MR. JACK R III CUNNINGHAM (M.D.) – Diagnostic Radiology Physician, NPI 1114218112
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
87 GENERAL PRACTICE in AL
Provider Addresses for MR. JACK R III CUNNINGHAM (M.D.)
5 MOBILE INFIRMARY CIR
MOBILE, AL 366073513
Phone: (251) 435-2806
Type: Location
PO BOX 9369
MOBILE, AL 366910369
Phone: (251) 460-0326
Fax: (251) 460-2846
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-05-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (922 days ago).
Enrollment records
2
Earliest due date
2023-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121101000624 | I | Diagnostic Radiology | AL | 2023-11-30 |
| I20250516002047 | I | Diagnostic Radiology | TN | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 643 | 586 | $0 |
| 71046 | X-ray of chest, 2 views | 380 | 371 | $0 |
| 70450 | Ct scan head or brain without contrast | 249 | 245 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 178 | 175 | $0 |
| 77067 | Screening mammography | 177 | 177 | $0 |
Insurance plans in this area (ZIP 36607)
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Provider's Procedures
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Neurology, Nuclear Medicine, Diagnostic Radiology | FL | |
| Diagnostic Radiology | AL | |
| Diagnostic Radiology, Radiation Oncology | AL | |
| - | AL | |
| Diagnostic Radiology | AL | |
| - | AL | |
| Diagnostic Radiology | AL | |
| - | AL | |
| - | AL | |
| Diagnostic Radiology, Nuclear Medicine | AL |
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