Timothy G Cornitius, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0424553 Issued in KS

Practice address

2300 N 14TH Ave Ste 104
Dodge City, KS 67801-2367

Phone

(620) 225-8865

Fax

(620) 225-8866

NPI assigned

Nov 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Texas Tech University Health Science Center School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heartland Dermatology and Skin Cancer Center, PA 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centura St. Catherine-Dodge City Hospital, Dodge City, KS, CCN 170175

Merit-based Incentive Payment System (MIPS)

Final score

91.5 of 100Reported as group

Promoting interoperability

90

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Heartland Dermatology and Skin Cancer Center, PA

  • Dermatology Physician
  • Salina, KS
  • NPI 1538135207

  Dermatology, KS

  Medicare reassignment Care Compare group NPD
• Mid-Kansas Dermatology Clinic, PA

  • Dermatology Physician
  • Wichita, KS
  • NPI 1285685008

  Dermatology

  NPD
• Scott E Manthei PC LTD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Henderson, NV
  • NPI 1194724237
  NPD (past)

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

• Commonspirit Kansas, Inc.

  • General Acute Care Hospital
  • Dodge City, KS
  • NPI 1689317190

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1679554133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262160",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N 14TH AVE STE 104",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012367",
            "telephone_number": "620-225-8865",
            "fax_number": "620-225-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNITIUS",
        "first_name": "TIMOTHY",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "0424553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise R Conant, ARNP
• Merrill R Conant, M.D.
• Catherine G Cooke, MD
• Maria C Cooper, LCPC
• Frank Rodney Copeland
• Kristopher Costello, CRNA
• Counseling and Mediation Center, Inc.
• County of Ford
• County of Ford
• Craig Resources LLC

• All providers in Dodge City, KS
• Dermatology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.