Andrew Lewis Cornelius, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Jber, AK
NPI 1447426424 · NPPES record last updated Nov 20, 2013
Key facts
- NPI
- 1447426424
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- MD440780 (PA)
- Practice address
- 673D MDG, 5955 Zeamer Avenue
Jber, AK 99506 - Phone
- (907) 580-1571
- Fax
- (907) 580-1575
- NPI assigned
- Apr 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 48
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Loma Linda University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tanana Chiefs Conference
Alaska Native Tribal Health Consortium
Practice addresses (Care Compare)
1717 W Cowles St
Fairbanks, AK 99701-5926
Phone (907) 451-6682
4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662
Hospital & facility affiliations
- Alaska Native Medical Center
- Southeast Alaska Regional Health Consortium
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.93 of 100
- Quality
- 70.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.01
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 19 |
| Knee replacement | 17 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170725001514 | TX | Practitioner - Orthopedic Surgery | 1557541364 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD440780 | PA | MD | Orthopaedic Surgery Physician |
| MT193729 | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanana Chiefs Conference | Current |
Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current |
Accepting new patients | |
| Tanana Chiefs Conference | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current |
Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
1717 W Cowles St
Fairbanks, AK 99701
Phone (907) 452-6682
Interoperability endpoints
- acornelius193589@direct.peacehealth.org
- alcornelius@direct.anthc.org
- andrew.cornelius.1@15989.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MT193729 | PA | |
| Orthopaedic Surgery Physician | 207X00000X | MD440780 | PA | Yes |
Addresses
Primary practice location
673D MDG, 5955 Zeamer Avenue
Jber, AK 99506
Mailing address
673D MDG, 5955 Zeamer Avenue
Jber, AK 99506
Phone (907) 580-1571
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT193729 | Other | GRADUATE MEDICAL TRAINEE |
Other providers in Jber, AK
- Eric W Colegrove
- Alix Ann Coleman
- Lindsey Tyler Colgan
- Megan Cook
- Jaron B Coombs
- Aaron Kendall Cotney
- Christopher Cowley
- Jonathan Coyle
- Creshawna Wilson Cross
- Scott M Cummis
All providers in Jber, AK · Orthopaedic Surgery Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.