MICHAEL JAMES CORNWELL (M.D.) – Specialist, NPI 1396738613
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,092 GENERAL SURGERY in GA
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Provider Addresses for MICHAEL JAMES CORNWELL (M.D.)
2665, North Decatur Road, Scottdale, DeKalb County, Georgia, 30033, United States
STE. 730
DECATUR, GA 300336149
Phone: (404) 508-4320
Fax: (404) 508-4112
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 4 Open Payments records for all available years, with a total value of $92.
Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Organogenesis Inc. ($56).
Total Amount
$92
General + Research + Ownership
Payments
4
Total payment records
General Amount
$92
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $56 |
| Boston Scientific Corporation | $21 |
| PFIZER INC. | $16 |
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: 2017-11-09
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 |
|---|---|---|---|---|
| I20171109003428 | I | General Surgery | PA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 168 | 168 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 161 | 70 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 110 | 94 | $0 |
| 36471 | Injection of chemical agent into multiple incompetent veins of leg | 105 | 52 | $0 |
| 36475 | Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance | 82 | 62 | $0 |
Insurance plans in this area (ZIP 30033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| Vascular Surgery, General Surgery | PA | |
| - | PA | |
| Emergency Medicine | MD | |
| Vascular Surgery | PA | |
| Vascular Surgery | MD |
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