NPI registry status
Active
2026 NPPES data Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician NPI 1023084068 MD
Verify on CMS → James Cunningham, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Columbus, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 5,070 in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
15
Medicare Part D claims · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician avg: 128
MIPS score
91.7/100
▲ 8 pts above national avg 83.5 · Exceptional
What the federal data shows
James Cunningham, MD reported a CMS MIPS final score of 91.7/100 - above the 83.5 national average - and filed 15 Medicare Part D claims in 2023.
- 91.7/100
- MIPS score · +8 vs avg
- 15
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥61st
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about James Cunningham, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1023084068), first enumerated 02/28/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 15 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 91.7/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1023084068 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ABOVE · RX-TRACE · BOOK-THIN · PHOTO-FINISH
- NPI-10 1023084068
- ENUM-LEGACY 2006
- TAX-MID 5K Thoracic Surgery
- MIPS-ABOVE 91.7/100
- RX-TRACE 15
- BOOK-THIN 130 in Georgia
- PHOTO-FINISH John Ganser · ±0.1
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- John Ganser · lo…
John Ganser
91.6 MIPS pts
- Traves Crabtree …
Traves Crabtree
91.6 MIPS pts
- Cunningham · thi…
Cunningham · this provider
91.7 MIPS pts
- Richard Faro · n…
Richard Faro
91.8 MIPS pts
- Charles Edwards …
Charles Edwards
91.9 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
James Cunningham, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
92 ≥ 61st percentile 61% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where James Cunningham, MD sits
This provider among thoracic surgery (cardiothoracic vascular surgery) physician peers
Across the 795 thoracic surgery (cardiothoracic vascular surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Cunningham, MD writes more Part D claims than 9% of them and scores higher on MIPS quality than 61% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one thoracic surgery (cardiothoracic vascular surgery) physician peer from a representative sample of 60; the gold marker is James Cunningham, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
James Cunningham, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about James Cunningham, MD?
High performer (top quartile)Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Medicare Part D claims
15 88% vs specialty avg
MIPS final score
91.7/100 8.2 pts vs avg
Specialty distribution in Georgia
How Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician compares to other specialties among Georgia providers
Medicare quality performance, MIPS
James Cunningham, MD's 2023 MIPS final score plotted against the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician national average
- MIPS Final Score
- 91.7/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1023084068 |
|---|---|
| Specialty | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 02/28/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.65
Final Score
Measured-score avg: 83.5
99
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where James Cunningham, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Columbus Ambulatory Healthcare Services, Inc.
Columbus, GA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
15
Total Claims
$1K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 19
- Total Day Supply
- 530
- Generic Drug Cost
- $79
Patient Demographics
- Average Patient Age
- 69.0 years
- Avg HCC Risk Score
- 3.33
More Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in GA →
All providers in Georgia →
Compare specialties →
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Overview
How James Cunningham, MD fits within the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician landscape nationally.
5,070
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in US
52
States with Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
128
Avg Claims per Provider
James Cunningham, MD's 15 claims are below the specialty average of 128.
Nationwide Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Cunningham, both outside Georgia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (91.7 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Cunningham.
One of 130 Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers enrolled in Georgia, 5 are shown here.
Frequently Asked Questions
What is James Cunningham, MD's specialty? ▼
James Cunningham, MD specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician and practices in Columbus, Georgia. Credentials: MD.
How much does James Cunningham, MD prescribe under Medicare Part D? ▼
In 2023, James Cunningham, MD wrote 15 Medicare Part D claims totaling $1K in drug costs for N/A beneficiaries.
What is James Cunningham, MD's Medicare quality score? ▼
James Cunningham, MD has a CMS MIPS Final Score of 91.7/100. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Cunningham, MD located? ▼
James Cunningham, MD is located at 710 CENTER ST, Columbus, GA, 31901. Phone: (706) 571-1454.
What is James Cunningham, MD's NPI number? ▼
James Cunningham, MD's National Provider Identifier (NPI) is 1023084068, issued on 02/28/2006.
How many Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers are there in the US? ▼
There are 5,070 Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers across 52 states in the US. The average Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider writes 128 Medicare Part D claims per year.
Does James Cunningham, MD accept Medicare? ▼
James Cunningham, MD appears in CMS Medicare data with 15 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Cunningham, MD's credentials? ▼
James Cunningham, MD's NPI is 1023084068 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.