Madison Marie Cunningham , PA-C
Physician Assistant โข Traverse City, MI
1000 Pavilions Cir
Traverse City, MI 496843198
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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Madison Cunningham is listed in NPPES under Physician Assistant.
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NPI assigned on November 22, 2019; this date does not establish years in practice.
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Published CMS data list 1,045 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:
- 99309 โ Subsequent nursing facility care with moderate level of medical decision making, per day: 703 service units.
- 99310 โ Subsequent nursing facility care with high level of medical decision making, per day: 166 service units.
- 99316 โ Nursing facility discharge management: 108 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 4 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,222 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:
- Gabapentin โ 93 prescription fills, including refills.
- Oxycodone Hcl โ 58 prescription fills, including refills.
- Omeprazole โ 57 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 44 records in the 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 Physician Assistant in Traverse City, MI (2024, 63 clinicians with data). Median for this group: 165. Middle half: 86 to 406.
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Michigan (2024, 3,297 clinicians with data). Median for this group: 134. Middle half: 59 to 292.
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 354 in 2020 to 1,045 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1000 Pavilions Cir
Traverse City, MI 496843198
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
245 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 $97,363 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 $75,310 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
1,236 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
$36,888 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 $28.56 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.
NPI first issued
2019
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Madison 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 Madison 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 Traverse City and Michigan
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Traverse City, MI (2024, 63 clinicians with data). Median for this group: 165. Middle half: 86 to 406.
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Michigan (2024, 3,297 clinicians with data). Median for this group: 134. Middle half: 59 to 292.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Traverse City, MI (2024, 63 clinicians with data). Median for this group: $14,951. Middle half: $6,777 to $23,657.
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Michigan (2024, 3,297 clinicians with data). Median for this group: $10,685. Middle half: $4,963 to $20,340.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Traverse City, MI (2024, 63 clinicians with data). Median for this group: $11,413. Middle half: $5,400 to $17,181.
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Michigan (2024, 3,297 clinicians with data). Median for this group: $7,786. Middle half: $3,622 to $14,974.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Traverse City, MI (2024, 60 clinicians with data). Median for this group: 499. Middle half: 165 to 1,248.
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Michigan (2024, 3,756 clinicians with data). Median for this group: 301. Middle half: 83 to 1,058.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Traverse City, MI (2024, 60 clinicians with data). Median for this group: $26,938. Middle half: $1,791 to $210,090.
A higher Part D drug cost than 60% of clinicians listed under Physician Assistant in Michigan (2024, 3,756 clinicians with data). Median for this group: $6,017. Middle half: $670 to $116,880.
142 active clinicians are listed under Physician Assistant with a practice address in Traverse City, MI (7,169 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Traverse City
18.3% of these 142 clinicians have the CMS telehealth indicator.
57.7% of these 142 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 195% from 354 in 2020 to 1,045 in 2024.
- 2020: 354
- 2021: 560
- 2022: 805
- 2023: 819
- 2024: 1,045
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Medicare-allowed amount
Medicare-allowed amount increased 162% from $37,218 in 2020 to $97,363 in 2024.
- 2020: $37,218
- 2021: $47,728
- 2022: $62,980
- 2023: $78,121
- 2024: $97,363
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Paid by Medicare
Paid by Medicare increased 156% from $29,438 in 2020 to $75,310 in 2024.
- 2020: $29,438
- 2021: $38,016
- 2022: $46,624
- 2023: $60,595
- 2024: $75,310
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 13 in 2020 to 1,222 in 2024.
- 2020: 13
- 2021: 317
- 2022: 2,673
- 2023: 1,875
- 2024: 1,222
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30-day fills
30-day fills went from 13 in 2020 to 1,236 in 2024.
- 2020: 13
- 2021: 317
- 2022: 2,683
- 2023: 1,881
- 2024: 1,236
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Part D drug cost
Part D drug cost went from $313 in 2020 to $36,888 in 2024.
- 2020: $313
- 2021: $16,951
- 2022: $131,646
- 2023: $43,623
- 2024: $36,888
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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 release of October 2, 2026, 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 $28.56.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Indivior Inc. |
Food and Beverage
In-kind items and services
|
SUBLOCADE | General | $28.56 |
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 2019โ2023 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, 2020โ2024; 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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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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703 | 190 | $613.30 | $86.94 |
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99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
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166 | 95 | $922.48 | $124.48 |
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99316
Nursing facility discharge management, more than 30 minutes
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108 | 105 | $702.44 | $106.47 |
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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68 | 48 | $456.44 | $60.03 |
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 |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 93 | 1,756 | $758.57 | 39 |
| Oxycodone Hcl | Oxycodone Hcl | 58 | 487 | $919.39 | 42 |
| Omeprazole | Omeprazole | 57 | 1,511 | $1,330.00 | 28 |
| Quetiapine Fumarate | Quetiapine Fumarate | 49 | 1,341 | $528.33 | 12 |
| Eliquis | Apixaban | 49 | 1,014 | $20,553.30 | 19 |
| Levothyroxine Sodium | Levothyroxine Sodium | 47 | 1,194 | $618.25 | 11 |
| Bumetanide | Bumetanide | 44 | 1,347 | $1,120.25 | 25 |
| Amlodipine Besylate | Amlodipine Besylate | 41 | 1,047 | $344.89 | 21 |
| Furosemide | Furosemide | 37 | 870 | $194.74 | 19 |
| Lorazepam | Lorazepam | 34 | 391 | $401.67 | 12 |
| Diclofenac Sodium | Diclofenac Sodium | 33 | 221 | $864.76 | 11 |
| Pregabalin | Pregabalin | 31 | 464 | $720.65 | 13 |
| Losartan Potassium | Losartan Potassium | 30 | 788 | $154.16 | 20 |
| Metformin Hcl | Metformin Hcl | 30 | 763 | $253.71 | โ |
| Metoprolol Succinate | Metoprolol Succinate | 29 | 729 | $239.47 | 22 |
| Prednisone | Prednisone | 28 | 485 | $281.71 | 12 |
| Sertraline Hcl | Sertraline Hcl | 28 | 695 | $273.35 | โ |
| Hydralazine Hcl | Hydralazine Hcl | 28 | 652 | $205.24 | โ |
| Atorvastatin Calcium | Atorvastatin Calcium | 27 | 648 | $173.11 | 23 |
| Potassium Chloride | Potassium Chloride | 27 | 620 | $372.49 | 17 |
| Tramadol Hcl | Tramadol Hcl | 26 | 293 | $182.49 | 14 |
| Escitalopram Oxalate | Escitalopram Oxalate | 25 | 628 | $186.32 | โ |
| Citalopram Hbr | Citalopram Hydrobromide | 23 | 649 | $153.28 | โ |
| Lisinopril | Lisinopril | 22 | 598 | $158.09 | 12 |
| Metoprolol Tartrate | Metoprolol Tartrate | 22 | 557 | $101.76 | 14 |
(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: 2024-12-12NUCC 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
I20200214002082
MI
3577999358
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1000 PAVILIONS CIR, TRAVERSE CITY, MI 496843198 (Tel: 2318668274)
Registered at 1000 PAVILIONS CIR, TRAVERSE CITY, MI 496843198 (Tel: 2318668274)
Recorded as MADISON CUNNINGHAM, PA-C
Registered at 1465 E PARKDALE AVE, MANISTEE, MI 496609709 (Tel: 2313981000)
NPI status registered as active in NPPES database
Registered at 1465 E PARKDALE AVE, MANISTEE, MI 496609709 (Tel: 2319381000)
Registered at 3080 WATERCHASE WAY SW APT 105, WYOMING, MI 495195912 (Tel: 6167451103)
Recorded as MADISON WISNESKI, PA-C
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Traverse City
- Julie Moore, PA-C
- Rachael Carter, PA-C
- Kathryn Holmstrom-Baker, PA-C
- Christopher Markules
- Daniel Muladore, MSPA
- Jefferson Alferink, PA-C
Mailing Address
1000 Pavilions Cir
Traverse City, MI 496843198
Phone: 2318668274