DR. JEFFERY CUNNINGHAM (MD) – Internal Medicine Physician, NPI 1114160058
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
717 PEDIATRIC MEDICINE in MN
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Provider Addresses for DR. JEFFERY CUNNINGHAM (MD)
Northfield Hospital Clinic, 4645, Knutsen Drive, Farmington, Dakota County, Minnesota, 55024, United States
FARMINGTON, MN 550248455
Phone: (651) 460-2300
Type: Location
20698, Jasmine Circle, Lakeville, Dakota County, Minnesota, 55044, United States
LAKEVILLE, MN 550445971
Phone: (763) 452-8836
Type: Mailing
DEPT 3010, PO BOX 986524
BOSTON, MA 022986524
Phone: (401) 443-4992
Fax: (401) 784-4913
Type: Mailing
375 WAMPANOAG TRL
RIVERSIDE, RI 029152232
Phone: (401) 649-4020
Fax: (401) 649-4021
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-11-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20130920000416 | I | Internal Medicine | MN | TBD |
| I20251114000479 | I | Internal Medicine | RI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 203 | 143 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 140 | 110 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 65 | 65 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 64 | 61 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 60 | 58 | $0 |
Insurance plans in this area (ZIP 55024)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | RI | |
| Geriatric Medicine | RI | |
| N E P H R O L O G Y | RI | |
| Internal Medicine | RI | |
| - | RI | |
| - | RI | |
| Infectious Disease | RI | |
| - | RI | |
| Infectious Disease | RI | |
| Internal Medicine | RI |
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