Dr. Benjamin John Cunningham , MD
Orthopaedic Surgery โข Plano, TX
1600 Coit Rd Ste 104
Plano, TX 750756171
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. Benjamin Cunningham is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on October 26, 2005; this date does not establish years in practice.
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Published CMS data list 8,195 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:
- J7328 โ Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg: 7,226 service units.
- J3301 โ Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 228 service units.
- 99213 โ Established patient outpatient office visit: 161 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 18 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 14 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 14 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. 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 95% of clinicians listed under Orthopaedic Surgery in Plano, TX (2024, 23 clinicians with data). Median for this group: 1,731. Middle half: 854 to 3,239.
More Medicare Part B services than 85% of clinicians listed under Orthopaedic Surgery in Texas (2024, 925 clinicians with data). Median for this group: 1,519. Middle half: 441 to 3,971.
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 100 in 2020 to 8,195 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1600 Coit Rd Ste 104
Plano, TX 750756171
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Odessa, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Mch Professional Care. 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 Chicago, Pritzker School Of Medicine
1995
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
155 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 $96,837 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 $74,303 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
14 standardized 30-day fills in 2023
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
$102 in 2023
The total cost of these prescriptions in 2023, 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, 2023.
Open Payments general payments, program year 2025
All general payments: $2,409.80 across 101 records.
By nature of payment
- Food and Beverage: $1,703.31 across 99 records.
- Travel and Lodging: $706.49 across 2 records.
Reporting-company totals (3 largest of 9)
- Medical Device Business Services, Inc.: $1,286.77 across 10 records.
- DePuy Synthes Sales Inc.: $733.18 across 74 records.
- Davol Inc.: $119.33 across 5 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
31 years (graduated 1995)
CMS Doctors and Clinicians data list 1995 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
2005
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 Plano and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Orthopaedic Surgery in Plano, TX (2024, 23 clinicians with data). Median for this group: 1,731. Middle half: 854 to 3,239.
More Medicare Part B services than 85% of clinicians listed under Orthopaedic Surgery in Texas (2024, 925 clinicians with data). Median for this group: 1,519. Middle half: 441 to 3,971.
Medicare-allowed amount
A lower Medicare-allowed amount than 60% of clinicians listed under Orthopaedic Surgery in Plano, TX (2024, 23 clinicians with data). Median for this group: $146,030. Middle half: $76,866 to $298,765.
Close to the middle for clinicians listed under Orthopaedic Surgery in Texas (2024, 925 clinicians with data). Median for this group: $93,061. Middle half: $33,032 to $185,853.
Paid by Medicare
A lower Medicare payment amount than 60% of clinicians listed under Orthopaedic Surgery in Plano, TX (2024, 23 clinicians with data). Median for this group: $110,275. Middle half: $57,095 to $229,266.
Close to the middle for clinicians listed under Orthopaedic Surgery in Texas (2024, 925 clinicians with data). Median for this group: $68,861. Middle half: $24,418 to $138,660.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Cunningham are from 2023.
33 active clinicians are listed under Orthopaedic Surgery with a practice address in Plano, TX (1,515 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Plano
15.2% of these 33 clinicians have the CMS telehealth indicator.
63.6% of these 33 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 8095% from 100 in 2020 to 8,195 in 2024.
- 2020: 100
- 2021: 190
- 2022: 114
- 2023: 529
- 2024: 8,195
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Medicare-allowed amount
Medicare-allowed amount increased 298% from $24,350 in 2020 to $96,837 in 2024.
- 2020: $24,350
- 2021: $64,587
- 2022: $42,319
- 2023: $78,644
- 2024: $96,837
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Paid by Medicare
Paid by Medicare increased 285% from $19,321 in 2020 to $74,303 in 2024.
- 2020: $19,321
- 2021: $51,471
- 2022: $33,567
- 2023: $62,664
- 2024: $74,303
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 73% from 51 in 2016 to 14 in 2023.
- 2016: 51
- 2017: 26
- 2018: 39
- 2019: 25
- 2023: 14
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30-day fills
30-day fills decreased 73% from 53 in 2016 to 14 in 2023.
- 2016: 53
- 2017: 26
- 2018: 39
- 2019: 25
- 2023: 14
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Part D drug cost
Part D drug cost decreased 100% from $44,912 in 2016 to $102 in 2023.
- 2016: $44,912
- 2017: $41,053
- 2018: $6,108
- 2019: $6,508
- 2023: $102
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Industry payments (Open Payments)
Industry payments (Open Payments) increased 48% from $1,632.02 in 2021 to $2,409.80 in 2025.
- 2021: $1,632.02
- 2022: $338.37
- 2023: $604.51
- 2024: $364.82
- 2025: $2,409.80
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2025), 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 2025 (payments made January 1 โ December 31, 2025): 101 records totaling $2,409.80.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Medical Device Business Services, Inc. |
Travel and Lodging
In-kind items and services
|
TFN-ADVANCE | General | $391.76 |
| Medical Device Business Services, Inc. |
Travel and Lodging
In-kind items and services
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TFN-ADVANCE | General | $314.73 |
| Medical Device Business Services, Inc. |
Food and Beverage
In-kind items and services
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TFN-ADVANCE | General | $149.37 |
| Medical Device Business Services, Inc. |
Food and Beverage
In-kind items and services
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Velys | General | $144.97 |
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
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NA | General | $122.82 |
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
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NA | General | $100.62 |
| Medical Device Business Services, Inc. |
Food and Beverage
In-kind items and services
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Velys | General | $60.01 |
| Medical Device Business Services, Inc. |
Food and Beverage
In-kind items and services
|
Velys | General | $60.01 |
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
|
NA | General | $52.63 |
| Medical Device Business Services, Inc. |
Food and Beverage
In-kind items and services
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Velys | General | $45.00 |
| Arthrex, Inc. |
Food and Beverage
In-kind items and services
|
โ | General | $45.00 |
| Medical Device Business Services, Inc. |
Food and Beverage
In-kind items and services
|
Velys | General | $40.46 |
| Medical Device Business Services, Inc. |
Food and Beverage
In-kind items and services
|
Velys | General | $40.46 |
| Medical Device Business Services, Inc. |
Food and Beverage
In-kind items and services
|
Velys | General | $40.00 |
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
|
NA | General | $38.13 |
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
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NA | General | $37.00 |
| Bioventus LLC |
Food and Beverage
In-kind items and services
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GELSYN-3 | General | $34.22 |
| Arthrex, Inc. |
Food and Beverage
In-kind items and services
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โ | General | $34.00 |
| Arthrex, Inc. |
Food and Beverage
In-kind items and services
|
โ | General | $34.00 |
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
|
NA | General | $33.16 |
| Davol Inc. |
Food and Beverage
In-kind items and services
|
Surgiphor | General | $29.96 |
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
|
NA | General | $29.08 |
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
|
MONOVISC | General | $26.12 |
| Integra LifeSciences Corporation |
Food and Beverage
In-kind items and services
|
Integra | General | $25.42 |
| Integra LifeSciences Corporation |
Food and Beverage
In-kind items and services
|
Integra | General | $25.42 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, 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 2016โ2023 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, 2017โ2024; 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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J7328
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg
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7,226 | 12 | $3.54 | $0.49 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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228 | 21 | $5.20 | $0.84 |
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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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161 | 74 | $182.00 | $83.32 |
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20610
Aspiration and/or injection of fluid from large joint
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103 | 31 | $151.73 | $60.84 |
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73502
X-ray of hip, 2-3 views
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79 | 43 | $102.00 | $42.39 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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70 | 68 | $513.00 | $164.83 |
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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
|
48 | 28 | $269.00 | $117.46 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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42 | 27 | $192.00 | $75.03 |
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73560
X-ray of knee, 1-2 views
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36 | 21 | $77.00 | $29.78 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
34 | 32 | $109.00 | $53.81 |
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73610
X-ray of ankle, minimum of 3 views
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28 | 12 | $78.00 | $25.01 |
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73030
X-ray of shoulder, minimum of 2 views
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26 | 11 | $73.00 | $30.57 |
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73562
X-ray of knee, 3 views
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23 | 19 | $88.00 | $36.72 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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22 | 19 | $276.00 | $112.97 |
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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
|
21 | 21 | $412.00 | $153.17 |
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27245
Treatment of broken neck of thigh bone with bone implant
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20 | 20 | $2430.00 | $1172.26 |
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72190
X-ray of pelvis, minimum of 3 views
|
15 | 11 | $102.00 | $35.84 |
|
27236
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement
|
13 | 13 | $3242.00 | $1140.13 |
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 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 14 | 101 | $101.89 | โ |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-05-05NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20221122001513
FL
9638133879
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
Mch Professional Care
519 N Lincoln Ave, Odessa, TX 797614429
Phone: 4326406446
Secondary Practice Locations
600 N Grant Ave, Suite 200
Odessa, TX 797614503
Phone: 4323311234
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery - Sports Medicine
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Orthopaedic Surgery - Orthopaedic Trauma
Doctor of Medicine (M.D.)
Orthopaedic Surgery - Hand Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
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 1600 COIT RD STE 104, PLANO, TX 750756171 (Tel: 8773148990)
Registered at 1600 COIT RD STE 104, PLANO, TX 750756171 (Tel: 8773148990)
NPI status registered as active in NPPES database
Registered at 600 N GRANT AVE, SUITE 200, ODESSA, TX 797614503 (Tel: 4323311234)
Registered at PO BOX 1808, ODESSA, TX 797601808 (Tel: 4323311234)
Recorded as BENJAMIN CUNNINGHAM, MD
Orthopaedic Surgery (license number reported to NPPES: TX L3618)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Plano
- Dr. Khawaja Ikram, DO
- Dr. Ioannis Avramis, MD
- Dr. William Montgomery, MD
- Dr. Duncan Ramsey, MD
- Dr. Khalid Yousuf, MD
- Dr. Rahul Banerjee, MD
Mailing Address
1600 Coit Rd Ste 104
Plano, TX 750756171
Phone: 8773148990