NPIMap

Individual provider Active NPI

Walter H Cunnington III, M.D.

  • Family Medicine Physician
  • Pana, IL
National Provider Identifier
1811024508
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036117342 Issued in IL
Practice address
101 E 9TH St
Pana, IL 62557-1716
Phone
(217) 562-2544
Fax
(217) 562-6288
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036117342 IL Primary

Addresses

Primary practice location

101 E 9TH St
Pana, IL 62557-1716

Mailing address

101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-2544

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address walter.cunnington@pana.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070711000752 IL Practitioner - Family Practice 9931206075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pana Community Hospital AssociationGroup PAC ID 3274437348, 55 clinicians

Practice addresses (Care Compare)

101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-6246

120 S Cedar St
Nokomis, IL 62075-1647
Phone (217) 562-6246

217 S Locust St
Pana, IL 62557-1605
Phone (217) 562-2143

Hospital & facility affiliations

  • Quad County Home Health Agency Home health agency, Pana, IL, CCN 147299
  • Quad County Hospice Hospice, Pana, IL, CCN 141575
  • Pana Community Hospital Hospital, Pana, IL, CCN 141341
  • Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135
  • Pana Health and Rehab Center Nursing home, Pana, IL, CCN 145267

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pana Community Hospital Association CurrentSince Aug 1, 2007 Accepting new patients
Pana Community Hospital Association Family Medicine CurrentSince Aug 1, 2007 Accepting new patients
Pana Community Hospital Association CurrentSince Aug 17, 2025 Accepting new patients
Pana Community Hospital Association Family Medicine Past Accepting new patients
Pana Community Hospital Association Past Accepting new patients
Pana Community Hospital Association Past Accepting new patients

Locations

120 S Cedar St
Nokomis, IL 62075
Phone (217) 562-2544

101 E 9th St
Ste 105
Pana, IL 62557
Phone (217) 562-2544

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

Interoperability endpoints

  • Direct secure messaging: walter.cunnington@pana.cernerdirect.com

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pana Community Hospital AssociationPana, IL, CCN 141341 Hospital Corporate Director May 1, 2015
Pana Community Swing BedPana, IL, CCN 14Z341 Hospital Corporate Director May 1, 2015
Quad County Home Health AgencyPana, IL, CCN 147299 Home health agency Corporate Director May 1, 2015
Quad County HospicePana, IL, CCN 141575 Hospice Corporate Director Jan 1, 2023
Community Medical Clinic of PanaPana, IL, CCN 148508 Rural health clinic Corporate Director May 1, 2015
Pana Medical GroupPana, IL, CCN 148633 Rural health clinic Corporate Director May 1, 2015
Cowden Medical GroupCowden, IL, CCN 148637 Rural health clinic Corporate Director May 1, 2015

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1811024508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 9TH ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571716",
            "telephone_number": "217-562-2544",
            "fax_number": "217-562-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 9TH ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571716",
            "telephone_number": "217-562-2544",
            "fax_number": "217-562-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGTON",
        "first_name": "WALTER",
        "middle_name": "H",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036117342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "walter.cunnington@pana.cernerdirect.com",
            "affiliation": "N",
            "address_1": "101 E 9th St",
            "city": "Pana",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625571716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pana, IL

Sources for this page

Verify at the official NPI Registry.