DR. KELLEY M CORNELL (M.D., FACS) – Legal Medicine, NPI 1427017276
Legal Medicine
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
198 VASCULAR SURGERY in MA
Provider Addresses for DR. KELLEY M CORNELL (M.D., FACS)
955 MAIN ST STE G2A
WINCHESTER, MA 018901992
Phone: (781) 729-2020
Fax: (781) 729-6846
Type: Mailing
200 UNICORN PARK DR STE 302
WOBURN, MA 018013342
Phone: (781) 756-2308
Fax: (781) 756-4798
Type: Location
955 Main St, Main Street, Winchester, Middlesex County, Massachusetts, 01890, United States
SUITE G2A
WINCHESTER, MA 01890
Phone: (781) 729-2020
Fax: (781) 729-6846
Type: Mailing
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: 2010-11-15
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 |
|---|---|---|---|---|
| I20101115000432 | I | Vascular Surgery | MA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 683 | 577 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 59 | 54 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 56 | 56 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 24 | 20 | $0 |
| 19301 | Partial removal of breast | 20 | 15 | $0 |
Insurance plans in this area (ZIP 01890)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | MA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 105 | 104 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | MA | |
| Internal Medicine | MA | |
| A N E S T H E S I O L O G Y | MA | |
| - | MA | |
| Clinical Social Worker | MA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| - | MA |
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