DUSTIN CUNNINGHAM (MD) – Emergency Medicine Physician, NPI 1548614167

DUSTIN CUNNINGHAM (MD) is a healthcare provider. based in Kettering, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35.135733 (OH). The NPI Number for DUSTIN CUNNINGHAM (MD) is 1548614167

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN CUNNINGHAM (MD)
NPI
1548614167
Phone
(937) 395-8166
Address
3535 Southern Blvd
Enumeration Date
20 April 2016
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
9708747681
Graduation Year
2016 (10 years ago)
PAC ID
4183914682
Group Practice PAC ID
1850200601
Professional Enrollment ID
I20220221000800
Address ID
CO814162815DE1501XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:10State licenses:3Digital endpointsOther names

2,674 EMERGENCY MEDICINE in OH

Provider Addresses for DUSTIN CUNNINGHAM (MD)

  • 3535 Southern Blvd

    Kettering, OH 454291221

    Phone: (937) 395-8166

    Type: Location

  • 1501 E 3rd St # Na

    Delta, CO 814162815

    Phone: (970) 874-7681

    Fax: (970) 874-2254

    Type: Location

  • 3131 NEWMARK DR STE 210

    MIAMISBURG, OH 453425400

    Phone:

    Fax: (937) 436-4984

    Type: Mailing

  • 6147 State Route 122

    Middletown, OH 450055201

    Phone: (513) 261-3410

    Type: Location

  • 100 Kettering Way

    Franklin, OH 450051155

    Phone: (937) 458-4700

    Type: Location

  • 4000 Miamisburg Centerville Rd

    Miamisburg, OH 453427615

    Phone: (937) 384-8791

    Type: Location

  • 1141 N Monroe Dr

    Xenia, OH 453851619

    Phone: (937) 352-2500

    Type: Location

  • 3535 Pentagon Blvd

    Beavercreek, OH 454311705

    Phone: (937) 702-4500

    Type: Location

  • 1997 Miamisburg Centerville Rd

    Centerville, OH 454593811

    Phone: (937) 401-6228

    Type: Location

  • 405 W Grand Ave

    Dayton, OH 454057538

    Phone: (937) 723-3211

    Type: Location

  • 450 Washington Jackson Rd Ste F

    Eaton, OH 453208699

    Phone: (937) 456-8376

    Type: Location

  • 8701 Old Troy Pike

    Huber Heights, OH 454241066

    Phone: (937) 558-3338

    Type: Location

  • 600 W Main St

    Troy, OH 453732928

    Phone: (937) 980-7010

    Fax: (937) 980-7019

    Type: Location

  • Kettering Medical Center, 3535, Southern Boulevard, Kettering, Montgomery County, Ohio, 45429, United States

    KETTERING, OH 454291221

    Phone: (937) 395-8166

    Type: Location

  • 6200 N LA CHOLLA BLVD

    TUCSON, AZ 857413529

    Phone: (520) 742-9000

    Type: Location

  • 1501 E 3RD ST # NA

    DELTA, CO 814162815

    Phone: (970) 874-7681

    Fax: (970) 874-2254

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Celgene Corporation ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Celgene Corporation$18
View all Open Payments →|Open Payments Risk Radar →

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: 2025-09-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220221000800IEmergency MedicineCOTBD
I20250903004143IEmergency MedicineAZTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making136132$0
99285Emergency department visit with high level of medical decision making9587$0
99283Emergency department visit with low level of medical decision making6965$0
99291Critical care, first 30-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 45429)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850200601View full group profile

Reviews

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Frequently asked questions

How is DUSTIN CUNNINGHAM (MD) identified in CMS data?
CMS-hosted NPPES data lists DUSTIN CUNNINGHAM (MD) with NPI 1548614167.
Does CMS list DUSTIN CUNNINGHAM (MD) as active?
Yes — DUSTIN CUNNINGHAM (MD) is active in the NPI listing used on this page.
What is DUSTIN CUNNINGHAM (MD)'s primary classification?
Emergency Medicine Physician is the headline specialty for DUSTIN CUNNINGHAM (MD) here. Clinical services aligned with this taxonomy classification.
Where is DUSTIN CUNNINGHAM (MD) based?
DUSTIN CUNNINGHAM (MD) is tied to Kettering, Ohio in the data we show; additional addresses may exist on the full record.
Is the information about DUSTIN CUNNINGHAM (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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