NPI registry status
Active
2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1205812948 MD
Verify on CMS → Richard Cunningham, MD
Sports Medicine (Orthopaedic Surgery) Physician in Somerset, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,766 in Sports Medicine (Orthopaedic Surgery) 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
70
Medicare Part D claims · 46 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 309
What the federal data shows
Richard Cunningham, MD filed 70 Medicare Part D claims in 2024 as a Sports Medicine (Orthopaedic Surgery) Physician in Somerset, Kentucky.
- 70
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥0th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Richard Cunningham, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1205812948), first enumerated 12/15/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 70 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1205812948 · Sports Medicine (Orthopaedic Surgery) Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · RX-TRACE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1205812948
- ENUM-LEGACY 2005
- TAX-NARROW 2,766
- RX-TRACE 70
- BOOK-THIN 21 in Kentucky
- PHOTO-ENUM Rodney Wigle · 2005
Richard Cunningham, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
70 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Richard Cunningham, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - 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 Richard Cunningham, MD?
Quality data not reportedPrimary specialty
Sports Medicine (Orthopaedic Surgery) Physician
Medicare Part D claims
70 77% vs specialty avg
Specialty distribution in Kentucky
How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Kentucky providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Sports Medicine (Orthopaedic Surgery) Physician. Verify directly:
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).
Practice Address
Provider Details
| NPI | 1205812948 |
|---|---|
| Specialty | Sports Medicine (Orthopaedic Surgery) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 12/15/2005 |
Hospital and facility affiliations
Facilities where Richard 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.
Aspirus Medical Group, Inc.
Rhinelander, WI
Magnolia Professional Billing
Corinth, MS
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 2024.
70
Total Claims
$1K
Total Drug Cost
46
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 71
- Total Day Supply
- 693
- Generic Drug Cost
- $1K
- Opioid Claims
- 40 (57.1% rate)
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 72.7 years
- Avg HCC Risk Score
- 1.21
- Gender Split
- 70% female / 30% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 17 |
| Oxycodone Hcl | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Orthopaedic Surgery) Physician in KY →
All providers in Kentucky →
Compare specialties →
Sports Medicine (Orthopaedic Surgery) Physician Overview
How Richard Cunningham, MD fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.
2,766
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
309
Avg Claims per Provider
Richard Cunningham, MD's 70 claims are below the specialty average of 309.
Nationwide Sports Medicine (Orthopaedic Surgery) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Cunningham, both outside Kentucky so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Cunningham.
One of 21 Sports Medicine (Orthopaedic Surgery) Physician providers enrolled in Kentucky, 5 are shown here.
Frequently Asked Questions
What is Richard Cunningham, MD's specialty? ▼
Richard Cunningham, MD specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Somerset, Kentucky. Credentials: MD.
How much does Richard Cunningham, MD prescribe under Medicare Part D? ▼
In 2024, Richard Cunningham, MD wrote 70 Medicare Part D claims totaling $1K in drug costs for 46 beneficiaries.
Where is Richard Cunningham, MD located? ▼
Richard Cunningham, MD is located at 353 BOGLE ST, Somerset, KY, 42503. Phone: (606) 678-2220.
What is Richard Cunningham, MD's NPI number? ▼
Richard Cunningham, MD's National Provider Identifier (NPI) is 1205812948, issued on 12/15/2005.
Does Richard Cunningham, MD prescribe opioids? ▼
Yes, Richard Cunningham, MD had 40 opioid claims in 2024 with an opioid prescribing rate of 57.1%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US? ▼
There are 2,766 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 309 Medicare Part D claims per year.
What drugs does Richard Cunningham, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Richard Cunningham, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Richard Cunningham, MD accept Medicare? ▼
Richard Cunningham, MD appears in CMS Medicare data with 70 Part D claims and 46 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Richard Cunningham, MD's credentials? ▼
Richard Cunningham, MD's NPI is 1205812948 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.