NPI registry status
Active
2026 NPPES data Ophthalmology Physician NPI 1093881344 MD
Verify on CMS → Paul Cunningham, MD
Ophthalmology Physician in Clinton, Maryland.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 22,082 in Ophthalmology 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
1K
Medicare Part D claims · 275 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
57%
generic claims · 43% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$533.86
21 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Paul Cunningham, MD reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 1,236 Medicare Part D claims in 2023.
- 75/100
- MIPS score · -8 vs avg
- 1K
- Part D claims, 2023
- 57%
- generic prescribing
- 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.
Paul Cunningham, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
75 15th percentile higher than 15% of 477,587 scored providers
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
Where Paul Cunningham, MD sits
This provider among ophthalmology physician peers
Across the 9,866 ophthalmology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Paul Cunningham, MD writes more Part D claims than 53% of them and scores higher on MIPS quality than 15% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one ophthalmology physician peer from a representative sample of 60; the gold marker is Paul Cunningham, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Paul 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 Paul Cunningham, MD?
Below national averagePrimary specialty
Ophthalmology Physician
Medicare Part D claims
1,236 13% vs specialty avg
MIPS final score
75/100 8.1 pts vs avg
Specialty distribution in Maryland
How Ophthalmology Physician compares to other specialties among Maryland providers
Medicare quality performance, MIPS
Paul Cunningham, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average
- MIPS Final Score
- 75/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Ophthalmology Physician) - 75/100 vs national avg 83.1
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).
Paul Cunningham, MD appears in the CMS NPPES registry as an Ophthalmology Physician provider holding MD credentials at 9131 PISCATAWAY RD STE 150, Clinton, MD, 20735, with a listed phone of (301) 868-8300. NPI 1093881344 was issued on 11/28/2006.
Medicare Part D records for calendar year 2023 show 1,236 prescription claims written by this provider, covering 275 Medicare beneficiaries and totaling roughly $436K in drug spend, split 43% brand-name and 57% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.
Ophthalmology Physician is a mid-sized specialty nationwide, with 22,082 enrolled providers across 56 states and an average of 1,420 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
Provider Details
| NPI | 1093881344 |
|---|---|
| Specialty | Ophthalmology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 11/28/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
Avg: 83.1
Reporting: Group practice
Hospital and facility affiliations
Facilities where Paul 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.
Paul Shannon Cunningham
Clinton, MD
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 Paul Cunningham, MD. Source: openpaymentsdata.cms.gov.
Total received
$534
Largest payer
ABBVIE 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.
Brand vs generic prescribing mix · Above average
Paul Cunningham, MD - brand share 43.0%
Ophthalmology Physician average
43% brand-name claims vs 57% generic, on 1,236 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,236
Total Claims
$436K
Total Drug Cost
275
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,549
- Total Day Supply
- 73,521
- Brand vs Generic
- 43% brand / 57% generic
- Brand Drug Cost
- $400K
- Generic Drug Cost
- $36K
Patient Demographics
- Average Patient Age
- 76.5 years
- Avg HCC Risk Score
- 1.26
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 15, 65-74: 90, 75-84: 125, 85+: 45
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Paul Cunningham, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Latanoprost
Latanoprost
395 claims
- Prednisolone Acetate 132
Prednisolone Acetate
132 claims
- Timolol Maleate 132
Timolol Maleate
132 claims
- Dorzolamide Hcl 83
Dorzolamide Hcl
83 claims
- Dorzolamide-Timolol 68
Dorzolamide-Timolol
68 claims
- Tobramycin-Dexamet… 63
Tobramycin-Dexamethasone
63 claims
- Lumigan 59
Lumigan
59 claims
- Alphagan P 40
Alphagan P
40 claims
| Drug | Claims |
|---|---|
| Latanoprost | 395 |
| Prednisolone Acetate | 132 |
| Timolol Maleate | 132 |
| Dorzolamide Hcl | 83 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 68 |
| Tobramycin-Dexamethasone Tobramycin/Dexamethasone | 63 |
| Lumigan Bimatoprost | 59 |
| Alphagan P Brimonidine Tartrate | 40 |
| Combigan Brimonidine Tartrate/Timolol | 37 |
| Cyclosporine | 29 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Ophthalmology Physician Overview
How Paul Cunningham, MD fits within the Ophthalmology Physician landscape nationally.
22,082
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider
Paul Cunningham, MD's 1,236 claims are below the specialty average of 1,420.
Nearby Ophthalmology Physician Providers in Maryland
Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as Cunningham.
Dr. Abdulrahman Abodarahim
MBBCH
Baltimore, MD
Dr. Donald Abrams
M.D.
Baltimore, MD
Dr. Lisa Abrams
M.D.
Lutherville, MD
Dr. Neal Adams
MD
Silver Spring, MD
Dr. Arturo Aglubat
M.D.
Bel Air, MD
Compare Ophthalmology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Maryland medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Ophthalmology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Maryland
Frequently Asked Questions
What is Paul Cunningham, MD's specialty? ▼
Paul Cunningham, MD specializes in Ophthalmology Physician and practices in Clinton, Maryland. Credentials: MD.
How much does Paul Cunningham, MD prescribe under Medicare Part D? ▼
In 2023, Paul Cunningham, MD wrote 1,236 Medicare Part D claims totaling $436K in drug costs for 275 beneficiaries.
What is Paul Cunningham, MD's Medicare quality score? ▼
Paul Cunningham, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Paul Cunningham, MD located? ▼
Paul Cunningham, MD is located at 9131 PISCATAWAY RD STE 150, Clinton, MD, 20735. Phone: (301) 868-8300.
What is Paul Cunningham, MD's NPI number? ▼
Paul Cunningham, MD's National Provider Identifier (NPI) is 1093881344, issued on 11/28/2006.
Does Paul Cunningham, MD prescribe more brand-name or generic drugs? ▼
Paul Cunningham, MD's prescribing is 43% brand-name and 57% generic drugs by claim count, with $400K in brand drug costs.
How many Ophthalmology Physician providers are there in the US? ▼
There are 22,082 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does Paul Cunningham, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Paul Cunningham, MD's most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paul Cunningham, MD accept Medicare? ▼
Paul Cunningham, MD appears in CMS Medicare data with 1,236 Part D claims and 275 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paul Cunningham, MD's credentials? ▼
Paul Cunningham, MD's NPI is 1093881344 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
Compiled from official public sources by the PlainDoctor editorial team.
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.