DEROK S CORNWELL (PA) – Physician Assistant, NPI 1174591366

DEROK S CORNWELL (PA) is a healthcare provider. based in Gadsden, Alabama. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. PA- 885 (AL). The NPI Number for DEROK S CORNWELL (PA) is 1174591366

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DEROK S CORNWELL (PA)
NPI
1174591366
Phone
(256) 492-8590
Address
100 MEDICAL CENTER DR
Enumeration Date
14 March 2006
Last Update Date
24 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2565468127
Graduation Year
2012 (14 years ago)
PAC ID
6608012844
Group Practice PAC ID
2466430004
Professional Enrollment ID
I20130415000163
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DEROK S CORNWELL (PA)

  • 100 MEDICAL CENTER DR

    SUITE 101

    GADSDEN, AL 359031130

    Phone: (256) 492-8590

    Fax: (256) 492-4498

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $532.

Total Amount is formed as General ($532) + Research ($0) + Ownership ($0) = $532.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boston Scientific Corporation ($203).

Total Amount

$532

General + Research + Ownership

Payments

31

Total payment records

General Amount

$532

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes2522$0
63685Insertion of spinal neurostimulator generator or receiver1111$0
View full utilization report →

Insurance plans in this area (ZIP 35903)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466430004View full group profile
NameSpecialtyState
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Orthopedic Surgery, Sports MedicineAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Does DEROK S CORNWELL (PA) have a public NPI I can cite?
Public records show DEROK S CORNWELL (PA) under NPI 1174591366.
Quick check: is DEROK S CORNWELL (PA) active?
Public NPPES data shows DEROK S CORNWELL (PA) with an active NPI status right now.
What does the directory say DEROK S CORNWELL (PA) does?
Insurance directories may phrase it differently, but here DEROK S CORNWELL (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to DEROK S CORNWELL (PA)?
DEROK S CORNWELL (PA) shows a connection to Gadsden, Alabama in registry-derived data.
Who maintains DEROK S CORNWELL (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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