Active NPI 1639332190 Individual Practitioner Female Practitioner

Dr. Claire Cunningham , MD

Internal Medicine • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Claire Cunningham, MD is a certified Internal Medicine practicing in Cincinnati, OH. With approximately 18 years of clinical experience since graduating from University Of Maryland School Of Medicine in 2008, Dr. Cunningham delivers high-quality medical care to the local community at 3200 VINE ST.

Dr. Cunningham maintains professional affiliations with Trihealth G Llc, Oxford Physical Therapy And Rehabilitation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3200 Vine St
Primary Care Department

Cincinnati, OH 452202213

Telephone 5138613100

Fax 5134756528

Associated Practice Facility / Clinic

🏢 Cincinnati Vamc Facility NPI 1114985116

Medicare Profile & Education

Medical School

University Of Maryland School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cincinnati, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -4.3 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

593 Specialists

Practicing in Cincinnati, OH (5516 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (18 Years) 18 Yrs

Cincinnati Specialty Average (22.3 Years) 22.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	109	$193.00	$117.60
36415 Insertion of needle into vein for collection of blood sample	85	61	$12.00	$8.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	68	68	$208.00	$121.79
99213 Established patient office or other outpatient visit, typically 15 minutes	56	44	$130.00	$85.73
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$38.00	$12.97
83036 Hemoglobin A1C level	18	14	$35.00	$9.06
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$475.00	$290.11
G0009 Administration of pneumococcal vaccine	14	14	$45.00	$30.47
G0008 Administration of influenza virus vaccine	11	11	$45.00	$30.42

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	177	99	$193.00	$122.01
36415 Insertion of needle into vein for collection of blood sample	103	71	$12.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	78	65	$130.00	$86.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	56	56	$208.00	$125.32
81002 Urinalysis, manual test	18	12	$11.00	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$38.00	$13.92
G0008 Administration of influenza virus vaccine	17	17	$45.00	$29.36
90662 Influenza vaccine split virus, preservative free	15	15	$106.00	$71.70
71046 X-ray of chest, 2 views	11	11	$38.00	$21.72

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	188	104	$193.00	$123.96
36415 Insertion of needle into vein for collection of blood sample	131	92	$12.00	$2.97
99213 Established patient office or other outpatient visit, typically 15 minutes	56	53	$130.00	$88.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$208.00	$128.00
G0008 Administration of influenza virus vaccine	26	26	$45.00	$27.97
93000 Routine ekg using at least 12 leads including interpretation and report	22	21	$38.00	$13.59
90662 Influenza vaccine split virus, preservative free	22	22	$106.00	$68.54
83036 Hemoglobin A1C level	19	14	$35.00	$9.60
81002 Urinalysis, manual test	16	13	$11.00	$3.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$261.00	$177.71
71046 X-ray of chest, 2 views	13	11	$38.00	$21.94

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	221	116	$193.00	$127.30
36415 Insertion of needle into vein for collection of blood sample	164	104	$12.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	63	50	$130.00	$87.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	62	62	$208.00	$130.65
93000 Routine ekg using at least 12 leads including interpretation and report	38	33	$38.00	$14.51
G0008 Administration of influenza virus vaccine	25	25	$45.00	$16.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	22	$261.00	$179.07
90662 Influenza vaccine split virus, preservative free	23	23	$106.00	$65.07
81002 Urinalysis, manual test	23	23	$11.00	$3.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$78.00	$54.92
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	18	15	$75.00	$35.33
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$226.00	$124.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	133	87	$12.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	71	$193.00	$106.20
99213 Established patient office or other outpatient visit, typically 15 minutes	94	66	$130.00	$70.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	68	68	$208.00	$113.74
G0008 Administration of influenza virus vaccine	46	45	$45.00	$16.06
90662 Influenza vaccine split virus, preservative free	42	41	$105.38	$60.69
G0009 Administration of pneumococcal vaccine	23	23	$45.00	$15.94
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$221.82	$117.57
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$38.00	$15.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	165	105	$130.00	$70.53
36415 Insertion of needle into vein for collection of blood sample	127	80	$12.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	72	$193.00	$104.42
G0008 Administration of influenza virus vaccine	43	42	$45.00	$15.75
90662 Influenza vaccine split virus, preservative free	40	39	$74.75	$54.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$208.00	$110.94
G0009 Administration of pneumococcal vaccine	28	28	$45.00	$15.75
93000 Routine ekg using at least 12 leads including interpretation and report	22	20	$38.00	$16.18
81002 Urinalysis, manual test	19	16	$11.00	$3.41
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$133.00	$70.34
90670 Pneumococcal vaccine for injection into muscle	15	15	$307.00	$207.02
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$151.54	$110.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	23	$130.00	$70.01
36415 Insertion of needle into vein for collection of blood sample	24	16	$12.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$193.00	$103.47

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.097763

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Trihealth G Llc

6010 S Mason Montgomery Rd, Mason, OH 450403706

Phone: 5132467000

Oxford Physical Therapy And Rehabilitation

7567 Central Parke Blvd, Mason, OH 450406852

Practice Associates & Co-Workers

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

40 Associated Practitioners

Casey Turner

Physical Therapist

NPI 1003215179

Cynthia Malloy , RD

Dietitian, Registered

NPI 1003251208

Registered Dietitian

Christopher Floyd , MS, MA

Psychologist

NPI 1003753633

Master of Science, Master of Arts

Lesa Hornbach , RPH

Pharmacist

NPI 1003917964

Registered Pharmacist

Michael Lagerstrand , CO

Specialist - Prosthetics Case Management

NPI 1013156652

Certified Orthotist

Dr. Katelyn Mcbride , PharmD, RPH

Pharmacist

NPI 1013403021

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 15, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 15, 2011

Registered at 3200 VINE ST, PRIMARY CARE DEPARTMENT, CINCINNATI, OH 452202213 (Tel: 5138613100)

📍

Updated Business Mailing Address December 15, 2011

Registered at 3200 VINE ST, PRIMARY CARE DEPARTMENT, CINCINNATI, OH 452202213 (Tel: 5138613100)

👤

Provider Name / Credentials Updated December 15, 2011

Recorded as CLAIRE CUNNINGHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2011

Internal Medicine (License #35.097763 in OH)

🟢

Initial NPI Registration & Enumeration July 05, 2008

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: 1639332190

Entity Type:

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

Enumeration Date: July 05, 2008

Last Update: December 15, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3200 Vine St, Primary Care Department

Cincinnati, OH 452202213

Phone: 5138613100

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.