Active NPI 1316916927 Individual Practitioner Female Practitioner

Dr. Carol J Cornejo , MD

Surgery • Edmonds, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Carol Cornejo, MD is a certified Surgery practicing in Edmonds, WA. With approximately 35 years of clinical experience since graduating from University Of California, San Francisco School Of Medicine in 1991, Dr. Cornejo delivers high-quality medical care to the local community at 7315 212TH ST SW.

Dr. Cornejo is affiliated with Proliance Surgeons Inc P S and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, partial removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7315 212th St Sw
Suite 201

Edmonds, WA 980267610

Telephone 4257788116

Fax 4257759526

Associated Practice Facility / Clinic

🏢 Puget Sound Family Physicians Facility NPI 1083643340

Medicare Profile & Education

Medical School

University Of California, San Francisco School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Edmonds, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +10.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

11 Specialists

Practicing in Edmonds, WA (818 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

50.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cornejo (35 Years) 35 Yrs

Edmonds Specialty Average (25.0 Years) 25.0 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
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$459.68	$217.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$345.38	$179.52
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$176.27	$90.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$254.75	$127.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	25	$340.00	$177.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$455.00	$218.07
19301 Partial removal of breast	22	20	$2134.36	$633.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$361.00	$165.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$249.00	$127.19
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$175.00	$85.28
38900 Lymph node imaging during surgery	15	14	$430.00	$132.12
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	14	12	$98.00	$31.70
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$1392.00	$217.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	22	$340.00	$180.69
19301 Partial removal of breast	30	23	$2098.40	$609.08
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	$455.00	$219.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$361.00	$167.09
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$1392.00	$215.75
38900 Lymph node imaging during surgery	13	13	$430.00	$127.94
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$175.00	$90.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$237.00	$111.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	23	$307.86	$182.41
99213 Established patient office or other outpatient visit, typically 15 minutes	27	16	$150.11	$92.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$425.36	$216.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$219.00	$130.78
19301 Partial removal of breast	19	17	$2118.32	$567.87
38900 Lymph node imaging during surgery	12	12	$430.00	$136.52
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1450.08	$230.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	22	$145.29	$75.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	17	$214.00	$109.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	14	$86.00	$45.99
19301 Partial removal of breast	19	15	$2118.32	$649.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$329.00	$158.57
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	13	$43.00	$23.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$214.00	$109.06

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	43	34	$214.00	$107.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$329.00	$165.30
19301 Partial removal of breast	22	20	$2064.00	$666.84
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$416.00	$207.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$285.00	$137.43
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$143.00	$74.71
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	15	$1392.00	$238.59
38900 Lymph node imaging during surgery	13	13	$430.00	$140.96

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	56	43	$213.13	$107.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$326.56	$156.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$412.23	$200.57
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	20	20	$1387.30	$235.31
19301 Partial removal of breast	19	17	$2052.95	$624.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$281.11	$137.20
38900 Lymph node imaging during surgery	18	18	$428.33	$133.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$153.44	$72.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$318.00	$162.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	18	$204.68	$98.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$275.00	$127.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$402.00	$204.08
38900 Lymph node imaging during surgery	12	12	$415.00	$135.44
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1345.00	$215.45

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD00031941

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

8234551 (WA)

Hospital & Practice Group Affiliations

Proliance Surgeons Inc P S

7315 212th St Sw, Edmonds, WA 980267610

Phone: 4257788116

Practice Associates & Co-Workers

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

9 Associated Practitioners

Glenn Knight , PA-C

Physician Assistant - Surgical

NPI 1174557276

Physician Assistant (Certified)

Dr. Michelle Sinnett , MD

Surgery

NPI 1356301618

Doctor of Medicine (M.D.)

Dr. Steven Macfarlane , MD

Surgery

NPI 1578532982

Doctor of Medicine (M.D.)

Dr. Allison Alberton , MD

Surgery

NPI 1598194342

Doctor of Medicine (M.D.)

Dr. Thomas Jurich , MD

Surgery

NPI 1659340172

Doctor of Medicine (M.D.)

Dr. Justin Olsen , MD

Surgery

NPI 1770781437

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 07, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 07, 2011

Registered at 7315 212TH ST SW, SUITE 201, EDMONDS, WA 980267610 (Tel: 4257788116)

📍

Updated Business Mailing Address October 07, 2011

Registered at 805 MADISON ST, SUITE 901, SEATTLE, WA 981041172 (Tel: 2062648100)

👤

Provider Name / Credentials Updated October 07, 2011

Recorded as CAROL CORNEJO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2011

Surgery (License #MD00031941 in WA)

🟢

Initial NPI Registration & Enumeration March 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Carol Cornejo. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1316916927

Entity Type:

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

Enumeration Date: March 16, 2006

Last Update: October 07, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

805 Madison St, Suite 901

Seattle, WA 981041172

Phone: 2062648100

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.