DIANE LYNN CORNELISON (DO) – Neurology Physician, NPI 1568406791

DIANE LYNN CORNELISON (DO) is a healthcare provider. based in Branson, Missouri. specializing in Neurology Physician. They hold the professional credentials DO. They hold a License No. 100882 (MO). The NPI Number for DIANE LYNN CORNELISON (DO) is 1568406791

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
DIANE LYNN CORNELISON (DO)
NPI
1568406791
Phone
(417) 335-7222
Address
121 CAHILL RD STE 204
Enumeration Date
16 June 2006
Last Update Date
12 September 2022

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
4173357222
Graduation Year
1992 (34 years ago)
PAC ID
7517015563
Group Practice PAC ID
5092624320
Professional Enrollment ID
I20100921000823
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DIANE LYNN CORNELISON (DO)

  • 121 CAHILL RD STE 204

    BRANSON, MO 656161911

    Phone: (417) 335-7222

    Fax: (417) 335-7224

    Type: Location

  • 121, Cahill Road, Branson, Taney County, Missouri, 65616, United States

    STE. 224

    BRANSON, MO 656162036

    Phone: (417) 335-7222

    Fax: (417) 335-7224

    Type: Mailing

  • PO BOX 802843

    KANSAS CITY, MO 641802843

    Phone: (417) 730-6430

    Fax: (417) 269-7567

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $198.

Total Amount is formed as General ($198) + Research ($0) + Ownership ($0) = $198.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Abbott Laboratories ($162).

Total Amount

$198

General + Research + Ownership

Payments

7

Total payment records

General Amount

$198

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-09-21

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
I20100921000823INeurologyMOTBD

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
20553Injection of trigger points, 3 or more muscles5654$0
99214Established patient office or other outpatient visit, 30-39 minutes4340$0
20610Aspiration and/or injection of fluid from large joint2828$0
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance2222$0
64494Injection of lower or sacral spine facet joint using imaging guidance, second level1611$0
View full utilization report →

Insurance plans in this area (ZIP 65616)

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Provider's Procedures

DIANE LYNN CORNELISON (DO) performs procedures in Neurology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROLOGYMO62311Injections of substances into lower or sacral spine10970
NEUROLOGYMO64493Injections of lower or sacral spine facet joint using imaging guidance297215

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: 5092624320View full group profile
NameSpecialtyState
Family PracticeMO
Family PracticeMO
-MO
-MO
Family PracticeMO
Physician AssistantMO
Family PracticeMO
Nurse PractitionerMO
R H E U M A T O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO

Reviews

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Frequently asked questions

Where can patients find DIANE LYNN CORNELISON (DO)'s NPI?
You can confirm DIANE LYNN CORNELISON (DO) with NPI 1568406791; it appears in the national provider directory.
Is DIANE LYNN CORNELISON (DO)'s NPI currently valid?
The extract we use shows DIANE LYNN CORNELISON (DO) as active.
Does DIANE LYNN CORNELISON (DO) list a primary specialty?
If you are matching referrals, note Neurology Physician for DIANE LYNN CORNELISON (DO). Clinical services aligned with this taxonomy classification.
What location metadata exists for DIANE LYNN CORNELISON (DO)?
The page summarizes Branson, Missouri for DIANE LYNN CORNELISON (DO); expand the address list for detail.
Is DIANE LYNN CORNELISON (DO) a real provider?
This page reflects official NPPES data for NPI 1568406791. Always confirm identity and privileges with the practice and licensing boards.

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