Douglas Cunningham, D.O.
NPI 1104856475 · Family Medicine Physician · Phoenix, AZ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Cunningham, D.O. is a Family Medicine Physician provider in Phoenix, AZ (NPI 1104856475).
Provider details
- NPI number
- 1104856475
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 2325 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,304 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 935 | $123 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 263 | $87 |
| Urinalysis, Manual Test81002 | 235 | $3 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 232 | $14 |
| Blood Glucose (sugar) Level82947 | 125 | $4 |
| Advance Care Planning, First 30 Minutes99497 | 73 | $77 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 147 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Bictegrav/Emtricit/Tenofov Alabrand: Biktarvy | 530 | 68 |
| Atorvastatin Calcium | 420 | 97 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 339 | 74 |
| Lisinopril | 276 | 76 |
| Gabapentin | 242 | 46 |
| Rosuvastatin Calcium | 216 | 44 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$276,740 across 425 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2021-04-13
- Certified
- 2021-04-13
Frequently asked questions
- What is Douglas Cunningham's NPI number?
- Douglas Cunningham's National Provider Identifier (NPI) is 1104856475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Cunningham's specialty?
- Douglas Cunningham is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Douglas Cunningham located?
- Douglas Cunningham's practice location on file with NPPES is 4350 N 19th Ave, Phoenix, AZ 85015-4602.
- What is Douglas Cunningham's phone number?
- The practice phone number listed in the NPPES registry for Douglas Cunningham is (602) 264-9191.
- Does Douglas Cunningham accept Medicare?
- Douglas Cunningham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Cunningham's NPI active?
- Yes — Douglas Cunningham's NPI (1104856475) is active in the NPPES registry as of the last update on 2021-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.