NPIMap

Individual provider Active NPI

Gary L. Cornette, D.O.

  • Gastroenterology Physician
  • Overland Park, KS
National Provider Identifier
1639149271
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
05-23660 Issued in KS
Practice address
6913 W 123Rd Ter Apt 705
Overland Park, KS 66209-2822
Phone
(928) 864-8042
NPI assigned
Jan 25, 2006
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

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

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 3577476894, 1,233 clinicians
Excelsior Springs City HospitalGroup PAC ID 7315847209, 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

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

Merit-based Incentive Payment System (MIPS)

Final score
86.42 of 100Reported as group
Quality
73.87
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.94 of 100Reported as 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02002889AINMDGastroenterology Physician
05-23660KSMDGastroenterology Physician
2021047585MOMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Resources of Jackson Co Inc CurrentSince Dec 1, 2021 Accepting new patients
Saint Lukes Physician Group Inc Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Saint Luke's Physician Group Inc Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Rural Health Resources of Jackson Co Inc CurrentSince Dec 1, 2021 Accepting new patients
Excelsior Springs City Hospital Family Medicine CurrentSince Dec 20, 2021 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Jul 12, 2025 Accepting new patients
Saint Lukes Hospital of Garnett Inc Family Medicine CurrentSince Dec 16, 2021 Accepting new patients
Excelsior Springs City Hospital Current Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Dec 16, 2021 Accepting new patients
Saint Luke's Hospital of Allen County, Inc CurrentSince Jul 8, 2023 Accepting new patients
Midwest Pathology Associates LLC Current Accepting new patients
Saint Luke's Hospital of Allen County, Inc CurrentSince Jul 8, 2023 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
Consultants in Gastroenterology, PC 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 420
Overland Park, KS 66213
Phone (913) 323-9000

12330 Metcalf Ave
Ste 500A
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

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

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 9

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1639149271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6913 W 123RD TER APT 705",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092822",
            "telephone_number": "928-864-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 W 123RD TER APT 705",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092822",
            "telephone_number": "928-864-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNETTE",
        "first_name": "GARY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "02002889A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2021047585",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "05-23660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.