Benjamin John Cunningham, MD
Orthopaedic Surgery Physician · Plano, TX
Benjamin John Cunningham, MD is an orthopaedic surgery physician with a practice address in Plano, Texas, and NPI 1568452084, issued on Oct 26, 2005. Check the license (Texas L3618, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.
- Name
- Benjamin John Cunningham
- Credential
- MD
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License number
- L3618 TX
Self-reported in NPPES; status is on the state search - Practice location
- 1600 Coit RD Ste 104, Plano, TX 75075
- Phone
- (877) 314-8990
- Enumerated
- Oct 26, 2005
- Record last updated
- May 5, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (866) 741-2685
- Medicaid ID
- 178955401 TX
- Medicare enrollment
- Enrolled (PECOS I20050729000301); accepts Medicare assignment
- Medical or professional school
- University Of Chicago, Pritzker School Of Medicine, 1995
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 1,514 in Texas → Look up another NPI →
Also registered at 1600 Coit RD Ste 104
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Christian Cajavilca, MDVascular Neurology Physician1043630080
- Huy Nguyen, M.D.Neurological Surgery Physician1275988602
- Keyur Patel, M.D.Neurology Physician1992937106
Verify Benjamin John Cunningham in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTexas Medical Board
Search for license L3618Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
92% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024
26 Medicare Part D claims for 18 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. 13 claims were for opioids.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 76.6 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $364.82
11 payments; by number, the most common kind was food and beverage; the largest payer was DePuy Synthes Sales Inc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Mch Professional CareOdessa, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Benjamin John Cunningham among 1,514 orthopaedic surgery physician records in Texas
Benjamin John Cunningham, MD is one of 1,514 orthopaedic surgery physician records with a practice address in Texas. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 82% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated1995 · median 2003 among the 1,016 with a school on file
- Record last updated2021 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthopaedic Surgery Physician providers in Texas
There are 1,514 orthopaedic surgery physician records in Texas.
All 1,514 in Texas → Every provider in Plano → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- Cyrus Abbaschian, MDPlano, TX 750751265662100
- Ioannis Avramis, M.D.Plano, TX 750751457513012
- Anthony Toan Nguyen, DOProsper, TX 750781831639780
- Sheena Black, MDMcKinney, TX 750711609165919
- Eitan Ingall, M.D.McKinney, TX 750711447780689
- Daniel Weglein, MDMcKinney, TX 750711558552745
- William Humeniuk, M.D.McKinney, TX 750701689733107
- Terry Madsen, M.D.Richardson, TX 750801518071653
Common questions
What is Benjamin John Cunningham, MD's NPI number?
Benjamin John Cunningham, MD's National Provider Identifier (NPI) is 1568452084, issued on Oct 26, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Benjamin John Cunningham, MD located?
The NPPES record lists a practice address at 1600 Coit RD Ste 104, Plano, TX, 75075. Phone: (877) 314-8990. Providers update this record themselves, so call before visiting.
How can I verify Benjamin John Cunningham, MD's license?
NPPES lists Texas license number L3618, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Benjamin John Cunningham, MD prescribe under Medicare Part D?
In 2024, Benjamin John Cunningham, MD had 26 Medicare Part D claims for 18 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is Benjamin John Cunningham, MD's MIPS final score?
The 2023 MIPS final score is 76.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.