2026 NPPES data Sleep Medicine (Otolaryngology) Physician NPI 1245215904 MD, FACS
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JOHN CUNNINGHAM, MD, FACS

Sleep Medicine (Otolaryngology) Physician in KINSTON, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
48
Medicare Part D claims · 20 beneficiaries · Sleep Medicine (Otolaryngology) Physician avg: 543

What the federal data shows

JOHN CUNNINGHAM, MD, FACS filed 48 Medicare Part D claims in 2023 as a Sleep Medicine (Otolaryngology) Physician in KINSTON, North Carolina.

48
Part D claims, 2023
Likely
board-certified (heuristic)

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.

JOHN CUNNINGHAM, MD, FACS's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

48 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

JOHN CUNNINGHAM, MD, FACS practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 JOHN CUNNINGHAM, MD, FACS?

Quality data not reported

NPI registry status

Active

Issued 12/14/2005

NPI 1245215904

Primary specialty

Sleep Medicine (Otolaryngology) Physician

Rare

98 US NPIs in this specialty

Medicare Part D claims

48 91% vs specialty avg

2023 prescription claims

Specialty avg: 543

Specialty distribution in North Carolina

How Sleep Medicine (Otolaryngology) Physician compares to other specialties among North Carolina providers

North Carolina providers

Sleep Medicine (Otolaryngology) Physician share within North Carolina

1. Sleep Medicine (Otolaryngology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Otolaryngology) Physician share within North Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Sleep Medicine (Otolaryngology) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Sleep Medicine (Otolaryngology) Physician ABMS/AOA estimate

Est. board-certified rate (Sleep Medicine (Otolaryngology) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Sleep Medicine (Otolaryngology) Physician) — ABMS / AOA estimate

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).

JOHN CUNNINGHAM, MD, FACS appears in the CMS NPPES registry as a Sleep Medicine (Otolaryngology) Physician provider holding MD, FACS credentials at 701 DOCTORS DR STE K, KINSTON, NC, 28501, with a listed phone of (252) 523-0687. NPI 1245215904 was issued on 12/14/2005. 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 48 prescription claims written by this provider, covering 20 Medicare beneficiaries and totaling roughly $653 in drug spend. 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.

Sleep Medicine (Otolaryngology) Physician is a narrow specialty nationwide, with 98 enrolled providers across 29 states and an average of 543 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.

Practice Address

701 DOCTORS DR STE K
KINSTON, NC 28501

Provider Details

NPI 1245215904
Specialty Sleep Medicine (Otolaryngology) Physician
Credentials MD, FACS
Gender Male
NPI Issued 12/14/2005

Hospital and facility affiliations

Facilities where JOHN CUNNINGHAM, MD, FACS 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.

KINSTON HEAD AND NECK PHYSICIANS AND SURGEONS PA
CEDAR POINT, NC

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.

48
Total Claims
$653
Total Drug Cost
20
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
84
Total Day Supply
2,496
Generic Drug Cost
$626

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
1.11

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Famotidine
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Sleep Medicine (Otolaryngology) Physician Overview

How JOHN CUNNINGHAM, MD, FACS fits within the Sleep Medicine (Otolaryngology) Physician landscape nationally.

98
Sleep Medicine (Otolaryngology) Physician Providers in US
29
States with Sleep Medicine (Otolaryngology) Physician
543
Avg Claims per Provider

JOHN CUNNINGHAM, MD, FACS's 48 claims are below the specialty average of 543.

Nearby Sleep Medicine (Otolaryngology) Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as CUNNINGHAM.

Compare Sleep Medicine (Otolaryngology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN CUNNINGHAM, MD, FACS's specialty?
JOHN CUNNINGHAM, MD, FACS specializes in Sleep Medicine (Otolaryngology) Physician and practices in KINSTON, North Carolina. Credentials: MD, FACS.
How much does JOHN CUNNINGHAM, MD, FACS prescribe under Medicare Part D?
In 2023, JOHN CUNNINGHAM, MD, FACS wrote 48 Medicare Part D claims totaling $653 in drug costs for 20 beneficiaries.
Where is JOHN CUNNINGHAM, MD, FACS located?
JOHN CUNNINGHAM, MD, FACS is located at 701 DOCTORS DR STE K, KINSTON, NC, 28501. Phone: (252) 523-0687.
What is JOHN CUNNINGHAM, MD, FACS's NPI number?
JOHN CUNNINGHAM, MD, FACS's National Provider Identifier (NPI) is 1245215904, issued on 12/14/2005.
How many Sleep Medicine (Otolaryngology) Physician providers are there in the US?
There are 98 Sleep Medicine (Otolaryngology) Physician providers across 29 states in the US. The average Sleep Medicine (Otolaryngology) Physician provider writes 543 Medicare Part D claims per year.
What drugs does JOHN CUNNINGHAM, MD, FACS prescribe most often?
Based on 2023 Medicare Part D data, JOHN CUNNINGHAM, MD, FACS's most frequently prescribed drugs include Famotidine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN CUNNINGHAM, MD, FACS accept Medicare?
JOHN CUNNINGHAM, MD, FACS appears in CMS Medicare data with 48 Part D claims and 20 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN CUNNINGHAM, MD, FACS's credentials?
JOHN CUNNINGHAM, MD, FACS's NPI is 1245215904 with credentials MD, FACS. 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

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.
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