Matthew Cunningham, MD PHD
NPI 1134321722 · Orthopaedic Surgery of the Spine Physician · New York, NY
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Cunningham, MD PHD is a Orthopaedic Surgery of the Spine Physician provider in New York, NY (NPI 1134321722).
Provider details
- NPI number
- 1134321722
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 222412 (NY)
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
146 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 Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 63 | $61 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 44 | $118 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 28 | $98 |
| Partial Removal of Spine Bone With Release of Lower Spinal Cord And/Or Nerves, 1 Segment63047 | 11 | $989 |
Typical Medicare-allowed amounts for these services range $61–$989 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$71 across 2 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
- 2007-06-05
- Last updated
- 2021-04-29
- Certified
- 2021-04-29
Frequently asked questions
- What is Matthew Cunningham's NPI number?
- Matthew Cunningham's National Provider Identifier (NPI) is 1134321722, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Cunningham's specialty?
- Matthew Cunningham is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery of the Spine Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Cunningham located?
- Matthew Cunningham's practice location on file with NPPES is 535 East 70th Street, New York, NY 10021.
- What is Matthew Cunningham's phone number?
- The practice phone number listed in the NPPES registry for Matthew Cunningham is (212) 774-2515.
- Does Matthew Cunningham accept Medicare?
- Matthew Cunningham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Cunningham's NPI active?
- Yes — Matthew Cunningham's NPI (1134321722) is active in the NPPES registry as of the last update on 2021-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.