DR. LAURA BETH CORNWELL (M.D.) – Pediatric Urology Physician, NPI 1871937979
Pediatric Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,307 UROLOGY in CA
Provider Addresses for DR. LAURA BETH CORNWELL (M.D.)
3020 CHILDRENS WAY # MC5003
SAN DIEGO, CA 921234223
Phone: (858) 309-6300
Type: Mailing
7920 FROST ST STE 200
SAN DIEGO, CA 921234289
Phone: (858) 966-8603
Type: Location
PO BOX 776879
CHICAGO, IL 606776879
Phone: (502) 588-9490
Fax: (502) 272-5116
Type: Mailing
4001 DUTCHMANS LN
LOUISVILLE, KY 402074714
Phone: (502) 559-1794
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $68.
Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.
Last reported payment date: 2024-05-07 • Largest payer in this snapshot: DENTSPLY IH AB ($50).
Total Amount
$68
General + Research + Ownership
Payments
3
Total payment records
General Amount
$68
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DENTSPLY IH AB | $50 |
| COLOPLAST CORP | $19 |
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: 2021-08-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210826002225 | I | Urology | KY | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92123)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | KY | |
| Cardiovascular Disease (Cardiology) | IL | |
| - | KY | |
| - | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| Diagnostic Radiology | IL | |
| Pediatric Medicine | IL | |
| Endocrinology, Internal Medicine, Pediatric Medicine | KY | |
| Nurse Practitioner | IL |
Reviews
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