Dr. Kent Cunningham, MD
641 W Wesmark Blvd, Sumter, SC 29150 • +1-295-555-2567
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Sumter Percentiles
NPI #1508839606 • CBSA Regional • Gastroenterology
Operating out of Sumter, SC (641 W Wesmark Blvd), Gastroenterology clinician Dr. Kent Cunningham, MD (accredited MD/DO training, 1994) maintains a focused low-volume boutique caseload (33.33th Sumter percentile) (81.48th SC percentile; Z-score +0.12σ across 2,754 documented services) with sub-specialty concentration in 28 Active CMS HCPCS Codes.
Procedural volume for Dr. Cunningham is led by HCPCS 99214 (Established Gastroenterology, GERD & IBD Evaluation — 1019 annual services, $127–$174 GPCI cash estimate), followed by CPT 45380 (Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy, 689/yr) and CPT 43239 (Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy, 578/yr).
Direct cash-pay transparency modeling sets Dr. Cunningham's baseline new-consult rate near $209.00 in Sumter, SC (cash-pay accepted, hybrid in-clinic and telehealth video consults, 17-minute average reception wait).
Spanning 32 years of clinical practice following 1994 graduation from medical training, Dr. Kent Cunningham integrates 28 Active CMS HCPCS Codes diagnostics for Sumter metro patients.
Compared against Sumter, SC Gastroenterology peers
2,754 annual services across 616 beneficiaries
Standard deviations from SC Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 1,019 | 33.33th | $127 – $174 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 689 | 29.33th | $307 – $420 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 578 | 34.33th | $255 – $349 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 275 | 28.33th | $341 – $468 |
| 99204 | New Patient Digestive & Hepatology Consultation | 193 | 36.33th | $179 – $246 |
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Dr. Kent Cunningham, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Cunningham National Provider Identifier | NPI #1508839606 (MD) | CMS NPPES Registry (29150) |
| Dr. Cunningham Sumter CMS Volume Rank | 33.33th Pct (2,754 CMS svcs; Z +0.120σ) | CMS Medicare Part B (SC Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sumter, SC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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