Thomas Cunningham, M.D.
NPI 1821034125 · Specialist · Sebastopol, CA
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Cunningham, M.D. is a Specialist provider in Sebastopol, CA (NPI 1821034125).
Provider details
- NPI number
- 1821034125
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- G40423 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
930 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 448 | $122 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 240 | $71 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 199 | $178 |
| Ultrasound of Heart, Follow-Up93308 | 32 | $25 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 11 | $145 |
Typical Medicare-allowed amounts for these services range $25–$178 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-22
- Last updated
- 2024-01-06
- Certified
- 2024-01-06
Frequently asked questions
- What is Thomas Cunningham's NPI number?
- Thomas Cunningham's National Provider Identifier (NPI) is 1821034125, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Cunningham's specialty?
- Thomas Cunningham is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Thomas Cunningham located?
- Thomas Cunningham's practice location on file with NPPES is 7442 Palm Ave, Sebastopol, CA 95472-4331.
- What is Thomas Cunningham's phone number?
- The practice phone number listed in the NPPES registry for Thomas Cunningham is (707) 318-9256.
- Does Thomas Cunningham accept Medicare?
- Thomas Cunningham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Cunningham's NPI active?
- Yes — Thomas Cunningham's NPI (1821034125) is active in the NPPES registry as of the last update on 2024-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.