Sean M. Cunningham, DO
NPI 1023469590ActiveIndividual· Family Medicine· West Olive, MI
Family Medicine (DO) with Mercy Physician Network, practicing in West Olive, Michigan. Their prescriptions cost Medicare Part D more than their services did: $834,291 for 6,750 claims, against $23,100 paid for services in 2024. Lists Holland Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1023469590 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Jun 27, 2016 |
| Last updated in NPPES | Dec 31, 2021 |
| Certified by provider | Dec 31, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 5101022669 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 87 |
|---|---|
| Services billed | 413 across 31 procedure codes |
| Paid by Medicare | $23,100 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,750 · 15,400 30-day fills |
|---|---|
| Patients | 515 |
| Total drug cost | $834,291 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Mercy Physician NetworkSpring Lake, MI · 112 clinicians
Hospital affiliations
- Holland HospitalHolland, MI
- Spectrum HealthGrand Rapids, MI
- Trinity Health Grand Haven HospitalGrand Haven, MI
- Trinity Health Muskegon HospitalMuskegon, MI
Other facilities
- Mary Free Bed at Home, LLCHome health agency · Grand Rapids, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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