Removal of both knee cartilages using an endoscope	17	17	$14813.00	$628.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	16,477	106	$74.11	$14.05
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	5,825	56	$100.00	$12.51
20610 Aspiration and/or injection of fluid from large joint	705	274	$1019.80	$78.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	635	325	$150.27	$62.12
J1030 Injection, methylprednisolone acetate, 40 mg	583	296	$65.00	$6.43
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	367	109	$1337.87	$130.69
99213 Established patient office or other outpatient visit, typically 15 minutes	287	204	$230.80	$98.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	231	231	$350.00	$122.39
20550 Injection into tendon or ligament	95	70	$982.53	$61.36
20605 Aspiration and/or injection of medium joint or joint capsule	49	40	$796.94	$57.03
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	46	23	$150.00	$46.28
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	44	43	$300.00	$93.98
29880 Removal of both knee cartilages using an endoscope	24	23	$14813.00	$578.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$670.00	$209.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	35,426	182	$74.05	$16.92
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	1,314	298	$1320.40	$128.19
J1030 Injection, methylprednisolone acetate, 40 mg	553	309	$64.90	$5.68
99213 Established patient office or other outpatient visit, typically 15 minutes	420	270	$229.36	$100.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	251	176	$149.62	$62.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	242	241	$349.38	$123.79
20550 Injection into tendon or ligament	96	76	$962.50	$57.13
20610 Aspiration and/or injection of fluid from large joint	89	72	$908.31	$66.67
20605 Aspiration and/or injection of medium joint or joint capsule	50	38	$781.00	$57.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	35	$670.00	$213.01
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	29	28	$300.00	$95.67
29880 Removal of both knee cartilages using an endoscope	18	17	$14813.00	$641.78
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	17	13	$150.00	$47.09
29824 Partial removal of collar bone at shoulder using an endoscope	13	13	$13000.00	$433.85
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	13	$415.00	$130.37
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$14422.00	$190.14
20610 Aspiration and/or injection of fluid from large joint	12	11	$1361.67	$64.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	26,726	151	$74.00	$16.71
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	821	224	$1352.01	$123.13
J1030 Injection, methylprednisolone acetate, 40 mg	455	247	$65.00	$6.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	435	290	$150.41	$50.02
99213 Established patient office or other outpatient visit, typically 15 minutes	244	185	$229.92	$81.53
20610 Aspiration and/or injection of fluid from large joint	244	140	$1062.05	$73.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	188	188	$350.00	$117.16
20605 Aspiration and/or injection of medium joint or joint capsule	72	52	$788.89	$53.69
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	31	31	$300.00	$96.89
73560 X-ray of knee, 1-2 views	30	29	$450.00	$37.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$670.00	$217.59
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	25	16	$150.00	$47.17
20550 Injection into tendon or ligament	24	21	$875.00	$53.13
99441 Telephone medical discussion with physician, 5-10 minutes	17	16	$388.24	$44.30
29877 Removal or shaving of knee joint cartilage using an endoscope	15	15	$10500.00	$709.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	28,902	174	$74.00	$14.19
20610 Aspiration and/or injection of fluid from large joint	1,073	358	$1157.35	$75.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	740	399	$148.90	$48.71
J1030 Injection, methylprednisolone acetate, 40 mg	717	364	$65.00	$6.25
99213 Established patient office or other outpatient visit, typically 15 minutes	317	232	$230.38	$79.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	289	289	$350.00	$116.17
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	257	99	$1349.11	$118.45
20550 Injection into tendon or ligament	96	58	$848.75	$46.77
73560 X-ray of knee, 1-2 views	92	81	$450.00	$35.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	83	41	$250.00	$76.28
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	82	24	$1001.83	$454.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	67	$670.00	$212.61
20605 Aspiration and/or injection of medium joint or joint capsule	66	50	$742.27	$49.79
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	58	30	$150.00	$45.42
73030 X-ray of shoulder, minimum of 2 views	58	47	$420.00	$33.14
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	57	51	$300.00	$93.65
73502 X-ray of hip, 2-3 views	54	47	$600.00	$47.33
73100 X-ray of wrist, 2 views	43	14	$420.00	$35.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	26	$355.44	$89.46
73630 X-ray of foot, minimum of 3 views	27	18	$420.00	$34.39
29877 Removal or shaving of knee joint cartilage using an endoscope	24	24	$10372.50	$682.48
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	13	$13872.93	$183.24
29824 Partial removal of collar bone at shoulder using an endoscope	14	13	$12757.14	$585.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	24,937	141	$75.90	$6.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,217	451	$140.00	$47.49
20610 Aspiration and/or injection of fluid from large joint	1,197	363	$1137.33	$73.91
J1030 Injection, methylprednisolone acetate, 40 mg	671	358	$65.00	$6.64
99213 Established patient office or other outpatient visit, typically 15 minutes	357	265	$230.67	$77.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	293	293	$350.00	$115.61
73560 X-ray of knee, 1-2 views	207	155	$452.17	$34.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	129	51	$250.00	$76.56
73502 X-ray of hip, 2-3 views	108	94	$600.00	$45.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	96	91	$670.00	$213.79
73030 X-ray of shoulder, minimum of 2 views	81	62	$420.00	$32.28
20550 Injection into tendon or ligament	67	56	$902.69	$51.20
20605 Aspiration and/or injection of medium joint or joint capsule	62	43	$767.26	$49.50
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	51	49	$300.00	$96.17
73100 X-ray of wrist, 2 views	51	23	$420.00	$34.77
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	44	23	$150.00	$47.15
73630 X-ray of foot, minimum of 3 views	29	18	$420.00	$30.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	22	$355.00	$109.72
29877 Removal or shaving of knee joint cartilage using an endoscope	28	28	$9148.57	$674.03
73120 X-ray of hand, 2 views	24	11	$370.00	$30.75
72100 X-ray of lower and sacral spine, 2-3 views	22	21	$500.00	$38.51
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	22	22	$6962.27	$180.05
73600 X-ray of ankle, 2 views	21	18	$430.00	$32.73
29824 Partial removal of collar bone at shoulder using an endoscope	20	20	$9850.00	$467.91
73070 X-ray of elbow, 2 views	20	13	$390.00	$29.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$350.00	$115.50
20610 Aspiration and/or injection of fluid from large joint	17	14	$1062.35	$55.43
72170 X-ray of pelvis, 1-2 views	16	16	$460.00	$35.08
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$17680.00	$1336.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$535.00	$168.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	13	11	$40.00	$1.83
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$17180.00	$1291.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	6,779	47	$74.00	$7.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,405	534	$140.00	$47.17
20610 Aspiration and/or injection of fluid from large joint	1,132	363	$1121.34	$73.82
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	670	123	$530.00	$147.32
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	629	351	$40.00	$1.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	327	327	$350.00	$116.15
99213 Established patient office or other outpatient visit, typically 15 minutes	274	217	$230.44	$78.19
73560 X-ray of knee, 1-2 views	189	149	$450.00	$33.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	160	75	$250.00	$75.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	139	136	$670.00	$213.55
20550 Injection into tendon or ligament	79	50	$840.00	$45.36
73030 X-ray of shoulder, minimum of 2 views	62	48	$420.00	$31.87
73100 X-ray of wrist, 2 views	61	23	$420.00	$31.92
73502 X-ray of hip, 2-3 views	57	49	$600.00	$44.83
20605 Aspiration and/or injection of medium joint or joint capsule	52	45	$737.31	$44.82
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	49	22	$150.00	$47.18
73600 X-ray of ankle, 2 views	34	23	$430.00	$30.83
73630 X-ray of foot, minimum of 3 views	33	25	$420.00	$31.93
29877 Removal or shaving of knee joint cartilage using an endoscope	27	27	$8970.00	$675.54
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	23	23	$300.00	$96.24
27245 Treatment of broken neck of thigh bone with bone implant	18	18	$17680.00	$1337.45
73070 X-ray of elbow, 2 views	17	12	$390.00	$29.99
72170 X-ray of pelvis, 1-2 views	16	14	$460.00	$35.11
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	15	14	$225.00	$19.07
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$500.00	$38.57
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	14	$6735.00	$190.34
29824 Partial removal of collar bone at shoulder using an endoscope	14	14	$9600.00	$433.36
20610 Aspiration and/or injection of fluid from large joint	14	13	$860.00	$49.58
73120 X-ray of hand, 2 views	11	11	$370.00	$28.77

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License NJ MA69669

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

Hackensack Meridian Health Medical Group - Specialty Care Pc

727 N Beers St, Holmdel, NJ 077331514

Phone: 7327142700

Suburban Orthopaedic Medical Center, Llc

554 Bloomfield Ave, Newark, NJ 071071338

Phone: 9734832277

Hackensack Meridian Health Medical Group - Specialty Care Pc

30 Prospect Ave, Hackensack, NJ 076011915

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Charles Demarco , MD

Orthopaedic Surgery

NPI 1265434930

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 March 11, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location March 11, 2010

Registered at 733 N BEERS ST, SUITE L-3, HOLMDEL, NJ 077331528 (Tel: 7322645454)

📍

Updated Business Mailing Address March 11, 2010

Registered at 733 N BEERS ST, SUITE L-3, HOLMDEL, NJ 077331528 (Tel: 7322645454)

👤

Provider Name / Credentials Updated March 11, 2010

Recorded as MICHAEL CUNNINGHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2010

Orthopaedic Surgery (License #MA69669 in NJ)

🟢

Initial NPI Registration & Enumeration January 30, 2007

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: 1033256243

Entity Type:

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

Enumeration Date: January 30, 2007

Last Update: March 11, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

733 N Beers St, Suite L-3

Holmdel, NJ 077331528

Phone: 7322645454

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.