JEFFERY CUNNINGHAM, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 375 WAMPANOAG TRL, RIVERSIDE, RI, 02915, with a listed phone of (401) 649-4020. NPI 1114160058 was issued on 04/08/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CUNNINGHAM most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 4,667 prescription claims written by this provider, covering 642 Medicare beneficiaries and totaling roughly $462K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 3.6%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.5167/100 for the 2023 performance year (Quality 82.5912, Cost 67.965), compared with the national average of 83.1.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.