Physician

Kent N Cunningham, MD

According to 2025 Medicare claims, Kent Cunningham, MD (NPI: 1508839606) practices gastroenterology in the Sumter, SC market, with the plurality of this provider's patient population coming from Sumter, SC. This provider's primary affiliated billing organization is SUMTER GASTROENTEROLOGY (NPI: 1699071746; TIN: 273461263) and primary practice location at 29150-1900.

Cunningham's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 616 traditional Medicare patients, billed 2,754 HCPCS/CPT codes, and received $186,941 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 710 prescription claims across 235 beneficiaries totaling $421,950 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2016 DME data shows 15 claims. Open Payments data shows 111 records totaling $2,469. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $617,682 to $421,950. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$113K$226K2015 Medicare payment: $225,938 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $212,643 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $203,199 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $193,361 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $194,384 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $158,643 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $186,325 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $157,693 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $168,875 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $186,941 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20158592,049$225,938
20169252,063$212,643
20179612,114$203,199
20188681,939$193,361
20198801,861$194,384
20207581,611$158,643
20217821,734$186,325
20227371,515$157,693
20236822,148$168,875
20246162,754$186,941

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$324K$648K2015 Drug cost: $617,682 (USD; Tot_Drug_Cst)2016 Drug cost: $648,252 (USD; Tot_Drug_Cst)2017 Drug cost: $630,158 (USD; Tot_Drug_Cst)2018 Drug cost: $647,794 (USD; Tot_Drug_Cst)2019 Drug cost: $286,420 (USD; Tot_Drug_Cst)2020 Drug cost: $116,917 (USD; Tot_Drug_Cst)2021 Drug cost: $146,597 (USD; Tot_Drug_Cst)2022 Drug cost: $139,021 (USD; Tot_Drug_Cst)2023 Drug cost: $104,352 (USD; Tot_Drug_Cst)2024 Drug cost: $421,950 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015278654$617,682
2016190519$648,252
2017209577$630,158
2018210600$647,794
2019221630$286,420
2020223620$116,917
2021254708$146,597
2022238658$139,021
2023255690$104,352
2024235710$421,950

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$957$1.9K2016 Medicare payment: $1,915 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/R15$1,915
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare232232$207
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more245360$92
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope169176$60
45380Biopsy of large bowel using a flexible endoscope235235$47
88305Pathology examination of tissue using a microscope, intermediate complexity309964$27

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab13420$114,389
CreonLipase/Protease/Amylase17651$39,255
MesalamineMesalamine361,657$17,681
LinzessLinaclotide14780$14,849
Mesalamine ErMesalamine141,125$7,136

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.111$2,469ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Kent N. Cunningham, MD?

Tedicare shows public-source Medicare data for Kent N. Cunningham, MD (NPI 1508839606), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Kent N. Cunningham, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Kent N. Cunningham, MD?

Kent N. Cunningham, MD is linked to SUMTER GASTROENTEROLOGY (billing NPI 1699071746) in the available physician profile data.

Does Kent N. Cunningham, MD have Open Payments data?

Kent N. Cunningham, MD has 111 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.