Dr. Michelle Keith Cunningham , MD
Internal Medicine • Shenandoah, TX
17189 I 45 S Ste 175
Shenandoah, TX 773853323
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Dr. Michelle Cunningham is listed in NPPES under Internal Medicine.
-
NPI assigned on October 20, 2006; this date does not establish years in practice.
-
Published CMS data list 781 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99183 — Management of oxygen chamber therapy: 225 service units.
- 11042 — Removal of skin and tissue, 20.0 sq cm or less: 197 service units.
- 99214 — Established patient outpatient office visit: 167 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® 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 7 records in the table · Guide: How to read Medicare Part B data
-
Published CMS data list 110 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Gentamicin Sulfate — 39 prescription fills, including refills.
- Mupirocin — 18 prescription fills, including refills.
- Tobramycin — 17 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 6 records in the table · Guide: How to read Medicare Part D prescriber data
-
Fewer Medicare Part B services than 70% of clinicians listed under Internal Medicine in Shenandoah, TX (2024, 29 clinicians with data). Median for this group: 1,223. Middle half: 757 to 2,418.
Close to the middle for Medicare Part B services among clinicians listed under Internal Medicine in Texas (2024, 5,420 clinicians with data). Median for this group: 644. Middle half: 277 to 1,324.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 544 in 2020 to 781 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
17189 I 45 S Ste 175
Shenandoah, TX 773853323
CMS Doctors and Clinicians lists 1 group name: Tmh Physician Associates Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Baylor College Of Medicine
2001
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
134 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 – by Provider, 2024.
Medicare-allowed amount
About $63,508 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 – by Provider and Service, 2024.
Paid by Medicare
About $48,589 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 – by Provider and Service, 2024.
30-day fills
114 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
$1,976 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 – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,963.49 across 45 records.
By nature of payment
- Food and Beverage: $1,963.49 across 45 records.
Reporting-company totals (3 largest of 17)
- Smith+Nephew, Inc.: $375.66 across 18 records.
- Abbott Laboratories: $223.63 across 3 records.
- Reapplix Inc.: $196.66 across 1 record.
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
25 years (graduated 2001)
CMS Doctors and Clinicians data list 2001 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, CMS release of October 2, 2026.
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, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”
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)
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 Shenandoah and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 70% of clinicians listed under Internal Medicine in Shenandoah, TX (2024, 29 clinicians with data). Median for this group: 1,223. Middle half: 757 to 2,418.
Close to the middle for clinicians listed under Internal Medicine in Texas (2024, 5,420 clinicians with data). Median for this group: 644. Middle half: 277 to 1,324.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under Internal Medicine in Shenandoah, TX (2024, 29 clinicians with data). Median for this group: $93,508. Middle half: $63,508 to $152,057.
Close to the middle for clinicians listed under Internal Medicine in Texas (2024, 5,420 clinicians with data). Median for this group: $61,173. Middle half: $27,477 to $116,014.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under Internal Medicine in Shenandoah, TX (2024, 29 clinicians with data). Median for this group: $73,591. Middle half: $48,589 to $117,907.
Close to the middle for clinicians listed under Internal Medicine in Texas (2024, 5,420 clinicians with data). Median for this group: $47,441. Middle half: $20,511 to $90,151.
Medicare Part D prescriptions
Fewer Part D prescriptions than 90% of clinicians listed under Internal Medicine in Shenandoah, TX (2024, 35 clinicians with data). Median for this group: 3,279. Middle half: 693 to 6,446.
Fewer Part D prescriptions than 75% of clinicians listed under Internal Medicine in Texas (2024, 5,692 clinicians with data). Median for this group: 815. Middle half: 119 to 4,814.
Part D drug cost
A lower Part D drug cost than 90% of clinicians listed under Internal Medicine in Shenandoah, TX (2024, 35 clinicians with data). Median for this group: $190,460. Middle half: $34,678 to $631,729.
A lower Part D drug cost than 75% of clinicians listed under Internal Medicine in Texas (2024, 5,692 clinicians with data). Median for this group: $62,823. Middle half: $3,924 to $436,115.
39 active clinicians are listed under Internal Medicine with a practice address in Shenandoah, TX (9,244 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Shenandoah
46.2% of these 39 clinicians have the CMS telehealth indicator.
84.6% of these 39 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.
-
Medicare Part B services
Medicare Part B services increased 44% from 544 in 2020 to 781 in 2024.
- 2020: 544
- 2021: 650
- 2022: 695
- 2023: 705
- 2024: 781
-
Medicare-allowed amount
Medicare-allowed amount increased 103% from $31,292 in 2020 to $63,508 in 2024.
- 2020: $31,292
- 2021: $58,724
- 2022: $56,377
- 2023: $55,234
- 2024: $63,508
-
Paid by Medicare
Paid by Medicare increased 95% from $24,934 in 2020 to $48,589 in 2024.
- 2020: $24,934
- 2021: $47,052
- 2022: $43,761
- 2023: $42,703
- 2024: $48,589
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 139% from 46 in 2020 to 110 in 2024.
- 2020: 46
- 2021: 11
- 2022: 46
- 2023: 108
- 2024: 110
-
30-day fills
30-day fills increased 137% from 48 in 2020 to 114 in 2024.
- 2020: 48
- 2021: 11
- 2022: 46
- 2023: 111
- 2024: 114
-
Part D drug cost
Part D drug cost decreased 91% from $21,240 in 2020 to $1,976 in 2024.
- 2020: $21,240
- 2021: $662
- 2022: $15,714
- 2023: $2,239
- 2024: $1,976
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $161.23 in 2021 to $1,963.49 in 2025.
- 2021: $161.23
- 2022: $538.19
- 2023: $1,001.80
- 2024: $1,141.06
- 2025: $1,963.49
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), 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 · 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 – December 31, 2025): 45 records totaling $1,963.49.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Reapplix Inc. |
Food and Beverage
In-kind items and services
|
3C Patch Kit - Box | General | $196.66 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
LINQ II | General | $146.40 |
| Urgo Medical North America, LLC |
Food and Beverage
In-kind items and services
|
URGOCLEAN AG | General | $145.98 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
Repatha | General | $120.60 |
| BSN Medical Inc |
Food and Beverage
In-kind items and services
|
CUTIMED | General | $109.41 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
|
CAMZYOS | General | $108.79 |
| ABIOMED |
Food and Beverage
In-kind items and services
|
— | General | $102.29 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
AMPLATZER AMULET | General | $98.89 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
CARDIOMEMS | General | $63.37 |
| LEO Pharma Inc. |
Food and Beverage
In-kind items and services
|
SPEVIGO | General | $62.95 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
CARDIOMEMS | General | $61.37 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
|
STRAVIX | General | $38.16 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
|
GRAFIX PL | General | $33.80 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
|
STRAVIX | General | $33.45 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
|
STRAVIX | General | $33.42 |
| BIOTISSUE HOLDINGS INC. |
Food and Beverage
In-kind items and services
|
— | General | $32.05 |
| Organogenesis Inc. |
Food and Beverage
In-kind items and services
|
CYGNUS DUAL | General | $31.68 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
|
STRAVIX | General | $30.48 |
| Tactile Systems Technology Inc |
Food and Beverage
In-kind items and services
|
Flexitouch Plus | General | $29.54 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
|
PICO 7 | General | $29.52 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
|
GRAFIX PL | General | $29.33 |
| COLOPLAST CORP |
Food and Beverage
In-kind items and services
|
Biatain Ag Non-Adhesive | General | $26.92 |
| Tactile Systems Technology Inc |
Food and Beverage
In-kind items and services
|
Flexitouch Plus | General | $26.80 |
| VERTEX PHARMACEUTICALS INCORPORATED |
Food and Beverage
In-kind items and services
|
JOURNAVX | General | $25.73 |
| Tactile Systems Technology Inc |
Food and Beverage
In-kind items and services
|
Flexitouch Plus | General | $24.79 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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 |
|---|---|---|---|---|
|
99183
Management of oxygen chamber therapy
|
225 | 11 | $488.00 | $100.60 |
|
11042
Removal of skin and tissue, 20.0 sq cm or less
|
197 | 67 | $244.00 | $57.22 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
167 | 72 | $236.00 | $89.62 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
103 | 51 | $159.00 | $62.67 |
|
11045
Removal of skin and tissue, each additional 20.0 sq cm or less
|
42 | 15 | $92.00 | $24.08 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
24 | 23 | $316.00 | $132.75 |
|
99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
|
23 | 23 | $450.00 | $173.12 |
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 |
|---|---|---|---|---|---|
| Gentamicin Sulfate | Gentamicin Sulfate | 39 | 917 | $1,100.54 | 22 |
| Mupirocin | Mupirocin | 18 | 391 | $158.55 | 16 |
| Tobramycin | Tobramycin | 17 | 344 | $98.47 | — |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 12 | 199 | $117.76 | — |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 12 | 212 | $180.21 | 11 |
| Minocycline Hcl | Minocycline Hcl | 12 | 294 | $320.23 | — |
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: 2023-02-28NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NUCC Taxonomy Code: 207RH0002X
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
NUCC Taxonomy Code: 207RG0300X
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20070504000336
TX
5092811208
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, CMS release of October 2, 2026
Tmh Physician Associates Pllc
16605 Southwest Fwy, Sugar Land, TX 774793500
Phone: 2812750800
Tmh Physician Associates Pllc
16605 Southwest Fwy 400 Mob3, Sugar Land, TX 774793500
Phone: 2812750800
Tmh Physician Associates Pllc
16605 Sw Fwy 410, Sugar Land, TX 774793500
Phone: 2812740148
Tmh Physician Associates Pllc
17189 I 45 S, Shenandoah, TX 773853320
Phone: 9362703662
Tmh Physician Associates Pllc
18400 Katy Fwy, Houston, TX 770941378
Tmh Physician Associates Pllc
None, Shenandoah, TX 77385
Phone: 9362703662
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 17189 I 45 S STE 175, SHENANDOAH, TX 773853323 (Tel: 9362704200)
Registered at 18 GOLDEN SUNSET CIR, THE WOODLANDS, TX 773814154 (Tel: 7135030656)
Internal Medicine (license number reported to NPPES: TX M2298)
NPI status registered as active in NPPES database
Registered at 17450 ST LUKES WAY STE 360, THE WOODLANDS, TX 773848044 (Tel: 9362662150)
Registered at PO BOX 132313, THE WOODLANDS, TX 773932313 (Tel: 9362662150)
Recorded as MICHELLE CUNNINGHAM, M.D.
Internal Medicine (license number reported to NPPES: TX M2298)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Shenandoah
- John Michael Punla
- Dr. Denis Galindo, MD
- Dr. Natalie Gordon, MD
- Dr. Stephen Fillman, MD
- Dr. Brotee Rahman, MD
- Dr. Amy Chung, DO
Mailing Address
18 Golden Sunset Cir
The Woodlands, TX 773814154
Phone: 7135030656