Active NPI 1659389658 Individual Practitioner Male Practitioner

Dr. James T Cornwell , MD

Surgery • La Porte, IN

Professional Overview & Biography Verified Profile Summary

Dr. James Cornwell, MD is a registered healthcare professional specializing in Surgery in La Porte, IN. Practice services are available at 900 I ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

900 I St

La Porte, IN 463505533

Telephone 2193241700

Fax 2193241602

Associated Practice Facility / Clinic

🏢 Beacon Medical Group, Inc. Facility NPI 1639129117

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in La Porte, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.3 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

7 Specialists

Practicing in La Porte, IN (657 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.8% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	96	$274.00	$118.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$356.00	$156.33
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	41	37	$2852.00	$636.80
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	37	32	$2668.00	$501.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	30	$380.00	$169.88
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$471.00	$207.13
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	19	16	$2479.00	$379.71
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	19	16	$2375.00	$402.86
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	13	13	$3350.00	$800.39
36415 Insertion of needle into vein for collection of blood sample	11	11	$10.00	$2.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	94	$232.00	$121.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$352.00	$155.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	28	$312.00	$171.45
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	27	25	$3141.13	$720.04
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	26	25	$2934.00	$684.21
36415 Insertion of needle into vein for collection of blood sample	23	23	$10.00	$3.00
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	23	20	$2705.00	$487.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$444.00	$206.69
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	12	$46.00	$21.20
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	12	11	$2485.00	$502.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	89	$232.00	$102.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$352.00	$154.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	36	$312.00	$138.68
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	42	38	$2934.00	$676.42
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	23	18	$2705.00	$549.73
36415 Insertion of needle into vein for collection of blood sample	20	20	$10.00	$3.00
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	19	17	$2485.00	$422.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$444.00	$196.96
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	15	15	$3160.92	$751.15
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	11	$2419.00	$482.70
49507 Repair of trapped groin hernia patient age 5 years or older	11	11	$1669.09	$507.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	84	$231.47	$102.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$352.00	$154.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	34	$312.00	$134.74
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	32	29	$2934.00	$715.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$444.00	$193.61
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	20	17	$2705.00	$602.61
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	12	$2419.00	$518.89
64774 Removal of growth of skin nerve	13	13	$1286.00	$190.05
64787 Implantation of nerve end into bone or muscle	13	13	$760.00	$226.32
49507 Repair of trapped groin hernia patient age 5 years or older	13	13	$1800.00	$540.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	76	$156.00	$101.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$240.00	$154.46
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	27	25	$3104.00	$707.96
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	21	16	$2865.00	$729.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$160.00	$100.60
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	16	15	$2865.00	$629.42
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	15	15	$3554.00	$794.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	104	$156.00	$101.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$240.00	$154.08
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	30	30	$43.00	$7.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$160.00	$97.96
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	26	21	$2865.00	$552.47
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	24	22	$3104.00	$670.47
71020 X-ray of chest, 2 views, front and side	24	23	$69.83	$15.47
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	24	20	$2044.00	$557.81
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	20	17	$2865.00	$726.47
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	20	17	$3554.00	$757.01
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	18	15	$1576.00	$448.88
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	14	11	$2622.00	$637.92
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	14	11	$2291.00	$393.51
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	13	12	$2622.00	$426.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$210.00	$136.37

Medical Specialties & State Licenses

CMS Verified: 2021-03-31

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IN 01056336A

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200369250 (IN)

Commercial Insurance / Payer ID Rr Medicare

P01683483 (IN)

Commercial Insurance / Payer ID Bcbs Laporte

000000869604 (IN)

Practice Associates & Co-Workers

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

21 Associated Practitioners

Lorea Harris , NP

Nurse Practitioner

NPI 1043256183

Nurse Practitioner

Dr. Jennifer Alderink , DO

Family Medicine

NPI 1164651758

Doctor of Osteopathic Medicine (D.O.)

Dr. Freeman Farrow , MD

Family Medicine

NPI 1174559900

Doctor of Medicine (M.D.)

Dr. Michael Howard , MD

Family Medicine

NPI 1245228386

Doctor of Medicine (M.D.)

Dr. Daniel Edquist , MD

Family Medicine

NPI 1295723542

Doctor of Medicine (M.D.)

Jessica Kane , NP-F

Nurse Practitioner - Family

NPI 1316599954

NPF

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2021

Surgery (License #01056336A in IN)

✅

NPI Profile Active August 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 29, 2016

Registered at 900 I ST, LA PORTE, IN 463505533 (Tel: 2193241700)

📍

Updated Business Mailing Address August 29, 2016

Registered at 710 N NILES AVE, SOUTH BEND, IN 466171924 (Tel: 5746471610)

👤

Provider Name / Credentials Updated August 29, 2016

Recorded as JAMES CORNWELL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2016

Surgery (License #01056336 in IN)

🟢

Initial NPI Registration & Enumeration August 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1659389658

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 04, 2006

Last Update: March 31, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

710 N Niles Ave

South Bend, IN 466171924

Phone: 5746471610

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.