MICHAEL PATRIC CUNNINGHAM (PA-C) – Physician Assistant, NPI 1154517175
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
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Provider Addresses for MICHAEL PATRIC CUNNINGHAM (PA-C)
The Portland Clinic, 800, Southwest 13th Avenue, Portland Downtown, Portland, Metro, Multnomah County, Oregon, 97205, United States
PORTLAND, OR 972051902
Phone: (503) 221-0161
Type: Mailing
Southwest Hall Boulevard, Downtown Tigard, Tigard, Metro, Washington County, Oregon, 97223, United States
TIGARD, OR 972236721
Phone: (503) 293-0161
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: 2010-12-09
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 |
|---|---|---|---|---|
| I20101209000387 | I | Physician Assistant | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97205)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | OR | 20610 | Aspiration and/or injection of large joint or joint capsule | 14 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| - | OR | |
| Sports Medicine | OR | |
| - | OR | |
| Physician Assistant | OR | |
| Nurse Practitioner | OR | |
| O P T O M E T R Y | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| - | OR |
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