MR. ANDREW T CUNNINGHAM M.D.
NPI 1174799944
Family Medicine in Columbia, SC
NPI Status: Active since May 01, 2008
Contact Information
2 OFFICE PARK CT STE 103
COLUMBIA, SC
ZIP 29223
Phone: (434) 248-7508
- Individual
- Male
- Family Medicine
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About ANDREW CUNNINGHAM
This page provides the complete NPI Profile along with additional information for Andrew Cunningham, a primary care provider established in Columbia, South Carolina with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1174799944 assigned on May 2008. The practitioner's primary taxonomy code is 207Q00000X with license number 278153 (NY). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1174799944
- Provider Name
- MR. ANDREW T CUNNINGHAM M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2 OFFICE PARK CT STE 103 COLUMBIA, SC 29223
- Location Phone
- (434) 248-7508
- Mailing Address
- 64 BLEECKER ST # 151 NEW YORK, NY 10012
- Mailing Phone
- (302) 313-1584
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-01-2008
- Last Update Date
- 06-25-2024
- Code Navigator
A primary care provider (PCP) like Andrew Cunningham sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Andrew Cunningham opted out of Medicare effective on 01-01-2025 until 01-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 3958 Brown Park Dr Ste D
Hilliard, OH 43026
(434) 248-7508 - 600 N 2nd St
Harrisburg, PA 17101
(434) 248-7508 - 382 NE 191st St
Miami, FL 33179
(434) 248-7508
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 278153
- License State
- NY
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 265062 (MA) |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 36138997 (IL) |
| 3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 4301110449 (MI) |
| 4 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | MD042785 (DC) |
| 5 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | MD457790 (PA) |
| 6 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | ME130291 (FL) |
| 7 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 01076738A (IN) |
| 8 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 101260142 (VA) |
| 9 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | DR.55071 (CO) |
| 10 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 35.129569 (OH) |
| 11 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 1.055403 (CT) |
| 12 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 2016-01630 (NC) |
| 13 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 25MA09870700 (NJ) |
| 14 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | A110180 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Standard - HMO
- UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Andrew Cunningham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2025
Opt-Out End Date: 01-01-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 29223 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.18
- Minimum New Patient Price $53.57
- Maximum New Patient Price $163.84
- Average New Patient Copayment $20.79
- Minimum New Patient Copayment $13.39
- Maximum New Patient Copayment $40.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.12
- Minimum Established Patient Price $16.96
- Maximum Established Patient Price $133.52
- Average Established Patient Copayment $23.78
- Minimum Established Patient Copayment $4.24
- Maximum Established Patient Copayment $33.38
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 7 | 9 | 9 | 9 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 14 | 9 | 18 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 4 + 9 + 1 + 8 + 9 + 8 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1174799944 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1942634001 | SAADIA KHAN WHATLEY, DPM L.L.C. Organization | Podiatrist | 2 OFFICE PARK CT STE 103 COLUMBIA, SC 29223 (256) 497-0032 |
| 1841806189 | RELYMD MEDICAL GROUP SC, LLC Organization | Family Medicine | 2 OFFICE PARK CT STE 103 COLUMBIA, SC 29223 (919) 932-0928 |
| 1912353400 | DR. SUDEEP KIRTIKUMAR MEHTA M.D. Individual | Physical Medicine & Rehabilitation | 2 OFFICE PARK CT STE 103 COLUMBIA, SC 29223 (757) 536-2466 |
| 1861184178 | MDPSC PHYSICIANS PC Organization | Specialist | 2 OFFICE PARK CT STE 103 COLUMBIA, SC 29223 (314) 609-3435 |
| 1790503571 | EVENTUS WH SOUTHEAST - SOUTH CAROLINA, LLC Organization | Nurse Practitioner | 2 OFFICE PARK CT STE 103 COLUMBIA, SC 29223 (855) 743-2247 |
| 1407461080 | FOREFRONT-BRANDT MEDICAL SERVICES PC Organization | Psychiatry & Neurology (Psychiatry) | 2 OFFICE PARK CT STE 103 COLUMBIA, SC 29223 (609) 480-3109 |
| 1306659917 | MRS. KRISTINA MARIA LANDOLFI NBC-HWC Individual | Health and Wellness Coach | 2 OFFICE PARK CT STE 103 COLUMBIA, SC 29223 (570) 956-9695 |
| 1881196541 | KARA SEANOR MS Individual | Health and Wellness Coach | 2 OFFICE PARK CT STE 103 COLUMBIA, SC 29223 (800) 516-0975 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174799944, enumerated in the NPI registry as an "individual" on May 01, 2008
The provider is located at 2 Office Park Ct Ste 103 Columbia, Sc 29223 and the phone number is (434) 248-7508
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.18 with an average copayment of $20.79 for new patient appointments. Established patients should expect a typical charge of $95.12 and an average copayment of 23.78. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on January 01, 2025 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2027.
This NPI record was last updated on May 01, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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