JASON M. CORNELIO (PA-C) – Medical Physician Assistant, NPI 1730569740

JASON M. CORNELIO (PA-C) is a healthcare provider. based in Bloomfield, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 3334 (CT). The NPI Number for JASON M. CORNELIO (PA-C) is 1730569740

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JASON M. CORNELIO (PA-C)
NPI
1730569740
Phone
(860) 242-8756
Address
711 COTTAGE GROVE RD
Enumeration Date
4 June 2015
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
9032421615
Group Practice PAC ID
0941113567
Professional Enrollment ID
I20150710000558
Address ID
CT061051208HA114XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for JASON M. CORNELIO (PA-C)

  • 711 COTTAGE GROVE RD

    BLOOMFIELD, CT 060023060

    Phone: (860) 242-8756

    Fax: (860) 242-3052

    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 41 Open Payments records for all available years, with a total value of $967.

Total Amount is formed as General ($967) + Research ($0) + Ownership ($0) = $967.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($237).

Total Amount

$967

General + Research + Ownership

Payments

41

Total payment records

General Amount

$967

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-10

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150710000558IPhysician AssistantCTTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6637$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 06002)

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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: 0941113567View full group profile
NameSpecialtyState
-GA
Cardiovascular Disease (Cardiology)CT
-CT
Emergency MedicineRI
-GA
Physician AssistantCT
G A S T R O E N T E R O L O G YCT
Cardiovascular Disease (Cardiology)CT
Physician AssistantCT
General Surgery, Surgical OncologyCT

Reviews

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Frequently asked questions

What number should I use to identify JASON M. CORNELIO (PA-C) for billing?
Administrative and clinical systems typically use NPI 1730569740 for JASON M. CORNELIO (PA-C).
Is JASON M. CORNELIO (PA-C)'s NPI status active today?
Active status means JASON M. CORNELIO (PA-C)'s NPI record is not deactivated in the public file.
What services align with JASON M. CORNELIO (PA-C)'s listing?
JASON M. CORNELIO (PA-C)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to JASON M. CORNELIO (PA-C)?
JASON M. CORNELIO (PA-C) shows a connection to Bloomfield, Connecticut in registry-derived data.
Why is information missing for JASON M. CORNELIO (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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