Active NPI 1366515405 Individual Practitioner Male Practitioner

Dr. Michael F. Cunningham , MD

Urology • Worthington, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Cunningham, MD is a certified Urology practicing in Worthington, OH. With approximately 34 years of clinical experience since graduating from Ohio State University College Of Medicine in 1992, Dr. Cunningham delivers high-quality medical care to the local community at 350 W WILSON BRIDGE RD.

Dr. Cunningham maintains professional affiliations with Fairfield Healthcare Professionals Inc, Central Ohio Urology Group, Llc., Hocking Valley Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, established patient outpatient office visit, principal care management services for a single high-risk disease, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

350 W Wilson Bridge Rd

Worthington, OH 430852217

Telephone 6147962900

Fax 6147962901

Associated Practice Facility / Clinic

🏢 Central Ohio Urology Group, Llc Facility NPI 1619409109

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Worthington, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +12.6 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

9 Specialists

Practicing in Worthington, OH (564 Statewide)

Telehealth Adoption Rate

44.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (34 Years) 34 Yrs

Worthington Specialty Average (21.4 Years) 21.4 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
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,400	23	$2.00	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	562	397	$367.11	$120.06
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	487	68	$178.56	$58.64
36415 Insertion of needle into vein for collection of blood sample	286	220	$25.71	$8.63
84153 Psa (prostate specific antigen) measurement, total	229	189	$55.00	$18.02
99213 Established patient office or other outpatient visit, typically 15 minutes	189	170	$260.15	$85.65
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	189	21	$179.75	$59.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$478.77	$158.38
51798 Ultrasound measurement of bladder capacity after voiding	82	67	$30.96	$10.17
74018 X-ray of abdomen, 1 view	69	44	$58.99	$19.21
52000 Diagnostic exam of bladder and urethra using an endoscope	66	64	$667.70	$215.33
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	66	15	$145.33	$47.67
52000 Diagnostic exam of bladder and urethra using an endoscope	53	45	$231.72	$74.05
76872 Ultrasound scan of pelvic region through rectum	44	43	$554.46	$125.95
88112 Cell examination of specimen, selective cellular enhancement technique	40	32	$112.69	$37.03
99427 Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month	40	25	$135.61	$44.54
50590 Shock wave crushing of kidney stones	38	32	$1657.51	$534.21
76770 Complete ultrasound scan behind abdominal cavity	36	36	$200.26	$65.91
76775 Limited ultrasound scan behind abdominal cavity	29	28	$88.98	$29.26
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	26	13	$137.56	$45.12
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	24	24	$614.74	$178.04
55700 Biopsy of prostate gland	24	24	$375.88	$123.37
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	23	23	$86.99	$28.55
74178 Ct scan of abdomen and pelvis before and after contrast	22	21	$678.61	$228.31
84403 Testosterone (hormone) level, total	21	14	$77.00	$25.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$469.49	$164.47
55899 Other procedure on male genital system	16	16	$1036.41	$145.07
51741 Electronic assessment of bladder emptying	16	16	$29.20	$5.15
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	15	15	$601.00	$197.13
84154 Psa (prostate specific antigen) measurement, free	13	11	$55.00	$18.02
51700 Simple bladder irrigation and/or instillation	12	12	$208.00	$70.51
81003 Automated urinalysis test	11	11	$6.75	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,700	34	$2.00	$0.15
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	494	78	$181.53	$58.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	394	300	$300.34	$120.59
99213 Established patient office or other outpatient visit, typically 15 minutes	363	296	$177.91	$85.65
36415 Insertion of needle into vein for collection of blood sample	273	203	$31.19	$8.38
84153 Psa (prostate specific antigen) measurement, total	191	156	$68.08	$18.02
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	153	20	$184.16	$59.55
A9595 Piflufolastat f-18, diagnostic, 1 millicurie	126	14	$3317.86	$538.74
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	110	23	$1883.60	$48.58
51798 Ultrasound measurement of bladder capacity after voiding	84	68	$128.15	$9.68
99427 Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month	66	36	$139.51	$43.67
76770 Complete ultrasound scan behind abdominal cavity	64	61	$248.52	$69.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$411.79	$159.51
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	63	16	$139.21	$44.85
74018 X-ray of abdomen, 1 view	62	39	$72.03	$19.56
52000 Diagnostic exam of bladder and urethra using an endoscope	62	60	$574.63	$208.48
52000 Diagnostic exam of bladder and urethra using an endoscope	47	42	$383.51	$76.55
88112 Cell examination of specimen, selective cellular enhancement technique	45	40	$166.83	$36.25
81003 Automated urinalysis test	36	35	$14.20	$2.20
50590 Shock wave crushing of kidney stones	34	28	$3383.02	$547.56
76872 Ultrasound scan of pelvic region through rectum	34	33	$350.16	$124.04
74178 Ct scan of abdomen and pelvis before and after contrast	33	30	$1109.35	$238.32
51741 Electronic assessment of bladder emptying	31	31	$182.48	$5.59
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	27	27	$712.46	$145.56
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	23	23	$2494.93	$200.21
81002 Urinalysis, manual test	23	22	$7.45	$3.41
84403 Testosterone (hormone) level, total	22	15	$102.05	$25.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$240.98	$107.17
74176 Ct scan of abdomen and pelvis without contrast	19	19	$527.87	$97.80
76775 Limited ultrasound scan behind abdominal cavity	16	16	$160.12	$30.68
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	15	15	$1200.86	$169.29
55700 Biopsy of prostate gland	14	14	$426.95	$125.05
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	14	14	$3281.00	$967.83
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$236.65	$68.99
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$94.69	$29.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$334.72	$125.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$460.07	$167.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,700	37	$2.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	523	380	$155.00	$86.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	335	253	$228.00	$121.94
36415 Insertion of needle into vein for collection of blood sample	269	207	$35.00	$2.95
84153 Psa (prostate specific antigen) measurement, total	216	168	$76.00	$18.14
81002 Urinalysis, manual test	115	102	$7.00	$3.44
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	109	23	$2660.00	$49.33
51798 Ultrasound measurement of bladder capacity after voiding	80	66	$180.00	$9.75
52000 Diagnostic exam of bladder and urethra using an endoscope	62	60	$500.00	$194.03
76775 Limited ultrasound scan behind abdominal cavity	59	59	$232.00	$54.51
74018 X-ray of abdomen, 1 view	59	41	$78.00	$20.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$354.91	$162.61
88112 Cell examination of specimen, selective cellular enhancement technique	49	41	$195.00	$36.06
76770 Complete ultrasound scan behind abdominal cavity	47	46	$283.00	$97.38
52000 Diagnostic exam of bladder and urethra using an endoscope	45	41	$500.00	$78.33
76872 Ultrasound scan of pelvic region through rectum	38	36	$247.00	$131.62
51741 Electronic assessment of bladder emptying	36	36	$200.00	$6.81
74178 Ct scan of abdomen and pelvis before and after contrast	33	33	$1253.00	$249.14
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	31	31	$700.00	$174.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$231.24	$108.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$431.00	$192.38
50590 Shock wave crushing of kidney stones	24	19	$4166.67	$566.81
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	23	23	$3500.00	$205.00
74176 Ct scan of abdomen and pelvis without contrast	22	21	$634.00	$100.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	14	$54.00	$13.70
84403 Testosterone (hormone) level, total	17	11	$106.00	$25.53
51700 Simple bladder irrigation and/or instillation	17	17	$177.00	$58.60
J1580 Injection, garamycin, gentamicin, up to 80 mg	15	11	$5.00	$2.07
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	15	15	$1800.00	$163.99
52281 Dilation of bladder canal (urethra) using an endoscope	13	11	$644.00	$148.21
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$98.00	$30.43
55700 Biopsy of prostate gland	12	12	$462.00	$127.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,600	36	$2.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	570	388	$155.00	$88.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	429	299	$228.00	$126.24
36415 Insertion of needle into vein for collection of blood sample	293	205	$35.00	$2.98
87798 Detection test for organism	273	19	$120.00	$35.09
81002 Urinalysis, manual test	229	174	$7.00	$3.47
84153 Psa (prostate specific antigen) measurement, total	177	119	$76.00	$18.39
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	146	31	$2660.00	$51.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$354.94	$163.06
51798 Ultrasound measurement of bladder capacity after voiding	86	65	$180.00	$9.54
52000 Diagnostic exam of bladder and urethra using an endoscope	79	75	$500.00	$196.15
76775 Limited ultrasound scan behind abdominal cavity	73	70	$232.00	$56.26
87481 Detection test for candida species (yeast), amplified probe technique	63	19	$120.00	$35.09
87801 Detection test for multiple organisms	63	19	$234.00	$70.20
74018 X-ray of abdomen, 1 view	62	37	$78.00	$19.50
76770 Complete ultrasound scan behind abdominal cavity	52	51	$283.00	$107.69
52000 Diagnostic exam of bladder and urethra using an endoscope	49	48	$500.00	$79.13
G0103 Prostate cancer screening; prostate specific antigen test (psa)	45	45	$76.00	$19.31
50590 Shock wave crushing of kidney stones	39	28	$4000.00	$554.30
88112 Cell examination of specimen, selective cellular enhancement technique	38	37	$195.00	$36.38
74178 Ct scan of abdomen and pelvis before and after contrast	35	35	$1253.00	$257.53
76872 Ultrasound scan of pelvic region through rectum	32	32	$247.00	$129.36
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	31	31	$3500.00	$208.74
74176 Ct scan of abdomen and pelvis without contrast	29	23	$634.00	$104.87
84403 Testosterone (hormone) level, total	26	15	$106.00	$25.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$294.00	$133.49
51705 Removal of skin suture with change of bladder tube	22	11	$233.00	$92.76
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	21	19	$120.00	$35.09
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	21	19	$120.00	$35.09
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	21	19	$120.00	$35.09
87529 Detection test by nucleic acid for herpes simplex virus, amplified probe technique	21	19	$120.00	$35.09
87496 Detection test by nucleic acid for cytomegalovirus (cmv), amplified probe technique	21	19	$120.00	$35.09
55700 Biopsy of prostate gland	20	20	$462.00	$129.78
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	20	$98.00	$30.96
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	19	19	$1800.00	$160.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$231.00	$109.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$431.00	$196.35
51741 Electronic assessment of bladder emptying	18	18	$200.00	$6.59
51700 Simple bladder irrigation and/or instillation	14	13	$177.00	$38.15
52281 Dilation of bladder canal (urethra) using an endoscope	14	11	$676.00	$312.89
76872 Ultrasound scan of pelvic region through rectum	12	12	$247.00	$32.49
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	12	12	$700.00	$214.16
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	12	12	$733.00	$354.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	4,600	44	$2.00	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	473	337	$155.00	$72.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	419	295	$228.00	$105.78
81002 Urinalysis, manual test	273	205	$7.00	$3.46
36415 Insertion of needle into vein for collection of blood sample	272	202	$35.00	$2.97
84153 Psa (prostate specific antigen) measurement, total	163	113	$76.00	$18.11
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	106	19	$645.00	$221.73
51798 Ultrasound measurement of bladder capacity after voiding	93	78	$180.00	$9.61
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	85	24	$2660.00	$50.82
52000 Diagnostic exam of bladder and urethra using an endoscope	62	54	$500.00	$80.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$355.00	$159.42
52000 Diagnostic exam of bladder and urethra using an endoscope	55	55	$500.00	$179.20
76770 Complete ultrasound scan behind abdominal cavity	53	51	$283.00	$107.22
G0103 Prostate cancer screening; prostate specific antigen test (psa)	49	49	$76.00	$19.25
88112 Cell examination of specimen, selective cellular enhancement technique	44	38	$195.00	$36.90
74178 Ct scan of abdomen and pelvis before and after contrast	43	41	$1253.00	$240.14
50590 Shock wave crushing of kidney stones	35	32	$4000.00	$607.74
74018 X-ray of abdomen, 1 view	34	21	$78.00	$18.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$431.00	$201.47
74176 Ct scan of abdomen and pelvis without contrast	26	25	$634.00	$104.41
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	24	24	$3506.25	$211.39
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	23	19	$80.00	$30.00
76775 Limited ultrasound scan behind abdominal cavity	22	21	$232.00	$56.81
76872 Ultrasound scan of pelvic region through rectum	20	20	$241.15	$33.63
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$432.00	$55.67
55700 Biopsy of prostate gland	17	16	$465.88	$133.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	14	$54.00	$13.76
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	14	14	$1800.00	$148.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$294.00	$136.96
76872 Ultrasound scan of pelvic region through rectum	13	13	$247.00	$136.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$232.08	$105.22
51797 Insertion of device into abdomen with pressure and urine flow rate study	12	12	$520.00	$151.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	4,725	43	$2.00	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	665	455	$155.00	$71.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	439	321	$228.00	$104.44
81002 Urinalysis, manual test	345	256	$7.00	$3.39
36415 Insertion of needle into vein for collection of blood sample	296	224	$35.00	$2.92
51798 Ultrasound measurement of bladder capacity after voiding	195	134	$180.00	$11.72
84153 Psa (prostate specific antigen) measurement, total	181	127	$76.00	$19.85
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	113	37	$2660.00	$60.39
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	100	14	$645.00	$225.36
52000 Diagnostic exam of bladder and urethra using an endoscope	89	80	$503.89	$80.68
76770 Complete ultrasound scan behind abdominal cavity	80	78	$283.00	$105.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	65	$294.23	$135.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$354.66	$160.22
G0103 Prostate cancer screening; prostate specific antigen test (psa)	54	54	$76.00	$20.03
74178 Ct scan of abdomen and pelvis before and after contrast	48	44	$1253.00	$240.22
51700 Simple bladder irrigation and/or instillation	46	40	$177.00	$71.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	28	$54.00	$15.57
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	37	37	$3548.65	$225.97
52000 Diagnostic exam of bladder and urethra using an endoscope	33	32	$500.00	$158.68
51705 Removal of skin suture with change of bladder tube	30	16	$233.00	$90.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	21	$93.00	$43.34
50590 Shock wave crushing of kidney stones	27	23	$4000.00	$612.40
84403 Testosterone (hormone) level, total	26	15	$106.00	$28.11
51702 Simple insertion of temporary bladder tube	24	14	$181.00	$59.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$231.00	$104.99
74176 Ct scan of abdomen and pelvis without contrast	22	20	$634.00	$104.31
J1580 Injection, garamycin, gentamicin, up to 80 mg	22	18	$5.00	$1.75
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$432.00	$55.07
88112 Cell examination of specimen, selective cellular enhancement technique	20	18	$195.00	$35.88
51797 Insertion of device into abdomen with pressure and urine flow rate study	20	20	$520.00	$130.50
52287 Exam with injections of chemical for destruction of bladder using an endoscope	20	15	$900.00	$171.49
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	19	19	$700.00	$315.42
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	19	15	$80.00	$29.21
55700 Biopsy of prostate gland	18	18	$473.00	$132.30
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$432.00	$32.02
52281 Dilation of bladder canal (urethra) using an endoscope	17	12	$674.12	$153.90
76775 Limited ultrasound scan behind abdominal cavity	16	16	$232.00	$54.32
74018 X-ray of abdomen, 1 view	16	15	$78.00	$17.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$347.71	$127.64
51741 Electronic assessment of bladder emptying	14	14	$200.00	$7.53
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	13	13	$5500.00	$1731.75
54235 Injection procedure to induce erection	12	12	$265.00	$80.82
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	12	12	$2000.00	$100.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	4,575	42	$2.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	623	388	$228.00	$103.14
81002 Urinalysis, manual test	469	308	$7.00	$3.40
99213 Established patient office or other outpatient visit, typically 15 minutes	413	285	$155.00	$69.84
51798 Ultrasound measurement of bladder capacity after voiding	210	144	$180.00	$14.66
36415 Insertion of needle into vein for collection of blood sample	207	145	$35.00	$2.93
84153 Psa (prostate specific antigen) measurement, total	126	79	$76.00	$22.11
52000 Diagnostic exam of bladder and urethra using an endoscope	94	84	$507.36	$80.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$353.33	$157.44
76770 Complete ultrasound scan behind abdominal cavity	65	65	$283.00	$107.39
51700 Simple bladder irrigation and/or instillation	55	46	$177.00	$70.49
51705 Removal of skin suture with change of bladder tube	54	24	$233.00	$88.12
74178 Ct scan of abdomen and pelvis before and after contrast	45	42	$1253.00	$228.10
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	44	17	$2660.00	$60.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	28	$93.00	$41.33
G0103 Prostate cancer screening; prostate specific antigen test (psa)	42	42	$76.00	$22.26
88112 Cell examination of specimen, selective cellular enhancement technique	32	30	$195.00	$36.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	21	$54.00	$19.38
50590 Shock wave crushing of kidney stones	28	24	$4028.71	$583.91
51702 Simple insertion of temporary bladder tube	28	14	$181.00	$61.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$294.00	$134.04
52287 Exam with injections of chemical for destruction of bladder using an endoscope	26	18	$900.00	$169.63
J1580 Injection, garamycin, gentamicin, up to 80 mg	26	23	$5.00	$1.45
74176 Ct scan of abdomen and pelvis without contrast	25	23	$634.00	$104.40
52000 Diagnostic exam of bladder and urethra using an endoscope	25	25	$500.00	$139.74
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$432.00	$57.36
53852 Destruction of prostate tissue through bladder canal (urethra)	19	19	$5500.00	$1826.72
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	18	17	$3391.39	$228.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	13	$153.00	$71.38
51797 Insertion of device into abdomen with pressure and urine flow rate study	16	16	$520.00	$92.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$231.47	$103.90
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$432.00	$31.95
55700 Biopsy of prostate gland	14	14	$473.00	$131.30
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$117.77	$50.17
64561 Insertion of sacral nerve neurostimulator electrode array	11	11	$3713.64	$439.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	4,175	39	$2.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	645	365	$228.00	$102.48
81002 Urinalysis, manual test	505	333	$7.00	$3.17
99213 Established patient office or other outpatient visit, typically 15 minutes	236	181	$155.00	$69.57
36415 Insertion of needle into vein for collection of blood sample	171	150	$35.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	130	107	$76.00	$24.73
51798 Ultrasound measurement of bladder capacity after voiding	77	62	$180.00	$17.91
52000 Diagnostic exam of bladder and urethra using an endoscope	67	59	$500.00	$98.17
76770 Complete ultrasound scan behind abdominal cavity	51	49	$283.00	$106.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$354.48	$158.00
74178 Ct scan of abdomen and pelvis before and after contrast	42	39	$1253.00	$224.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	27	$54.00	$23.91
51702 Simple insertion of temporary bladder tube	34	17	$181.00	$59.71
88112 Cell examination of specimen, selective cellular enhancement technique	29	28	$195.00	$36.03
74176 Ct scan of abdomen and pelvis without contrast	29	27	$634.00	$104.84
51705 Removal of skin suture with change of bladder tube	29	11	$233.00	$86.91
51700 Simple bladder irrigation and/or instillation	25	25	$177.00	$69.06
55700 Biopsy of prostate gland	22	22	$473.00	$131.00
J1580 Injection, garamycin, gentamicin, up to 80 mg	22	16	$5.00	$1.51
52000 Diagnostic exam of bladder and urethra using an endoscope	22	21	$500.00	$145.95
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	22	$432.00	$31.87
52287 Exam with injections of chemical for destruction of bladder using an endoscope	21	12	$900.00	$169.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$294.00	$133.62
51797 Insertion of device into abdomen with pressure and urine flow rate study	19	19	$520.00	$65.57
50590 Shock wave crushing of kidney stones	19	18	$4421.05	$592.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$93.00	$41.42
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	15	15	$1800.00	$275.32
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	13	13	$700.00	$192.33

Medical Specialties & State Licenses

CMS Verified: 2020-02-13

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 35067236

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0707397 (OH)

Commercial Insurance / Payer ID Railroad Medicare

0446576 (OH)

Hospital & Practice Group Affiliations

Central Ohio Urology Group, Llc.

701 Tech Ctr Dr, Gahanna, OH 432301987

Phone: 6143962684

Central Ohio Urology Group, Llc.

8200 Hazelton-Etna Rd, Pastaskala, OH 43062

Phone: 8007200505

Hocking Valley Medical Group, Inc.

601 State Route 664 N, Logan, OH 431388541

Phone: 7403808129

Fairfield Healthcare Professionals Inc

618 Pleasantville Rd, Lancaster, OH 431303373

Phone: 7406896833

Central Ohio Urology Group, Llc.

4101 Emerald Pkwy, Dublin, OH 430163323

Phone: 6143962684

Secondary Practice Locations

701 Tech Center Dr Ste 100

Gahanna, OH 432301987

Phone: 6143962684

701 Tech Center Dr Ste 200

Gahanna, OH 432301987

Phone: 6143962684

620a Morrison Rd

Gahanna, OH 432305327

Phone: 6143962684

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. William Bloch , MD

Urology

NPI 1023013505

Doctor of Medicine (M.D.)

Dr. Ronney Abaza , MD

Urology

NPI 1134173339

Doctor of Medicine (M.D.)

Dr. Jonathan Corbett , MD

Urology

NPI 1174919948

Doctor of Medicine (M.D.)

Dr. Andrew Ng , MD

Urology

NPI 1205299732

Doctor of Medicine (M.D.)

Daniel Menefee , NP-C

Nurse Practitioner

NPI 1205365913

Nurse Practitioner (Certified)

Dr. Matthew Riebel , MD

Urology

NPI 1376639385

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location March 17, 2018

Registered at 350 W WILSON BRIDGE RD, WORTHINGTON, OH 430852217 (Tel: 6147962900)

📍

Updated Business Mailing Address March 17, 2018

Registered at 701 TECH CENTER DR STE 250, GAHANNA, OH 432301987 (Tel: 6149444800)

📍

Updated Practice Location February 21, 2018

Registered at 350 W WILSON BRIDGE RD, WORTHINGTON, OH 430852217 (Tel: 6147962900)

📍

Updated Business Mailing Address February 21, 2018

Registered at 701 TECH CENTER DR STE 250, GAHANNA, OH 432301987 (Tel: 6149444800)

✅

NPI Profile Active April 22, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 22, 2008

Registered at 941 CHATHAM LN, SUITE 110, COLUMBUS, OH 432212416 (Tel: 6144597600)

📍

Updated Business Mailing Address April 22, 2008

Registered at 941 CHATHAM LN, SUITE 110, COLUMBUS, OH 432212416 (Tel: 6144597600)

👤

Provider Name / Credentials Updated April 22, 2008

Recorded as MICHAEL CUNNINGHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2008

Urology (License #35067236 in OH)

🟢

Initial NPI Registration & Enumeration November 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1366515405

Entity Type:

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

Enumeration Date: November 16, 2006

Last Update: February 13, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

701 Tech Center Dr Ste 250

Gahanna, OH 432301987

Phone: 6149444800

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.