CORNELIUS W. CHINN (MD) – Family Medicine Physician, NPI 1619971603

CORNELIUS W. CHINN (MD) is a healthcare provider. based in San angelo, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. J1926 (TX). The NPI Number for CORNELIUS W. CHINN (MD) is 1619971603

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
CORNELIUS W. CHINN (MD)
NPI
1619971603
Phone
(325) 658-1511
Address
PO BOX 22000
Enumeration Date
8 June 2005
Last Update Date
26 December 2017

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
3257933411
Graduation Year
1991 (35 years ago)
PAC ID
5496856411
Group Practice PAC ID
2860301215
Professional Enrollment ID
I20070720000493
Address ID
TX796054603AB4601XSTXX300
Telehealth
Yes
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

8,705 FAMILY PRACTICE in TX

Provider Addresses for CORNELIUS W. CHINN (MD)

  • San Angelo, Villa Residencial Santa Fe 3ra Sección, Pórticos de San Antonio, Municipio de Tijuana, Baja California, 22664, Mexico

    SAN ANGELO, TX 769027200

    Phone: (325) 658-1511

    Fax: (325) 659-0180

    Type: Mailing

  • 220 E. HARRIS

    SAN ANGELO, TX 76903

    Phone: (325) 481-2000

    Fax: (325) 481-2255

    Type: Location

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 $512.

Total Amount is formed as General ($512) + Research ($0) + Ownership ($0) = $512.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ABBVIE INC. ($156).

Total Amount

$512

General + Research + Ownership

Payments

24

Total payment records

General Amount

$512

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2007-07-20

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
I20070720000493IFamily PracticeTXTBD

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
36415Insertion of needle into vein for collection of blood sample324162$0
99214Established patient office or other outpatient visit, 30-39 minutes319164$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13357$0
83036Hemoglobin a1c level11784$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9999$0
View full utilization report →

Insurance plans in this area (ZIP 76902)

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Provider's Procedures

CORNELIUS W. CHINN (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX90670Pneumococcal vaccine for injection into muscle3030

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: 2860301215View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Orthopedic SurgeryTX
-TX
Family PracticeTX
N E U R O S U R G E R YTX
Endocrinology, Internal MedicineTX
Neurology, Sleep MedicineTX
Nurse PractitionerTX
P O D I A T R YTX

Reviews

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Frequently asked questions

What unique ID ties claims to CORNELIUS W. CHINN (MD)?
NPI 1619971603 is assigned to CORNELIUS W. CHINN (MD) under the national enumeration system.
Does this profile mean CORNELIUS W. CHINN (MD) is currently active?
Yes — CORNELIUS W. CHINN (MD) appears active in the national provider directory.
What does CORNELIUS W. CHINN (MD) treat or focus on?
Patients typically see CORNELIUS W. CHINN (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place CORNELIUS W. CHINN (MD)?
The snapshot lists San Angelo, Texas for CORNELIUS W. CHINN (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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