Active NPI 1003884339 Individual Practitioner Male Practitioner

Dr. Raymond L Cornelison , MD

Dermatology • Chickasha, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Raymond Cornelison, MD is a certified Dermatology practicing in Chickasha, OK. With approximately 58 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 1968, Dr. Cornelison delivers high-quality medical care to the local community at 2222 W IOWA AVE.

Dr. Cornelison maintains professional affiliations with Clinton Hospital Authority, Southern Plains Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of up to 14 skin growths, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2222 W Iowa Ave

Chickasha, OK 730182738

Telephone 4052248111

Fax 4055940708

Associated Practice Facility / Clinic

🏢 Southern Plains Medical Center Inc Facility NPI 1962469098

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

1968

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Chickasha, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

58 Yrs Matches City Avg

City Avg: 58.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Chickasha, OK (129 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cornelison (58 Years) 58 Yrs

Chickasha Specialty Average (58.0 Years) 58.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	156	38	$12.55	$5.96
17110 Destruction of up to 14 skin growths	153	114	$205.74	$95.69
99213 Established patient office or other outpatient visit, typically 15 minutes	151	100	$168.34	$83.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	70	$104.24	$51.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$209.09	$100.80
17000 Destruction of skin growth	74	56	$124.00	$34.51
99202 New patient office or other outpatient visit, typically 20 minutes	42	42	$134.05	$66.47
11106 Incision biopsy, first skin growth	34	32	$281.43	$139.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	287	43	$16.85	$6.17
99213 Established patient office or other outpatient visit, typically 15 minutes	236	110	$173.91	$84.76
17110 Destruction of up to 14 skin growths	166	105	$213.83	$98.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	144	144	$215.46	$105.43
17000 Destruction of skin growth	125	65	$127.39	$37.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	99	20	$2.23	$1.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	52	$108.37	$53.07
11106 Incision biopsy, first skin growth	31	29	$293.88	$137.33
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$138.29	$65.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	18	$27.01	$12.73
11104 Punch biopsy, first skin growth	13	13	$237.46	$103.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	55	17	$12.77	$6.24
17110 Destruction of up to 14 skin growths	41	31	$214.91	$101.78
17000 Destruction of skin growth	29	24	$128.40	$38.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$216.87	$102.90
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$140.29	$68.61
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$175.66	$85.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$108.63	$50.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	973	127	$17.77	$6.06
17110 Destruction of up to 14 skin growths	405	259	$315.64	$103.21
99213 Established patient office or other outpatient visit, typically 15 minutes	405	249	$166.00	$87.20
17000 Destruction of skin growth	300	181	$186.00	$39.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	247	247	$250.00	$106.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	235	44	$9.00	$1.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	80	$123.56	$53.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	62	44	$47.00	$13.41
99202 New patient office or other outpatient visit, typically 20 minutes	61	61	$187.62	$68.97
11102 Tangential biopsy of single skin lesion	56	54	$279.00	$79.87
17004 Destruction of precancer skin growth, 15 or more growths	32	19	$440.44	$155.79
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$578.00	$195.47
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	12	11	$540.00	$182.93
10060 Simple or single drainage of skin abscess	11	11	$336.00	$116.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	370	80	$15.00	$5.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	269	177	$120.00	$43.18
17110 Destruction of up to 14 skin growths	255	185	$312.00	$100.31
17000 Destruction of skin growth	184	133	$186.00	$38.74
99213 Established patient office or other outpatient visit, typically 15 minutes	116	88	$166.00	$71.58
99202 New patient office or other outpatient visit, typically 20 minutes	113	109	$185.00	$72.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$250.00	$103.66
11106 Incision biopsy, first skin growth	29	27	$423.00	$143.62
17004 Destruction of precancer skin growth, 15 or more growths	25	20	$405.00	$149.93
11102 Tangential biopsy of single skin lesion	24	24	$279.00	$74.59
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	21	$578.00	$196.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	287	70	$15.00	$5.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	228	168	$121.14	$42.19
17110 Destruction of up to 14 skin growths	206	171	$312.00	$95.58
17000 Destruction of skin growth	160	135	$186.00	$43.76
99202 New patient office or other outpatient visit, typically 20 minutes	159	159	$185.00	$72.10
99213 Established patient office or other outpatient visit, typically 15 minutes	85	67	$167.98	$70.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$250.00	$103.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	66	17	$9.00	$1.63
11106 Incision biopsy, first skin growth	43	41	$423.00	$137.19
11102 Tangential biopsy of single skin lesion	30	29	$279.00	$71.94
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	28	25	$578.00	$194.45
17004 Destruction of precancer skin growth, 15 or more growths	21	18	$405.00	$142.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	18	$54.11	$15.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	947	183	$15.56	$4.72
17110 Destruction of up to 14 skin growths	477	331	$313.17	$96.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	445	298	$120.53	$39.27
17000 Destruction of skin growth	442	286	$187.72	$39.42
99202 New patient office or other outpatient visit, typically 20 minutes	284	283	$187.66	$67.35
99213 Established patient office or other outpatient visit, typically 15 minutes	264	209	$195.84	$66.39
11100 Biopsy of single growth of skin and/or tissue	145	127	$300.67	$78.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$250.44	$96.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	101	28	$19.15	$1.78
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	40	40	$578.00	$182.32
17004 Destruction of precancer skin growth, 15 or more growths	34	28	$417.18	$130.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	26	$56.27	$18.28
10060 Simple or single drainage of skin abscess	24	23	$341.46	$107.56
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	19	$494.73	$145.48
69100 Biopsy of ear	20	18	$292.55	$74.58
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	16	16	$504.00	$150.37
17283 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	14	14	$694.79	$221.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$292.31	$99.19
99201 New patient office or other outpatient visit, typically 10 minutes	13	13	$127.15	$40.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,330	210	$24.72	$4.90
17110 Destruction of up to 14 skin growths	510	400	$268.25	$94.13
17000 Destruction of skin growth	453	316	$163.64	$41.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	441	323	$99.46	$38.62
99213 Established patient office or other outpatient visit, typically 15 minutes	432	314	$182.37	$65.69
99202 New patient office or other outpatient visit, typically 20 minutes	186	185	$193.75	$67.03
11100 Biopsy of single growth of skin and/or tissue	142	135	$260.60	$81.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	140	34	$40.00	$1.83
99201 New patient office or other outpatient visit, typically 10 minutes	121	121	$107.60	$39.20
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	42	37	$499.95	$182.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	29	$63.98	$22.38
17004 Destruction of precancer skin growth, 15 or more growths	34	27	$396.59	$133.21
10060 Simple or single drainage of skin abscess	24	22	$274.67	$104.64
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	23	21	$413.26	$158.21
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	19	17	$465.47	$155.99
69100 Biopsy of ear	16	14	$246.00	$75.23
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	16	$427.13	$165.37
17283 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	12	12	$615.25	$219.13
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	11	11	$489.18	$170.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$264.18	$91.21

Medical Specialties & State Licenses

CMS Verified: 2025-11-04

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OK 9074

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - Dermatopathology

NUCC Taxonomy Code: 207ND0900X

State License OK 9074

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Group Npi

1528364304 (OK)

Hospital & Practice Group Affiliations

Southern Plains Medical Center Inc

2222 W Iowa Ave, Chickasha, OK 730182738

Phone: 4052248111

Clinton Hospital Authority

100 N 30th St, Clinton, OK 736013117

Phone: 5805745128

Practice Associates & Co-Workers

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

23 Associated Practitioners

Christal Lynch , PA-C

Physician Assistant - Medical

NPI 1033480256

Physician Assistant (Certified)

Dr. James Freed , MD

Pediatrics

NPI 1083696363

Doctor of Medicine (M.D.)

Dr. Marian Escobar , MD

Pediatrics

NPI 1124099528

Doctor of Medicine (M.D.)

Dr. Shaun Hajjari , OD

Optometrist

NPI 1154809887

Doctor of Optometry

Rex Fryer , MED

Counselor

NPI 1255667523

Master of Education

Dr. Nancy Dever , MD

Obstetrics & Gynecology - Gynecology

NPI 1306827886

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location November 04, 2025

Registered at 2222 W IOWA AVE, CHICKASHA, OK 730182738 (Tel: 4052248111)

📍

Updated Business Mailing Address November 04, 2025

Registered at 2222 W IOWA AVE, CHICKASHA, OK 730182738 (Tel: 4052248111)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2025

Dermatology (License #9074 in OK)

✅

NPI Profile Active April 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 23, 2015

Registered at 3727 NW 63RD ST STE 205, OKLAHOMA CITY, OK 731161923 (Tel: 4056084494)

📍

Updated Business Mailing Address April 23, 2015

Registered at PO BOX 268988, OKLAHOMA CITY, OK 731268988 (Tel: 4056084494)

👤

Provider Name / Credentials Updated April 23, 2015

Recorded as RAYMOND CORNELISON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2015

Dermatology (License #9074 in OK)

🟢

Initial NPI Registration & Enumeration March 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1003884339

Entity Type:

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

Enumeration Date: March 11, 2006

Last Update: November 04, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2222 W Iowa Ave

Chickasha, OK 730182738

Phone: 4052248111

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.