Active NPI 1811048457 Individual Practitioner Male Practitioner

Terence L Cunningham , ARNP

Nurse Practitioner • Seattle, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Terence Cunningham, ARNP is a certified Nurse Practitioner practicing in Seattle, WA. With approximately 21 years of clinical experience since completing medical education in 2005, Terence Cunningham delivers high-quality medical care to the local community at 1100 9TH AVE.

Terence Cunningham is affiliated with Virginia Mason Medical Center and 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 9th Ave

Seattle, WA 981012756

Telephone 2065832299

Associated Practice Facility / Clinic

🏢 Virginia Mason Medical Center Facility NPI 1376607234

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Seattle, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +10.7 yrs vs City Avg

City Avg: 10.3 Yrs

State Avg: 11.0 Yrs

Regional Practice Density

574 Specialists

Practicing in Seattle, WA (2339 Statewide)

Telehealth Adoption Rate

28.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

58.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cunningham (21 Years) 21 Yrs

Seattle Specialty Average (10.3 Years) 10.3 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	109	75	$182.00	$87.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	92	$330.00	$119.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$315.80	$121.07
99213 Established patient office or other outpatient visit, typically 15 minutes	28	23	$87.00	$59.18
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$235.00	$85.29

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	142	87	$182.00	$89.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	78	$325.66	$89.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$224.00	$123.22
99213 Established patient office or other outpatient visit, typically 15 minutes	36	33	$87.00	$60.49
99213 Established patient office or other outpatient visit, typically 15 minutes	27	27	$235.00	$60.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	12	$315.00	$131.56
36415 Insertion of needle into vein for collection of blood sample	13	11	$21.85	$8.40

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	127	93	$166.62	$90.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	65	$313.14	$90.83
99213 Established patient office or other outpatient visit, typically 15 minutes	36	35	$74.78	$61.41
99213 Established patient office or other outpatient visit, typically 15 minutes	30	30	$223.00	$63.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	21	$288.60	$133.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$205.80	$124.89

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	153	113	$152.83	$91.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	52	$291.00	$91.90
99213 Established patient office or other outpatient visit, typically 15 minutes	35	33	$65.00	$61.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	22	$249.00	$134.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$189.00	$125.62
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$205.00	$63.10
36415 Insertion of needle into vein for collection of blood sample	21	13	$16.00	$2.79

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	114	72	$149.23	$73.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	28	$288.00	$85.21
99213 Established patient office or other outpatient visit, typically 15 minutes	32	30	$68.38	$47.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$189.00	$110.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$245.00	$103.62
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$204.00	$50.49

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	158	100	$152.47	$70.83
99213 Established patient office or other outpatient visit, typically 15 minutes	35	27	$65.00	$46.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$191.00	$108.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	13	$248.00	$101.09

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	168	107	$126.90	$70.59
99213 Established patient office or other outpatient visit, typically 15 minutes	44	39	$64.00	$46.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$188.00	$107.76

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	166	130	$201.54	$69.17
99213 Established patient office or other outpatient visit, typically 15 minutes	61	52	$85.00	$45.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$187.00	$105.95

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP30007020

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

9648080 (WA)

Commercial Insurance / Payer ID Labor And Industries #

0039581 (WA)

Commercial Insurance / Payer ID Railroad Mc#

P00290252 (WA)

Commercial Insurance / Payer ID Blue Shield #

5332CU (WA)

Commercial Insurance / Payer ID Aetna Specialist Pin

US7114734 (WA)

Hospital & Practice Group Affiliations

Virginia Mason Medical Center

925 Seneca St, Seattle, WA 981012742

Phone: 2062236600

Virginia Mason Medical Center

620 5th Ave S, Kirkland, WA 980336736

Phone: 4258145100

Virginia Mason Medical Center

33501 1st Way S, Federal Way, WA 980036208

Phone: 2538382400

Virginia Mason Medical Center

2671 Ne 46th St, Seattle, WA 981055041

Phone: 2065258000

Virginia Mason Medical Center

19116 33rd Ave W, Lynnwood, WA 980364706

Phone: 4257127900

Virginia Mason Medical Center

4575 Sand Point Way Ne, Seattle, WA 981053999

Phone: 2065258000

Virginia Mason Medical Center

100 Ne Gilman Blvd, Issaquah, WA 980272925

Phone: 4255578000

Practice Associates & Co-Workers

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

25 Associated Practitioners

Dr. Oludamilola Olufosoye , MD

Student in an Organized Health Care Education/Training Program

NPI 1083328298

Doctor of Medicine (M.D.)

Dr. Andy Pham , MD

Internal Medicine

NPI 1184187551

Doctor of Medicine (M.D.)

Dr. Emily Hanson , MD

Internal Medicine

NPI 1255597035

Doctor of Medicine (M.D.)

Dr. Joy Bucher , MD

Internal Medicine

NPI 1265514822

Doctor of Medicine (M.D.)

Soheila Hedayati

Internal Medicine

NPI 1265667067

Dr. Linda Mach , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1295760114

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active March 28, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address March 28, 2017

Registered at 1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 981012756 (Tel: 2065155811)

📍

Updated Practice Location March 28, 2017

Registered at 1100 9TH AVE, SEATTLE, WA 981012756 (Tel: 2065832299)

👤

Provider Name / Credentials Updated March 28, 2017

Recorded as TERENCE CUNNINGHAM, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2017

Nurse Practitioner (License #AP30007020 in WA)

✅

NPI Profile Active April 07, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 07, 2008

Registered at 1100 9TH AVE, SEATTLE, WA 981012756 (Tel: 2062236600)

📍

Updated Business Mailing Address April 07, 2008

Registered at 1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 981011873 (Tel: 2065155811)

👤

Provider Name / Credentials Updated April 07, 2008

Recorded as TERENCE CUNNINGHAM, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2008

Nurse Practitioner (License #AP30007020 in WA)

🟢

Initial NPI Registration & Enumeration January 12, 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: 1811048457

Entity Type:

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

Enumeration Date: January 12, 2007

Last Update: March 28, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1100 9th Ave, Ms:m4-Pfs

Seattle, WA 981012756

Phone: 2065155811

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.