Benjamin Cunningham, MD
NPI 1568452084 · Orthopaedic Surgery Physician · Plano, TX
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Benjamin Cunningham, MD is a Orthopaedic Surgery Physician provider in Plano, TX (NPI 1568452084).
Provider details
- NPI number
- 1568452084
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- L3618 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
741 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 161 | $83 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 103 | $61 |
| X-Ray of Hip, 2-3 Views73502 | 79 | $42 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 70 | $165 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 48 | $117 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$365 across 11 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
Additional practice locations (1)
- 600 N Grant AveSuite 200Odessa, TX 79761-4503Phone: (432) 331-1234Fax: (432) 331-1265
Registry dates
- Enumerated
- 2005-10-26
- Last updated
- 2021-05-05
- Certified
- 2021-05-05
Frequently asked questions
- What is Benjamin Cunningham's NPI number?
- Benjamin Cunningham's National Provider Identifier (NPI) is 1568452084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Benjamin Cunningham's specialty?
- Benjamin Cunningham is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Benjamin Cunningham located?
- Benjamin Cunningham's practice location on file with NPPES is 1600 Coit Rd Ste 104, Plano, TX 75075-6171.
- What is Benjamin Cunningham's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Cunningham is (877) 314-8990.
- Does Benjamin Cunningham accept Medicare?
- Benjamin Cunningham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Benjamin Cunningham's NPI active?
- Yes — Benjamin Cunningham's NPI (1568452084) is active in the NPPES registry as of the last update on 2021-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.