Dr. Michael Cunningham , MD
Dermatology โข Worcester, MA
281 Lincoln St
Worcester, MA 016052138
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Michael Cunningham is listed in NPPES under Dermatology.
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NPI assigned on May 9, 2015; this date does not establish years in practice.
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Published CMS data list 2,776 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.
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Published Part B service records, 2024:
- 17311 โ Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks: 799 service units.
- 13132 โ Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm: 381 service units.
- 99214 โ Established patient outpatient office visit: 316 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 22 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 122 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.
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Published Part D records, 2024:
- Doxycycline Hyclate โ 67 prescription fills, including refills.
- Cephalexin โ 55 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 the full table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Dermatology in Worcester, MA (2024, 26 clinicians with data). Median for this group: 1,070. Middle half: 782 to 1,754.
More Medicare Part B services than 60% of clinicians listed under Dermatology in Massachusetts (2024, 412 clinicians with data). Median for this group: 1,804. Middle half: 853 to 3,570.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,239 in 2020 to 2,776 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
281 Lincoln St
Worcester, MA 016052138
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: New England Dermatology Pc. 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
University Of Vermont College Of Medicine
2015
What Public CMS Data Show
Dermatology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
944 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 $1,061,666 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 $827,456 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
122 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
$464 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)
Fewer than 11 payment records totaling $21.16 in 2024
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2024.
Years since graduation
11 years (graduated 2015)
CMS Doctors and Clinicians data list 2015 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
2015
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)
Dr. 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 Dr. 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 Worcester and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Dermatology in Worcester, MA (2024, 26 clinicians with data). Median for this group: 1,070. Middle half: 782 to 1,754.
More Medicare Part B services than 60% of clinicians listed under Dermatology in Massachusetts (2024, 412 clinicians with data). Median for this group: 1,804. Middle half: 853 to 3,570.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Dermatology in Worcester, MA (2024, 26 clinicians with data). Median for this group: $76,395. Middle half: $35,688 to $156,768.
A higher Medicare-allowed amount than 95% of clinicians listed under Dermatology in Massachusetts (2024, 412 clinicians with data). Median for this group: $123,974. Middle half: $61,150 to $257,057.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Dermatology in Worcester, MA (2024, 26 clinicians with data). Median for this group: $55,623. Middle half: $25,935 to $118,154.
A higher Medicare payment amount than 95% of clinicians listed under Dermatology in Massachusetts (2024, 412 clinicians with data). Median for this group: $86,263. Middle half: $42,834 to $181,359.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Dermatology in Worcester, MA (2024, 28 clinicians with data). Median for this group: 191. Middle half: 78 to 640.
Fewer Part D prescriptions than 75% of clinicians listed under Dermatology in Massachusetts (2024, 458 clinicians with data). Median for this group: 433. Middle half: 155 to 825.
Part D drug cost
A lower Part D drug cost than 90% of clinicians listed under Dermatology in Worcester, MA (2024, 28 clinicians with data). Median for this group: $84,535. Middle half: $2,257 to $397,041.
A lower Part D drug cost than 90% of clinicians listed under Dermatology in Massachusetts (2024, 458 clinicians with data). Median for this group: $90,594. Middle half: $5,876 to $363,288.
35 active clinicians are listed under Dermatology with a practice address in Worcester, MA (627 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Worcester
5.7% of these 35 clinicians have the CMS telehealth indicator.
77.1% of these 35 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 124% from 1,239 in 2020 to 2,776 in 2024.
- 2020: 1,239
- 2021: 2,451
- 2022: 2,465
- 2023: 2,466
- 2024: 2,776
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Medicare-allowed amount
Medicare-allowed amount increased 113% from $498,758 in 2020 to $1,061,666 in 2024.
- 2020: $498,758
- 2021: $1,017,438
- 2022: $966,449
- 2023: $991,427
- 2024: $1,061,666
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Paid by Medicare
Paid by Medicare increased 108% from $398,176 in 2020 to $827,456 in 2024.
- 2020: $398,176
- 2021: $807,451
- 2022: $764,353
- 2023: $784,083
- 2024: $827,456
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 36% from 190 in 2020 to 122 in 2024.
- 2020: 190
- 2021: 569
- 2022: 479
- 2023: 350
- 2024: 122
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30-day fills
30-day fills decreased 36% from 190 in 2020 to 122 in 2024.
- 2020: 190
- 2021: 569
- 2022: 479
- 2023: 350
- 2024: 122
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Part D drug cost
Part D drug cost decreased 63% from $1,249 in 2020 to $464 in 2024.
- 2020: $1,249
- 2021: $2,435
- 2022: $3,362
- 2023: $1,223
- 2024: $464
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2024 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (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.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 โ December 31, 2024): fewer than 11 records totaling $21.16.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
BOTOX | General | $21.16 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ2023 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, 2019โ2024; 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 |
|---|---|---|---|---|
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17311
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks
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799 | 690 | $1998.64 | $638.58 |
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13132
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
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381 | 352 | $1698.15 | $255.16 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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316 | 293 | $315.71 | $129.69 |
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17312
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
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315 | 236 | $1220.04 | $422.26 |
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13121
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm
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188 | 174 | $1496.16 | $280.63 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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137 | 134 | $218.05 | $91.87 |
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29580
Strapping, unna boot
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118 | 78 | $200.22 | $64.63 |
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17313
Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks
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105 | 93 | $1876.23 | $625.06 |
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13152
Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm
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74 | 72 | $1729.00 | $264.85 |
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15260
Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less
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48 | 48 | $2896.35 | $1016.74 |
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11602
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
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40 | 38 | $712.38 | $128.17 |
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14060
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less
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37 | 37 | $2564.54 | $779.08 |
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11603
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
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36 | 34 | $810.78 | $145.92 |
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13101
Complicated repair of wound of trunk, 2.6-7.5 cm
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31 | 31 | $1400.13 | $352.31 |
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11102
Biopsy of related skin growth, first growth
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30 | 30 | $313.27 | $84.39 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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25 | 25 | $409.00 | $168.48 |
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12032
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
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22 | 21 | $1105.09 | $289.50 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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22 | 22 | $272.36 | $112.56 |
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17000
Destruction of precancer skin growth, 1 growth
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17 | 16 | $202.06 | $42.73 |
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11402
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
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13 | 12 | $502.08 | $88.09 |
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11442
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
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11 | 11 | $561.82 | $107.74 |
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17314
Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks
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11 | 11 | $1180.73 | $404.82 |
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 |
|---|---|---|---|---|---|
| Doxycycline Hyclate | Doxycycline Hyclate | 67 | 419 | $318.09 | 61 |
| Cephalexin | Cephalexin | 55 | 359 | $145.58 | 51 |
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
NUCC Taxonomy Code: 207N00000X
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - DERMATOLOGY
I20190620000969
MA
3173814985
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
New England Dermatology Pc
3455 Main St, Springfield, MA 011071147
Phone: 4137339600
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dermatology
Student in an Organized Health Care Education/Training Program
MDMMSC
Dermatology
Doctor of Medicine (M.D.)
Dermatology
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Dermatology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)
Dermatology (license number reported to NPPES: MA 278434)
NPI status registered as active in NPPES database
Registered at 281 LINCOLN ST, WORCESTER, MA 016052138 (Tel: 5083341000)
Registered at 281 LINCOLN ST, WORCESTER, MA 016052138 (Tel: 5083341000)
Recorded as MICHAEL CUNNINGHAM, M.D.
Student in an Organized Health Care Education/Training Program (license number reported to NPPES: MA 268309)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Dermatology Specialists in Worcester
- Dr. Bassel Mahmoud, MD, PhD
- Dr. Rita Khodosh, MD, PhD
- Ashley Schaefer, NP
- Dr. Patrick Mulvaney, MD
- Dr. Laura Houk, MD
- Dr. Amanda Auerbach, MD
Mailing Address
Po Box 415348
Boston, MA 022415348
Phone: 8002258885