Active NPI 1568452084 Individual Practitioner Male Practitioner

Dr. Benjamin John Cunningham , MD

Orthopaedic Surgery • Plano, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Cunningham, MD is a certified Orthopaedic Surgery practicing in Plano, TX. With approximately 31 years of clinical experience since graduating from University Of Chicago, Pritzker School Of Medicine in 1995, Dr. Cunningham delivers high-quality medical care to the local community at 1600 COIT RD STE 104.

Dr. Cunningham is affiliated with Mch Professional Care and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1600 Coit Rd Ste 104

Plano, TX 750756171

Telephone 8773148990

Fax 8667412685

Associated Practice Facility / Clinic

🏢 Southwest Scoliosis Institute, Pllc Facility NPI 1790290484

Medicare Profile & Education

Medical School

University Of Chicago, Pritzker School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Plano, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +4.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

35 Specialists

Practicing in Plano, TX (1627 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (31 Years) 31 Yrs

Plano Specialty Average (26.5 Years) 26.5 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
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	7,226	12	$3.54	$0.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	228	21	$5.20	$0.84
99213 Established patient office or other outpatient visit, typically 15 minutes	161	74	$182.00	$83.32
20610 Aspiration and/or injection of fluid from large joint	103	31	$151.73	$60.84
73502 X-ray of hip, 2-3 views	79	43	$102.00	$42.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	70	68	$513.00	$164.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	28	$269.00	$117.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	27	$192.00	$75.03
73560 X-ray of knee, 1-2 views	36	21	$77.00	$29.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	32	$109.00	$53.81
73610 X-ray of ankle, minimum of 3 views	28	12	$78.00	$25.01
73030 X-ray of shoulder, minimum of 2 views	26	11	$73.00	$30.57
73562 X-ray of knee, 3 views	23	19	$88.00	$36.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	19	$276.00	$112.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$412.00	$153.17
27245 Treatment of broken neck of thigh bone with bone implant	20	20	$2430.00	$1172.26
72190 X-ray of pelvis, minimum of 3 views	15	11	$102.00	$35.84
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$3242.00	$1140.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	76	42	$184.29	$85.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	69	$513.00	$164.93
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	73	13	$5.20	$0.99
73502 X-ray of hip, 2-3 views	72	36	$102.00	$41.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	29	$192.00	$76.01
73610 X-ray of ankle, minimum of 3 views	39	13	$78.00	$35.32
20610 Aspiration and/or injection of fluid from large joint	38	19	$158.89	$63.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	21	$269.00	$118.90
27245 Treatment of broken neck of thigh bone with bone implant	20	20	$2430.00	$1169.64
72190 X-ray of pelvis, minimum of 3 views	18	13	$107.67	$37.32
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	17	17	$3242.00	$1083.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	11	$276.00	$114.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$412.00	$159.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	19	$139.00	$88.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$393.00	$191.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	13	$206.00	$125.40
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$3772.00	$1144.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	11	$202.00	$99.55
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$3628.00	$1152.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	53	$393.00	$195.05
27245 Treatment of broken neck of thigh bone with bone implant	21	21	$3772.00	$1194.53
73502 X-ray of hip, 2-3 views	19	16	$161.74	$45.41
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$157.00	$89.05
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$223.17	$97.88
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	18	18	$3628.00	$1159.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	14	$202.00	$90.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$235.94	$126.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$259.45	$54.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	42	38	$651.00	$100.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	17	$277.00	$44.00
73502 X-ray of hip, 2-3 views	20	17	$259.00	$43.49
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$7941.00	$1217.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73502 X-ray of hip, 2-3 views	38	26	$263.33	$35.04
73560 X-ray of knee, 1-2 views	17	12	$194.00	$24.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	11	$277.00	$43.25
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	13	$136.00	$21.71
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$651.00	$98.55
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$7941.00	$1204.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	12	$468.00	$70.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	35	$360.00	$40.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$1628.00	$128.31
73502 X-ray of hip, 2-3 views	41	27	$419.49	$28.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	24	$734.60	$68.35
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$1479.57	$94.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	14	$398.80	$35.77
27245 Treatment of broken neck of thigh bone with bone implant	19	19	$16272.95	$1156.80
73610 X-ray of ankle, minimum of 3 views	18	12	$297.00	$25.39
73552 X-ray of thigh bone, minimum 2 views	14	11	$138.21	$20.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	32	$259.38	$35.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	37	$462.70	$38.89
99221 Initial hospital inpatient care per day, typically 30 minutes	44	44	$952.78	$91.89
73502 X-ray of hip, 2-3 views	37	22	$390.20	$36.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	37	$1111.84	$123.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	23	$577.08	$65.51
27245 Treatment of broken neck of thigh bone with bone implant	24	24	$58125.00	$1112.32
73610 X-ray of ankle, minimum of 3 views	22	13	$248.00	$27.75
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$266.78	$65.45

Medical Specialties & State Licenses

CMS Verified: 2021-05-05

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX L3618

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

178955401 (TX)

Hospital & Practice Group Affiliations

Mch Professional Care

519 N Lincoln Ave, Odessa, TX 797614429

Phone: 4326406446

Secondary Practice Locations

600 N Grant Ave, Suite 200

Odessa, TX 797614503

Phone: 4323311234

Practice Associates & Co-Workers

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

16 Associated Practitioners

Aaron Linden , PA-C

Physician Assistant

NPI 1083298228

Physician Assistant (Certified)

Richard Denny , PA-C

Physician Assistant

NPI 1083687735

Physician Assistant (Certified)

Anna Fiebig

Physician Assistant

NPI 1114550662

Casey Parker , PA-C

Physician Assistant

NPI 1114797800

Physician Assistant (Certified)

Dr. Brandon Levy , MD

Orthopaedic Surgery

NPI 1184007460

Doctor of Medicine (M.D.)

Garrett James

Physical Therapist

NPI 1225962996

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location May 05, 2021

Registered at 1600 COIT RD STE 104, PLANO, TX 750756171 (Tel: 8773148990)

📍

Updated Business Mailing Address May 05, 2021

Registered at 1600 COIT RD STE 104, PLANO, TX 750756171 (Tel: 8773148990)

✅

NPI Profile Active May 16, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 16, 2011

Registered at 600 N GRANT AVE, SUITE 200, ODESSA, TX 797614503 (Tel: 4323311234)

📍

Updated Business Mailing Address May 16, 2011

Registered at PO BOX 1808, ODESSA, TX 797601808 (Tel: 4323311234)

👤

Provider Name / Credentials Updated May 16, 2011

Recorded as BENJAMIN CUNNINGHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2011

Orthopaedic Surgery (License #L3618 in TX)

🟢

Initial NPI Registration & Enumeration October 26, 2005

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. Benjamin 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: 1568452084

Entity Type:

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

Enumeration Date: October 26, 2005

Last Update: May 05, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1600 Coit Rd Ste 104

Plano, TX 750756171

Phone: 8773148990

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.