DR. CHARLES ALVIN CUNNINGHAM (MD) – Obstetrics & Gynecology Physician, NPI 1306067384

DR. CHARLES ALVIN CUNNINGHAM (MD) is a healthcare provider. based in Tulsa, Oklahoma. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 10905A (WY). The NPI Number for DR. CHARLES ALVIN CUNNINGHAM (MD) is 1306067384

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES ALVIN CUNNINGHAM (MD)
NPI
1306067384
Phone
(918) 660-8359
Address
4502 E 41st St
Enumeration Date
1 May 2007
Last Update Date
9 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
6417827091
Graduation Year
2006 (20 years ago)
PAC ID
7618091091
Group Practice PAC ID
9234041013
Professional Enrollment ID
I20200928001783
Address ID
IA508011054CR1700XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

480 OBSTETRICS/GYNECOLOGY in OK

Provider Addresses for DR. CHARLES ALVIN CUNNINGHAM (MD)

  • 4502 E 41st St

    Room 2H08

    Tulsa, OK 741352536

    Phone: (918) 660-8359

    Fax: (918) 660-8355

    Type: Location

  • 2221 Elm St

    Rawlins, WY 823015108

    Phone: (307) 324-9098

    Type: Location

  • 500 E Market St

    Iowa City, IA 522452633

    Phone: (319) 356-2294

    Fax: (319) 339-3787

    Type: Location

  • Greater Regional Medical Center, 1700, West Townline Street, Creston, Union County, Iowa, 50801, United States

    CRESTON, IA 508011054

    Phone: (641) 782-7091

    Fax: (641) 782-3830

    Type: Mailing

  • Southwest Foot and Ankle Center, 1610, West Townline Street, Creston, Union County, Iowa, 50801, United States

    CRESTON, IA 508011066

    Phone: (641) 782-3887

    Fax: (641) 782-6425

    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 $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($30).

Total Amount

$51

General + Research + Ownership

Payments

2

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-09-28

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
I20100908000464IObstetrics/GynecologyOKTBD
I20200928001783IObstetrics/GynecologyIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74135)

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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: 9234041013View full group profile
NameSpecialtyState
Family PracticeIA
-IA
-IA
P S Y C H I A T R YIA
-IA
Nurse PractitionerIA
Certified Registered Nurse Anesthetist (Crna)MN
-IA
Certified Registered Nurse Anesthetist (Crna)IA
General SurgeryIA

Reviews

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Frequently asked questions

How do payers reference DR. CHARLES ALVIN CUNNINGHAM (MD)?
For DR. CHARLES ALVIN CUNNINGHAM (MD), use NPI 1306067384 as the unique 10-digit identifier.
Is DR. CHARLES ALVIN CUNNINGHAM (MD) still an active registrant?
DR. CHARLES ALVIN CUNNINGHAM (MD) carries an active NPI according to the public dataset.
What area of care is associated with DR. CHARLES ALVIN CUNNINGHAM (MD)?
DR. CHARLES ALVIN CUNNINGHAM (MD)'s record emphasizes Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is DR. CHARLES ALVIN CUNNINGHAM (MD) located near Tulsa?
DR. CHARLES ALVIN CUNNINGHAM (MD) currently maps to Tulsa, Oklahoma in this extract.
When was this NPI issued?
Enumeration for DR. CHARLES ALVIN CUNNINGHAM (MD) is noted as May 1, 2007 where the registry provides it.

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