Active NPI 1720073406 Individual Practitioner Male Practitioner

Dr. David Cunningham , MD

Internal Medicine • Middletown, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. David Cunningham, MD is a certified Internal Medicine practicing in Middletown, RI. With approximately 39 years of clinical experience since graduating from Tufts University School Of Medicine in 1987, Dr. Cunningham delivers high-quality medical care to the local community at 1 CORPORATE PL.

Dr. Cunningham accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, administration of influenza virus vaccine, admn sarscov2 vacc 1 dose. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Corporate Pl

Middletown, RI 028426406

Telephone 4016194884

Fax 4016194886

Associated Practice Facility / Clinic

🏢 Providence Vamc Facility NPI 1831136050

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Middletown, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +8.9 yrs vs City Avg

City Avg: 30.1 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

13 Specialists

Practicing in Middletown, RI (1079 Statewide)

Telehealth Adoption Rate

38.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

25.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (39 Years) 39 Yrs

Middletown Specialty Average (30.1 Years) 30.1 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	287	190	$170.00	$127.30
99213 Established patient office or other outpatient visit, typically 15 minutes	176	110	$115.00	$86.71
G0008 Administration of influenza virus vaccine	59	59	$30.00	$29.40
90480 Admn sarscov2 vacc 1 dose	32	31	$40.00	$39.20
93000 Routine ekg using at least 12 leads including interpretation and report	32	30	$60.00	$14.44
99496 Transitional care management services for problem of high complexity	18	17	$360.00	$282.38

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	295	188	$170.00	$129.46
99213 Established patient office or other outpatient visit, typically 15 minutes	193	113	$115.00	$91.23
G0008 Administration of influenza virus vaccine	109	109	$30.00	$29.40
90480 Admn sarscov2 vacc 1 dose	50	50	$40.00	$39.20
93000 Routine ekg using at least 12 leads including interpretation and report	41	34	$60.00	$14.78
99496 Transitional care management services for problem of high complexity	16	14	$360.00	$270.85

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	313	189	$170.00	$131.46
99213 Established patient office or other outpatient visit, typically 15 minutes	153	98	$114.32	$92.79
G0008 Administration of influenza virus vaccine	108	108	$30.00	$29.41
0064A Adm sarscov2 50mcg/0.25mlbst	74	62	$40.00	$39.32
0004A Fee covid-19 vac 1 res	54	47	$40.00	$38.65
93000 Routine ekg using at least 12 leads including interpretation and report	35	28	$60.00	$14.89
99496 Transitional care management services for problem of high complexity	20	18	$360.00	$289.14

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	317	192	$170.00	$133.71
99213 Established patient office or other outpatient visit, typically 15 minutes	175	117	$115.00	$94.57
G0008 Administration of influenza virus vaccine	123	123	$30.00	$17.73
93000 Routine ekg using at least 12 leads including interpretation and report	49	36	$60.00	$15.20
0064A Adm sarscov2 50mcg/0.25mlbst	39	39	$40.00	$40.00
0004A Fee covid-19 vac 1 res	30	30	$40.00	$40.00
99496 Transitional care management services for problem of high complexity	18	16	$360.00	$291.00

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	311	187	$170.00	$104.63
99213 Established patient office or other outpatient visit, typically 15 minutes	152	101	$115.00	$71.29
G0008 Administration of influenza virus vaccine	103	101	$30.00	$17.62
G0009 Administration of pneumococcal vaccine	66	63	$30.00	$17.53
93000 Routine ekg using at least 12 leads including interpretation and report	32	29	$60.00	$17.94
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$30.00	$29.89

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	322	176	$170.00	$112.08
99213 Established patient office or other outpatient visit, typically 15 minutes	263	130	$115.00	$76.83
G0008 Administration of influenza virus vaccine	116	116	$30.00	$17.28
93000 Routine ekg using at least 12 leads including interpretation and report	32	27	$60.00	$17.74
G0009 Administration of pneumococcal vaccine	20	20	$30.00	$17.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	327	160	$115.00	$75.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	278	156	$170.00	$110.10
G0008 Administration of influenza virus vaccine	89	89	$30.00	$21.32
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$60.00	$17.71
99496 Transitional care management services for problem of high complexity	18	16	$360.00	$241.52
G0009 Administration of pneumococcal vaccine	16	16	$30.00	$21.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	810	348	$115.00	$82.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	386	298	$169.27	$120.18
93000 Routine ekg using at least 12 leads including interpretation and report	127	121	$60.00	$20.25
G0008 Administration of influenza virus vaccine	101	95	$30.00	$26.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	57	57	$185.00	$154.54
G0009 Administration of pneumococcal vaccine	49	49	$30.00	$26.42
90670 Pneumococcal vaccine for injection into muscle	45	45	$25.10	$24.60
82270 Stool analysis for blood to screen for colon tumors	31	31	$20.00	$4.37
99496 Transitional care management services for problem of high complexity	19	19	$360.00	$271.53
90662 Influenza vaccine split virus, preservative free	17	17	$26.71	$22.40
99495 Transitional care management services for problem of at least moderate complexity	16	15	$255.00	$202.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$75.00	$49.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$255.00	$172.72

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD07724

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7000545 (RI)

Commercial Insurance / Payer ID Group Medicare

709004149 (RI)

Commercial Insurance / Payer ID Npi Type 2

1992239081 (RI)

Commercial Insurance / Payer ID Rr Medicare

P00249981 (RI)

Secondary Practice Locations

850 Aquidneck Ave

Middletown, RI 028427244

Phone: 4018460055

Practice Associates & Co-Workers

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

4 Associated Practitioners

Jean Taft , RN

Registered Nurse - Ambulatory Care

NPI 1356542377

Registered Nurse

Joanna Lanz , NP

Nurse Practitioner

NPI 1427629377

Nurse Practitioner

Robin Blake

Registered Nurse - Psychiatric/Mental Health

NPI 1497160055

Dr. Carol Ryan , MD

Internal Medicine

NPI 1609899491

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events

✅

NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2018

Registered at 1 CORPORATE PL, MIDDLETOWN, RI 028426406 (Tel: 4016194884)

📍

Updated Business Mailing Address March 17, 2018

Registered at 10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 029034754 (Tel: (401) 421-4000)

👤

Provider Name / Credentials Updated March 17, 2018

Recorded as DAVID CUNNINGHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Internal Medicine (License #MD07724 in RI)

✅

NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 15, 2017

Registered at 1 CORPORATE PL, MIDDLETOWN, RI 028426406 (Tel: 4016194884)

📍

Updated Business Mailing Address June 15, 2017

Registered at 10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 029034754 (Tel: (401) 421-4000)

👤

Provider Name / Credentials Updated June 15, 2017

Recorded as DAVID CUNNINGHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Internal Medicine (License #MD07724 in RI)

✅

NPI Profile Active February 01, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 01, 2011

Registered at 850 AQUIDNECK AVE, MIDDLETOWN, RI 028427244 (Tel: 4018460055)

📍

Updated Business Mailing Address February 01, 2011

Registered at 10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 029034754 (Tel: 4014214000)

👤

Provider Name / Credentials Updated February 01, 2011

Recorded as DAVID CUNNINGHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2011

Internal Medicine (License #MD07724 in RI)

🟢

Initial NPI Registration & Enumeration September 19, 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: 1720073406

Entity Type:

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

Enumeration Date: September 19, 2005

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10 Davol Sq, Suite 400

Providence, RI 029034754

Phone: 4014214000

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.