NPIMap

Gary L. Cornette, D.O.

Individual provider Active NPI Gastroenterology Physician · Overland Park, KS

NPI 1639149271 · NPPES record last updated Dec 27, 2021

Key facts

NPI
1639149271
Entity type
Individual (NPI type 1)
Primary specialty
Gastroenterology Physician 207RG0100X
License
05-23660 (KS)
Practice address
6913 W 123Rd Ter Apt 705
Overland Park, KS 66209-2822
Phone
(928) 864-8042
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Gastroenterology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Lukes Physician Group Inc (1,233 clinicians)
Excelsior Springs City Hospital (39 clinicians)

Practice addresses (Care Compare)

12330 Metcalf Ave
Suite 420
Overland Park, KS 66213-1307
Phone (913) 323-9000

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone (816) 630-6081

4321 Washington St
Suite 5100
Kansas City, MO 64111-5933
Phone (913) 491-9100

Hospital & facility affiliations

  • Allen County Regional Hospital Hospital · Iola, KS · CCN 171373
  • Anderson County Hospital Hospital · Garnett, KS · CCN 171316
  • Saint Luke'S South Hospital Hospital · Overland Park, KS · CCN 170185
  • St Lukes Hospital of Kansas City Hospital · Kansas City, MO · CCN 260138
  • Holton Community Hospital Hospital · Holton, KS · CCN 171319

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100 (group)
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

Merit-based Incentive Payment System (MIPS)

Final score
86.42 of 100 (group)
Quality
73.87
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.94 of 100 (group)
Quality
91.35
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy37
Upper gastrointestinal (GI) endoscopy for acid reflux48

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in KS, MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20211122000570 KS Practitioner - Gastroenterology 8628029956 Reassigns benefits to 6 organizations
I20211221001193 MO Practitioner - Internal Medicine 8628029956 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02002889AINMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc Family Medicine Current
since Feb 1, 2022		 Accepting new patients
Midwest Pathology Associates LLC Current Accepting new patients
Saint Lukes Physician Group Inc Family Medicine Current
since Feb 1, 2022		 Accepting new patients
Rural Health Resources of Jackson Co Inc Current
since Dec 1, 2021		 Accepting new patients
Saint Luke'S Hospital of Allen County, Inc Current
since Jul 8, 2023		 Accepting new patients
Rural Health Resources of Jackson Co Inc Current
since Dec 1, 2021		 Accepting new patients
Saint Lukes Hospital of Garnett Inc Family Medicine Current
since Dec 16, 2021		 Accepting new patients
Excelsior Springs City Hospital Current Accepting new patients
Saint Lukes Hospital of Garnett Inc Current
since Dec 16, 2021		 Accepting new patients
Saint Luke'S Hospital of Allen County, Inc Current
since Jul 8, 2023		 Accepting new patients
Saint Lukes Hospital of Garnett Inc Current
since Jul 12, 2025		 Accepting new patients
Excelsior Springs City Hospital Family Medicine Current
since Dec 20, 2021		 Accepting new patients
Consultants in Gastroenterology, PC Past Accepting new patients
Saint Lukes of Garnett Inc Past Accepting new patients
Rural Health Resources of Jackson Co Inc Family Medicine Past Accepting new patients

Locations

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

1110 Columbine Dr
Holton, KS 66436
Phone (785) 364-2126

3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

12330 Metcalf Ave
Ste 420
Overland Park, KS 66213
Phone (913) 323-9000

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

4321 Washington St
Ste 5100
Kansas City, MO 64111
Phone (816) 756-2255

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
  • Direct secure messaging: gcornette96692@direct.saint-lukes.org
  • Direct secure messaging: gary.cornette.1@16424.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 02002889A IN
Gastroenterology Physician 207RG0100X 2021047585 MO
Gastroenterology Physician 207RG0100X 05-23660 KS Yes

Addresses

Primary practice location

6913 W 123Rd Ter Apt 705
Overland Park, KS 66209-2822

Mailing address

6913 W 123Rd Ter Apt 705
Overland Park, KS 66209-2822
Phone (928) 864-8042

Other providers in Overland Park, KS

All providers in Overland Park, KS · Gastroenterology Physician in Kansas

Sources for this page

Verify at the official NPI Registry.