JOHN M CORNWELL (MD) – Emergency Medicine Physician, NPI 1023007259

JOHN M CORNWELL (MD) is a healthcare provider. based in Waltham, Massachusetts. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 70426 (MA). The NPI Number for JOHN M CORNWELL (MD) is 1023007259

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
JOHN M CORNWELL (MD)
NPI
1023007259
Phone
(781) 890-9933
Address
460 TOTTEN POND RD
Enumeration Date
20 October 2005
Last Update Date
22 February 2010

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9789774000
Graduation Year
1972 (54 years ago)
PAC ID
1951399468
Group Practice PAC ID
4789588641
Professional Enrollment ID
I20050412001395
Address ID
MA019602902PE2XXXXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,682 EMERGENCY MEDICINE in MA

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Provider Addresses for JOHN M CORNWELL (MD)

  • 460, Totten Pond Road, Prospectville, Piety Corner, Waltham, Middlesex County, Massachusetts, 02451, United States

    C/O MZI

    WALTHAM, MA 024511991

    Phone: (781) 890-9933

    Fax: (781) 890-9930

    Type: Mailing

  • Morton Hospital, 88, Washington Street, Taunton, Bristol County, Massachusetts, 02780, United States

    ATTN EMERGENCY DEPT

    TAUNTON, MA 027802465

    Phone: (508) 828-7108

    Fax: (508) 828-7158

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-04-12

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
I20050412001395IEmergency MedicineMATBD

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
99203New patient office or other outpatient visit, 30-44 minutes6464$0
95117Professional service for multiple injections of allergen4311$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1515$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1313$0
View full utilization report →

Insurance plans in this area (ZIP 02451)

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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: 4789588641View full group profile

Reviews

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Frequently asked questions

What is the standard ID for JOHN M CORNWELL (MD) in the U.S.?
In the U.S., JOHN M CORNWELL (MD) is identified by NPI 1023007259.
Is JOHN M CORNWELL (MD)'s NPI status active today?
Active status means JOHN M CORNWELL (MD)'s NPI record is not deactivated in the public file.
What does the directory say JOHN M CORNWELL (MD) does?
Insurance directories may phrase it differently, but here JOHN M CORNWELL (MD) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to JOHN M CORNWELL (MD)?
JOHN M CORNWELL (MD) shows a connection to Waltham, Massachusetts in registry-derived data.
Can I export JOHN M CORNWELL (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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