STEVEN WILLIAM MCCORNACK (D.O.) – Anesthesiology Physician, NPI 1669459772

STEVEN WILLIAM MCCORNACK (D.O.) is a healthcare provider. based in Bellefontaine, Ohio. specializing in ANESTHESIOLOGY. They hold the professional credentials D.O.. They hold a License No. 34005869 (OH). The NPI Number for STEVEN WILLIAM MCCORNACK (D.O.) is 1669459772

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN WILLIAM MCCORNACK (D.O.)
NPI
1669459772
Phone
(937) 592-4015
Address
205 E PALMER RD
Enumeration Date
29 December 2005
Last Update Date
6 June 2018

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN HOMEOPATHIC MEDICAL SCHOOL
Secondary Phone
9375924015
Graduation Year
1983 (43 years ago)
PAC ID
6204885718
Group Practice PAC ID
9032013792
Professional Enrollment ID
I20050121000257
Address ID
OH433112281BE205XXRDXX400
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

2,268 ANESTHESIOLOGY in OH

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Provider Addresses for STEVEN WILLIAM MCCORNACK (D.O.)

  • Mary Rutan Hospital, 205, East Palmer Road, Bellefontaine, Lake Township, Logan County, Ohio, 43311, United States

    BELLEFONTAINE, OH 433112281

    Phone: (937) 592-4015

    Fax: (937) 292-7148

    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)

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: 2019-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050121000257IAnesthesiologyOHTBD
I20190116000536IAnesthesiologyMITBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2323$0
00811Anesthesia for other procedure on large bowel using an endoscope1212$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 43311)

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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: 9032013792View full group profile
NameSpecialtyState
-OH
Orthopedic SurgeryOH
Cardiovascular Disease (Cardiology)OH
-OH
A N E S T H E S I O L O G YOH
Plastic And Reconstructive SurgeryOH
Nurse PractitionerOH
General SurgeryOH
-OH
Internal Medicine, Cardiovascular Disease (Cardiology)OH

Reviews

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Frequently asked questions

What is the standard ID for STEVEN WILLIAM MCCORNACK (D.O.) in the U.S.?
In the U.S., STEVEN WILLIAM MCCORNACK (D.O.) is identified by NPI 1669459772.
Should I treat STEVEN WILLIAM MCCORNACK (D.O.) as an active provider?
Patients and plans typically see STEVEN WILLIAM MCCORNACK (D.O.) as active in the national extract.
Which specialty label fits STEVEN WILLIAM MCCORNACK (D.O.)?
NPPES ties STEVEN WILLIAM MCCORNACK (D.O.) to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to STEVEN WILLIAM MCCORNACK (D.O.)?
STEVEN WILLIAM MCCORNACK (D.O.) is associated with Bellefontaine, Ohio in the same public data insurers reference.
Why is information missing for STEVEN WILLIAM MCCORNACK (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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