Thomas J. Cunningham, M.D.
Gynecology Physician · Monterey, CA
Thomas J. Cunningham, M.D. is a gynecology physician with a practice address in Monterey, California, and NPI 1700812799, issued on Jun 23, 2006. Check the license (California C155377, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Thomas J. Cunningham
- Credential
- M.D.
- Primary taxonomy
- Gynecology Physician 207VG0400X
- License numbers
- C155377 CA
01049021 IN
Self-reported in NPPES; status is on the state search - Practice location
- 23845 Holman Hwy Ste 227, Monterey, CA 93940
- Phone
- (831) 624-3579
- Enumerated
- Jun 23, 2006
- Record last updated
- Sep 18, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (831) 886-3611
- Medicaid ID
- 200337450 IN
- Medicare enrollment
- Enrolled (PECOS I20180828002150); accepts Medicare assignment
- Medical or professional school
- University Of Pittsburgh School Of Medicine, 1997
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest gynecology physician records → All 369 in California → Look up another NPI →
Also registered at 23845 Holman Hwy Ste 227
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Elizabeth Clark, M.D.Obstetrics & Gynecology Physician1760747968
- Carol Darwish, MDObstetrics & Gynecology Physician1093893828
- Daphne Papathomas, M.D.Obstetrics & Gynecology Physician1023549243
- James Ramseur, MDGynecology Physician1215030879
- Kimberly Ratelle, WHNP-BCWomen's Health Nurse Practitioner1821407248
- Anisha Sarma, D.O.Obstetrics & Gynecology Physician1487060067
Verify Thomas J. Cunningham in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license C155377Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.5 times the Medicare Part D claims of the average gynecology physician in 2024
741 Medicare Part D claims for 162 beneficiaries, against an average of 299 among the 1,919 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims. 25 claims were for opioids.
Most prescribed
- Estradiol204 claims
- Alendronate Sodium44 claims
- Fesoterodine Fumarate Er44 claims
- Progesterone43 claims
- Ibuprofen32 claims
- Estradiol (Twice Weekly)30 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 77.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $29.82
2 payments; by number, the most common kind was food and beverage; the largest payer was Sumitomo Pharma America, Inc. The 1,398 providers of this specialty with any payment received $2,469.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Montage Medical GroupMonterey, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Thomas J. Cunningham among 369 gynecology physician records in California
Thomas J. Cunningham, M.D. is one of 369 gynecology physician records with a practice address in California. 60% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 9% of them.
- NPI issued2006 · 9% of these records are older, 40% newer
- In a Medicare fileYes · 60% of these records are
- In the CMS Doctors and Clinicians fileYes · 38% of these records are
- Graduated1997 · median 1995 among the 141 with a school on file
- Record last updated2018 · 70% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207VG0400X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gynecology Physician providers in California
There are 369 gynecology physician records in California.
All 369 in California → Every provider in Monterey → Gynecology Physician nationwide →
The 8 gynecology physician records with the nearest ZIP codes
- Robert Adams, MDMonterey, CA 939401316017601
- Janet Brown, M.D.Monterey, CA 939401467532952
- Bruce Lee, MDMonterey, CA 939401629148994
- Joanne Perron, M.D.Monterey, CA 939401902810948
- James Ramseur, MDMonterey, CA 939401215030879
- Stephanie Taylor, MDCarmel, CA 939231154306074
- Christy Beyer, M.D.Los Altos Hills, CA 940221144288127
- Sherwin Lewis, MDLos Altos, CA 940241740510130
Common questions
What is Thomas J. Cunningham, M.D.'s NPI number?
Thomas J. Cunningham, M.D.'s National Provider Identifier (NPI) is 1700812799, issued on Jun 23, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Thomas J. Cunningham, M.D. located?
The NPPES record lists a practice address at 23845 Holman Hwy Ste 227, Monterey, CA, 93940. Phone: (831) 624-3579. Providers update this record themselves, so call before visiting.
How can I verify Thomas J. Cunningham, M.D.'s license?
NPPES lists California license number C155377, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Thomas J. Cunningham, M.D. prescribe under Medicare Part D?
In 2024, Thomas J. Cunningham, M.D. had 741 Medicare Part D claims for 162 beneficiaries; the average among gynecology physician prescribers was 299. Part D covers Medicare prescriptions only.
What is Thomas J. Cunningham, M.D.'s MIPS final score?
The 2023 MIPS final score is 77.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.