2026 NPPES data Physician Assistant NPI 1881276244
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NICHOLAS CUNNINGHAM

Physician Assistant in DU BOIS, Pennsylvania. 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
392
Medicare Part D claims · 244 beneficiaries · Physician Assistant avg: 790
MIPS score
96.566/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$57.83
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NICHOLAS CUNNINGHAM reported a CMS MIPS final score of 96.566/100 — above the 83.1 national average — and filed 392 Medicare Part D claims in 2023.

96.566/100
MIPS score · +13 vs avg
392
Part D claims, 2023
$57.83
industry payments (Sunshine Act)

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.

NICHOLAS CUNNINGHAM's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

97 Top 17% higher than 83% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about NICHOLAS CUNNINGHAM?

High performer (top quartile)

NPI registry status

Active

Issued 04/26/2021

NPI 1881276244

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

392 50% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

96.566/100 13.466000000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Physician Assistant compares to other specialties among Pennsylvania providers

Pennsylvania providers

Physician Assistant share within Pennsylvania

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Pennsylvania

Medicare quality performance — MIPS

NICHOLAS CUNNINGHAM's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
96.566/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 96.566/100 vs national avg 83.1

0%100%National avg83%96.6%
MIPS final score (Physician Assistant) — 96.566/100 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).

NICHOLAS CUNNINGHAM appears in the CMS NPPES registry as a Physician Assistant provider at 621 S MAIN ST, DU BOIS, PA, 15801, with a listed phone of (814) 299-7520. NPI 1881276244 was issued on 04/26/2021. 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 392 prescription claims written by this provider, covering 244 Medicare beneficiaries and totaling roughly $5K 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 96.566/100 for the 2023 performance year, compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

621 S MAIN ST
DU BOIS, PA 15801

Provider Details

NPI 1881276244
Specialty Physician Assistant
Gender Male
NPI Issued 04/26/2021

CMS Quality Score (MIPS)

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

96.566
Final Score
Avg: 83.1
95.96
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NICHOLAS CUNNINGHAM 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.

WELLNOW URGENT CARE, P.C.
BRADFORD, PA

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 NICHOLAS CUNNINGHAM. Source: openpaymentsdata.cms.gov.

Total received

$58

Largest payer

Teva Pharmaceuticals USA, 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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to NICHOLAS CUNNINGHAM. To verify NICHOLAS CUNNINGHAM's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania 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.

392
Total Claims
$5K
Total Drug Cost
244
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
393
Total Day Supply
3,801
Generic Drug Cost
$4K
Antibiotic Claims
180

Patient Demographics

Average Patient Age
69.5 years
Avg HCC Risk Score
1.02
Gender Split
66% female / 34% male
Age Distribution
<65: 49, 65-74: 113, 75-84: 65, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

What NICHOLAS CUNNINGHAM prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Prednisone
71
Doxycycline Hyclate
59
Cephalexin
46
Albuterol Sulfate Hfa
Albuterol Sulfate
30
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
22
Mupirocin
20
Cefdinir
16
Methylprednisolone
15
Amoxicillin
13
Ofloxacin
13

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

Physician Assistant Overview

How NICHOLAS CUNNINGHAM fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

NICHOLAS CUNNINGHAM's 392 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Pennsylvania

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

Compare Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is NICHOLAS CUNNINGHAM's specialty?
NICHOLAS CUNNINGHAM specializes in Physician Assistant and practices in DU BOIS, Pennsylvania.
How much does NICHOLAS CUNNINGHAM prescribe under Medicare Part D?
In 2023, NICHOLAS CUNNINGHAM wrote 392 Medicare Part D claims totaling $5K in drug costs for 244 beneficiaries.
What is NICHOLAS CUNNINGHAM's Medicare quality score?
NICHOLAS CUNNINGHAM has a CMS MIPS Final Score of 96.566/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICHOLAS CUNNINGHAM located?
NICHOLAS CUNNINGHAM is located at 621 S MAIN ST, DU BOIS, PA, 15801. Phone: (814) 299-7520.
What is NICHOLAS CUNNINGHAM's NPI number?
NICHOLAS CUNNINGHAM's National Provider Identifier (NPI) is 1881276244, issued on 04/26/2021.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does NICHOLAS CUNNINGHAM prescribe most often?
Based on 2023 Medicare Part D data, NICHOLAS CUNNINGHAM's most frequently prescribed drugs include Prednisone, Doxycycline Hyclate, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICHOLAS CUNNINGHAM accept Medicare?
NICHOLAS CUNNINGHAM appears in CMS Medicare data with 392 Part D claims and 244 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICHOLAS CUNNINGHAM's credentials?
NICHOLAS CUNNINGHAM's NPI is 1881276244. 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