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Deactivated NPI 1215990981 Deactivated / Inactive NPI Male Practitioner

Dr. Ronald William Cornwell , MD

Surgery • Caldwell, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ronald Cornwell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 11, 2006
NPI Deactivation Date October 23, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Cornwell, MD was a registered Surgery practicing in Caldwell, ID. Throughout an active medical career spanning 19 years, Dr. Cornwell provided care at the practice location at 404 E ELM ST until profile deactivation on 2025-10-23.

Historical Medicare Part B clinical services included initial hospital care with straightforward or low-level medical decision making, if using time, at least, established patient outpatient office visit, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

404 E Elm St

Caldwell, ID 836054846

Telephone 2084590028
Fax 2084590028
Associated Practice Facility / Clinic
🏢 Surgical Group, P.a. Facility NPI 1609839398

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Caldwell, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.5 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Caldwell, ID (187 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
15 15 $287.00 $131.22

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ID M-6572

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Beth Amos , CFA

Specialist/Technologist, Other - Surgical Technologist

NPI 1053440644
NPI 1477593648

Doctor of Medicine (M.D.)

NPI 1710941026

Doctor of Medicine (M.D.)

NPI 1942463799

Doctor of Osteopathic Medicine (D.O.)

NPI 1962597948

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated October 23, 2025

Record deactivated on October 23, 2025

NPI Profile Active November 08, 2017

NPI status registered as active in NPPES database

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Updated Practice Location November 08, 2017

Registered at 4400 E FLAMINGO AVE, STE 200, NAMPA, ID 83687 (Tel: 2083022700)

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Updated Business Mailing Address November 08, 2017

Registered at 3340 E GOLDSTONE WAY, MERIDIAN, ID 836421026 (Tel: 2083022700)

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Provider Name / Credentials Updated November 08, 2017

Recorded as RONALD CORNWELL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2017

Surgery (License #M-6572 in ID)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 404 E ELM ST, CALDWELL, ID 836054846 (Tel: 2084590028)

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Updated Business Mailing Address July 08, 2007

Registered at 404 E ELM ST, CALDWELL, ID 836054846 (Tel: 2084590028)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RONALD CORNWELL, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #M-6572 in ID)

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Initial NPI Registration & Enumeration April 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215990981
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2006
Last Update: July 08, 2007
Deactivation Date: October 23, 2025

Mailing Address

404 E Elm St

Caldwell, ID 836054846

Phone: 2084590028

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.