DR. GARY L. CORNETTE (D.O.) – Gastroenterology Physician, NPI 1639149271

DR. GARY L. CORNETTE (D.O.) is a healthcare provider. based in Flagstaff, Arizona. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 02002889A (IN). The NPI Number for DR. GARY L. CORNETTE (D.O.) is 1639149271

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY L. CORNETTE (D.O.)
NPI
1639149271
Phone
(928) 773-2547
Address
77 W FOREST AVE
Enumeration Date
25 January 2006
Last Update Date
27 December 2021

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
9134919100
Graduation Year
1979 (47 years ago)
PAC ID
8628029956
Group Practice PAC ID
3577476894
Professional Enrollment ID
I20211221001193
Address ID
MO641115933KA4321XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

431 GASTROENTEROLOGY in AZ

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Provider Addresses for DR. GARY L. CORNETTE (D.O.)

  • 77, West Forest Avenue, Hospital Hill, Flagstaff, Coconino County, Arizona, 86001, United States

    SUITE 210

    FLAGSTAFF, AZ 860011479

    Phone: (928) 773-2547

    Fax: (928) 773-2548

    Type: Mailing

  • 6913 W 123RD TER APT 705

    OVERLAND PARK, KS 662092822

    Phone: (928) 864-8042

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Janssen Biotech, Inc. ($42).

Total Amount

$61

General + Research + Ownership

Payments

2

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-21

Latest reported date

Top Companies

Largest payers in this snapshot

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211122000570IGastroenterologyKSTBD
I20211221001193IInternal MedicineMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope6462$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare5454$0
45380Biopsy of large bowel using a flexible endoscope5050$0
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk3333$0
View full utilization report →

Insurance plans in this area (ZIP 86001)

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Provider's Procedures

DR. GARY L. CORNETTE (D.O.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYAZ45378Diagnostic examination of large bowel using an endoscope2929

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: 3577476894View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMO
Diagnostic RadiologyMO
Nurse PractitionerMO
Internal MedicineMO
Cardiovascular Disease (Cardiology)KS
Family PracticeMO
Hospitalist, Internal MedicineMO
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
-MO

Reviews

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Frequently asked questions

How is DR. GARY L. CORNETTE (D.O.) identified in CMS data?
CMS-hosted NPPES data lists DR. GARY L. CORNETTE (D.O.) with NPI 1639149271.
Is DR. GARY L. CORNETTE (D.O.) still practicing?
DR. GARY L. CORNETTE (D.O.) is currently listed as active in the public NPI registry.
What healthcare role does DR. GARY L. CORNETTE (D.O.) hold?
Scheduling teams often label DR. GARY L. CORNETTE (D.O.) under Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Does DR. GARY L. CORNETTE (D.O.) list a practice location?
Patients near Flagstaff, Arizona may find DR. GARY L. CORNETTE (D.O.) in results; validate coverage separately.
Is the information about DR. GARY L. CORNETTE (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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