2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1336303247 MD
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MATTHEW CUNNINGHAM, MD

Retina Specialist (Ophthalmology) Physician in ORLANDO, Florida. 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
2K
Medicare Part D claims · 488 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$100.8K
93 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MATTHEW CUNNINGHAM, MD is a Retina Specialist (Ophthalmology) Physician ([object Object]) practicing in ORLANDO, Florida with a Medicare Part D prescribing footprint of 2K claims across 488 beneficiaries . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $100.8K across 93 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MATTHEW CUNNINGHAM, MD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 1,579 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MATTHEW 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).

MATTHEW CUNNINGHAM, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/10/2008

NPI 1336303247

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

1,579 183% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Retina Specialist (Ophthalmology) Physician compares to other specialties among Florida providers

Florida providers

Retina Specialist (Ophthalmology) Physician share within Florida

1. Retina Specialist (Ophthalmology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Retina Specialist (Ophthalmology) Physician share within Florida

Medicare quality performance — MIPS

MATTHEW CUNNINGHAM, MD's 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Retina Specialist (Ophthalmology) Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Retina Specialist (Ophthalmology) Physician) — 100/100 vs national avg 83.1

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).

MATTHEW CUNNINGHAM, MD is a Retina Specialist (Ophthalmology) Physician provider practicing in ORLANDO, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1336303247. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MATTHEW CUNNINGHAM, MD appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding MD credentials at 95 COLUMBIA ST, ORLANDO, FL, 32806, with a listed phone of (407) 849-9621. NPI 1336303247 was issued on 07/10/2008. 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 1,579 prescription claims written by this provider, covering 488 Medicare beneficiaries and totaling roughly $387K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.

Retina Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 913 enrolled providers across 48 states and an average of 558 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

95 COLUMBIA ST
ORLANDO, FL 32806

Provider Details

NPI 1336303247
Specialty Retina Specialist (Ophthalmology) Physician
Credentials MD
Gender Male
NPI Issued 07/10/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

100
Final Score
Avg: 83.1
100
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where MATTHEW 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.

RETINA VITREOUS CONSULTANTS
ORLANDO, FL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MATTHEW CUNNINGHAM, MD. Source: openpaymentsdata.cms.gov.

Total received

$100.8K

Largest payer

Regeneron Healthcare Solutions, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to MATTHEW CUNNINGHAM, MD. To verify MATTHEW CUNNINGHAM, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,579
Total Claims
$387K
Total Drug Cost
488
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,628
Total Day Supply
74,951
Generic Drug Cost
$32K

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
1.67
Gender Split
51% female / 49% male
Age Distribution
<65: 43, 65-74: 217, 75-84: 171, 85+: 57

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisolone Acetate
310
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
209
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
203
Ketorolac Tromethamine
148
Latanoprost
146
Brimonidine Tartrate
114
Eylea
Aflibercept
110
Timolol Maleate
66
Prednisone
29
Dorzolamide Hcl
24

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

Retina Specialist (Ophthalmology) Physician Overview

How MATTHEW CUNNINGHAM, MD fits within the Retina Specialist (Ophthalmology) Physician landscape nationally.

913
Retina Specialist (Ophthalmology) Physician Providers in US
48
States with Retina Specialist (Ophthalmology) Physician
558
Avg Claims per Provider

MATTHEW CUNNINGHAM, MD's 1,579 claims are above the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in Florida

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

Compare Retina Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MATTHEW CUNNINGHAM, MD's specialty?
MATTHEW CUNNINGHAM, MD specializes in Retina Specialist (Ophthalmology) Physician and practices in ORLANDO, Florida. Credentials: MD.
How much does MATTHEW CUNNINGHAM, MD prescribe under Medicare Part D?
In 2023, MATTHEW CUNNINGHAM, MD wrote 1,579 Medicare Part D claims totaling $387K in drug costs for 488 beneficiaries.
What is MATTHEW CUNNINGHAM, MD's Medicare quality score?
MATTHEW CUNNINGHAM, MD has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MATTHEW CUNNINGHAM, MD located?
MATTHEW CUNNINGHAM, MD is located at 95 COLUMBIA ST, ORLANDO, FL, 32806. Phone: (407) 849-9621.
What is MATTHEW CUNNINGHAM, MD's NPI number?
MATTHEW CUNNINGHAM, MD's National Provider Identifier (NPI) is 1336303247, issued on 07/10/2008.
How many Retina Specialist (Ophthalmology) Physician providers are there in the US?
There are 913 Retina Specialist (Ophthalmology) Physician providers across 48 states in the US. The average Retina Specialist (Ophthalmology) Physician provider writes 558 Medicare Part D claims per year.
What drugs does MATTHEW CUNNINGHAM, MD prescribe most often?
Based on 2023 Medicare Part D data, MATTHEW CUNNINGHAM, MD's most frequently prescribed drugs include Prednisolone Acetate, Neomycin-Polymyxin-Dexameth, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATTHEW CUNNINGHAM, MD accept Medicare?
MATTHEW CUNNINGHAM, MD appears in CMS Medicare data with 1,579 Part D claims and 488 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATTHEW CUNNINGHAM, MD's credentials?
MATTHEW CUNNINGHAM, MD's NPI is 1336303247 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

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