Peter James Cunningham , PA-C
Physician Assistant โข Lapwai, ID
111 Beaver Grade Rd
Lapwai, ID 83540
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Peter Cunningham is listed in NPPES under Physician Assistant.
-
NPI assigned on November 1, 2006; this date does not establish years in practice.
-
Published CMS data list 830 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 169 service units.
- 36415 โ Insertion of needle into vein for collection of blood sample: 107 service units.
- 80053 โ Blood test, comprehensive group of blood chemicals: 90 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 19 records in the table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 1,266 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Lisinopril โ 108 prescription fills, including refills.
- Rosuvastatin Calcium โ 100 prescription fills, including refills.
- Gabapentin โ 73 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 49 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Idaho (2024, 719 clinicians with data). Median for this group: 259. Middle half: 106 to 562.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 241 in 2023 to 830 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023โ2024.
Practice Location & Contact Primary Location
111 Beaver Grade Rd
Lapwai, ID 83540
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Nez Perce Tribal Health Authority. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2022
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
120 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $27,879 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $22,250 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
1,275 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$86,400 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
4 years (graduated 2022)
CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Peter Cunningham has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Peter Cunningham as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Lapwai and Idaho
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Idaho (2024, 719 clinicians with data). Median for this group: 259. Middle half: 106 to 562.
Too few clinicians listed under Physician Assistant in Lapwai have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Idaho (2024, 719 clinicians with data). Median for this group: $16,433. Middle half: $6,832 to $32,555.
Too few clinicians listed under Physician Assistant in Lapwai have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Idaho (2024, 719 clinicians with data). Median for this group: $12,006. Middle half: $4,892 to $23,827.
Too few clinicians listed under Physician Assistant in Lapwai have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Idaho (2024, 820 clinicians with data). Median for this group: 337. Middle half: 117 to 1,216.
Too few clinicians listed under Physician Assistant in Lapwai have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Idaho (2024, 820 clinicians with data). Median for this group: $9,384. Middle half: $1,120 to $140,786.
Too few clinicians listed under Physician Assistant in Lapwai have Medicare Part D data for 2024 to compare.
1 active clinicians are listed under Physician Assistant with a practice address in Lapwai, ID (1,252 in Idaho).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services increased 244% from 241 in 2023 to 830 in 2024.
- 2023: 241
- 2024: 830
-
Medicare-allowed amount
Medicare-allowed amount increased 183% from $9,852 in 2023 to $27,879 in 2024.
- 2023: $9,852
- 2024: $27,879
-
Paid by Medicare
Paid by Medicare increased 180% from $7,954 in 2023 to $22,250 in 2024.
- 2023: $7,954
- 2024: $22,250
-
Medicare Part D prescriptions
CMS data for Part D prescriptions are available for 2024 only.
-
30-day fills
CMS data for 30-day fills are available for 2024 only.
-
Part D drug cost
CMS data for Part D drug cost are available for 2024 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2023โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
169 | 98 | $174.50 | $68.45 |
|
36415
Insertion of needle into vein for collection of blood sample
|
107 | 61 | $18.69 | $8.41 |
|
80053
Blood test, comprehensive group of blood chemicals
|
90 | 57 | $37.05 | $10.33 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
76 | 54 | $26.00 | $7.53 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
62 | 50 | $245.55 | $98.33 |
|
83036
Hemoglobin a1c level
|
46 | 27 | $33.92 | $9.49 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
40 | 37 | $46.70 | $12.79 |
|
82570
Creatinine level to test for kidney function or muscle injury
|
29 | 27 | $20.52 | $5.08 |
|
82043
Urine microalbumin (protein) level
|
26 | 25 | $25.48 | $5.66 |
|
84439
Thyroxine (thyroid chemical), free
|
26 | 25 | $43.79 | $8.84 |
|
84481
Thyroid hormone, t3 measurement, free
|
26 | 25 | $67.71 | $16.60 |
|
84443
Blood test, thyroid stimulating hormone (tsh)
|
25 | 24 | $62.00 | $16.46 |
|
81003
Automated urinalysis test
|
22 | 18 | $17.69 | $2.20 |
|
87635
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
|
16 | 15 | $121.21 | $50.28 |
|
90480
Admn sarscov2 vacc 1 dose
|
16 | 16 | $50.00 | $39.84 |
|
91322
Sarscov2 vac 50 mcg/0.5ml im
|
16 | 16 | $160.51 | $157.30 |
|
G0008
Administration of influenza virus vaccine
|
14 | 14 | $34.29 | $29.54 |
|
71046
X-ray of chest, 2 views
|
13 | 11 | $71.90 | $20.62 |
|
90662
Influenza vaccine split virus, preservative free
|
11 | 11 | $75.00 | $73.50 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Lisinopril | Lisinopril | 108 | 3,282 | $288.52 | 22 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 100 | 3,000 | $761.60 | 21 |
| Gabapentin | Gabapentin | 73 | 2,046 | $903.88 | 12 |
| Metformin Hcl | Metformin Hcl | 62 | 1,860 | $264.79 | 15 |
| Ozempic | Semaglutide | 62 | 1,876 | $57,319.33 | 17 |
| Atorvastatin Calcium | Atorvastatin Calcium | 43 | 1,350 | $157.82 | โ |
| Losartan Potassium | Losartan Potassium | 42 | 1,260 | $212.92 | โ |
| Levothyroxine Sodium | Levothyroxine Sodium | 40 | 1,200 | $263.68 | โ |
| Metformin Hcl Er | Metformin Hcl | 40 | 1,200 | $301.12 | 11 |
| Omeprazole | Omeprazole | 36 | 1,080 | $260.56 | โ |
| Amlodipine Besylate | Amlodipine Besylate | 33 | 990 | $370.59 | โ |
| Fluticasone Propionate | Fluticasone Propionate | 32 | 960 | $467.46 | 25 |
| Pantoprazole Sodium | Pantoprazole Sodium | 31 | 930 | $100.77 | โ |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 31 | 527 | $928.46 | 11 |
| Trazodone Hcl | Trazodone Hcl | 29 | 870 | $284.21 | โ |
| Irbesartan | Irbesartan | 28 | 840 | $253.67 | โ |
| Carvedilol | Carvedilol | 27 | 810 | $121.96 | โ |
| Pioglitazone Hcl | Pioglitazone Hcl | 22 | 660 | $97.43 | โ |
| Ibuprofen | Ibuprofen | 20 | 260 | $110.53 | 11 |
| Topiramate | Topiramate | 18 | 540 | $118.08 | โ |
| Alendronate Sodium | Alendronate Sodium | 18 | 520 | $121.54 | โ |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 18 | 504 | $93.24 | โ |
| Jardiance | Empagliflozin | 18 | 540 | $10,348.41 | โ |
| Paroxetine Hcl | Paroxetine Hcl | 17 | 510 | $330.22 | โ |
| Metoprolol Succinate | Metoprolol Succinate | 16 | 480 | $102.33 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-02-27NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20230326000155
TX
6901270354
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Nez Perce Tribal Health Authority
Po Box, Lapwai, ID 835400367
Nez Perce Tribal Health Authority
Po Drawer, Lapwai, ID 835400367
Nez Perce Tribal Health Authority
111 Bever Grade Rd, Lapwai, ID 835400367
Nez Perce Tribal Health Authority
111 Bever Grade Rd, Lapwai, ID 835400367
Phone: 2086214946
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Medical
Physician Assistant (Certified)
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Optometrist
Doctor of Optometry
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 111 BEAVER GRADE RD, LAPWAI, ID 83540 (Tel: 2088432271)
Registered at 5719 N CEDAR ST, SPOKANE, WA 992056765 (Tel: 5098695538)
Recorded as PETER CUNNINGHAM, PA-C
Physician Assistant (license number reported to NPPES: ID PA-2464)
NPI status registered as active in NPPES database
Registered at 15412 E SPRAGUE AVE, SUITE 8, SPOKANE VALLEY, WA 990378841 (Tel: 5098382531)
Registered at 6706 S MEADOW ST, SPOKANE, WA 992248496 (Tel: 2487672351)
Recorded as PETER CUNNINGHAM, A.T.C.
Specialist/Technologist
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
5719 N Cedar St
Spokane, WA 992056765
Phone: 5098695538