DR. MATTHEW EDWARD CUNNINGHAM (MD PHD) – Orthopaedic Surgery of the Spine Physician, NPI 1134321722
Orthopaedic Surgery of the Spine Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,066 ORTHOPEDIC SURGERY in NY
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Provider Addresses for DR. MATTHEW EDWARD CUNNINGHAM (MD PHD)
PO BOX 29234
NEW YORK, NY 100879234
Phone: (631) 329-6925
Fax: (631) 329-6951
Type: Mailing
Hospital for Special Surgery, 535, East 70th Street, Lenox Hill, Manhattan Community Board 8, Manhattan, New York County, New York, 10021, United States
NEW YORK, NY 10021
Phone: (212) 774-2515
Fax: (212) 774-2918
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $71.
Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Highridge Medical LLC ($42).
Total Amount
$71
General + Research + Ownership
Payments
2
Total payment records
General Amount
$71
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Highridge Medical LLC | $42 |
| Medtronic, Inc. | $29 |
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: 2007-08-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20070824000644 | I | Orthopedic Surgery | NY | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 56 | 40 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 42 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 29 | 25 | $0 |
Insurance plans in this area (ZIP 10087)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| Orthopedic Surgery | NY | |
| Orthopedic Surgery | NY | |
| Physician Assistant | NY | |
| Orthopedic Surgery | NY | |
| Physician Assistant | SC | |
| Physician Assistant | NY | |
| Physician Assistant | NY | |
| Orthopedic Surgery | NY | |
| Orthopedic Surgery | NY |
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