RAYMOND L CORNELISON (MD) – Dermatology Physician, NPI 1003884339
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
126 DERMATOLOGY in OK
Provider Addresses for RAYMOND L CORNELISON (MD)
3727 NW 63RD ST STE 205
OKLAHOMA CITY, OK 731161923
Phone: (405) 608-4494
Fax: (405) 608-4504
Type: Location
2222 W IOWA AVE
CHICKASHA, OK 730182738
Phone: (405) 224-8111
Fax: (405) 594-0708
Type: Mailing
Box, Sequoyah County, Oklahoma, United States
OKLAHOMA CITY, OK 731268988
Phone: (405) 608-4494
Fax: (405) 608-4504
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $2,973.
Total Amount is formed as General ($2,165) + Research ($808) + Ownership ($0) = $2,973.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: PFIZER INC. ($1,262).
Total Amount
$2,973
General + Research + Ownership
Payments
24
Total payment records
General Amount
$2,165
General payments
Research Amount
$808
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $1,262 |
| SANOFI PASTEUR INC. | $808 |
| UCB, Inc. | $286 |
| Arcutis Biotherapeutics, Inc. | $237 |
| ABBVIE INC. | $117 |
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: 2006-02-23
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 |
|---|---|---|---|---|
| I20060223000438 | I | Dermatology | OK | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 287 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 236 | 110 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 166 | 105 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 144 | 144 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 125 | 65 | $0 |
Insurance plans in this area (ZIP 73116)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | OK | 17003 | Destruction of 2-14 skin growths | 1299 | 178 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| - | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| - | OK | |
| General Practice | NY | |
| - | OK | |
| Family Practice | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Internal Medicine | OK | |
| - | OK |
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