BRETT WILLIAM CORNELIUS PA-C
NPI 1083221675
Physician Assistant in Edinboro, PA

Active since September 28, 2020PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
450 ERIE ST, EDINBORO, PA 16412(148) 734-1618(148) 734-3102 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2024, Jan 21, 2022, Oct 12, 2020 and 1 more (4 updates tracked since 2020).

About Brett William Cornelius Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRETT WILLIAM CORNELIUS PA-C (NPI 1083221675) is an individual physician assistant in Edinboro, Pennsylvania and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and maintains a secondary practice location in Albion.

NPPES Registry Identity

NPI1083221675
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRETT WILLIAM CORNELIUSCredential: PA-C
Location Address450 ERIE STEdinboro, PA 16412-2200
Mailing Address450 Erie StEdinboro, PA 16412-2200 · (148) 734-1618 · Fax (148) 734-3102
Fax(148) 734-3102
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 28, 2020
Last NPPES UpdateMay 8, 20244 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
NPI 1083221675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

450 ERIE ST, Edinboro, PA 16412

Secondary Practice Location 1

Location 1155 E State StAlbion, PA 16401-1347 · Phone (814) 756-4917 · Fax (814) 756-5226

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brett William Cornelius Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527474378
PECOS Enrollment IDI20220127000071
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390032
Location1301 Carlisle StNatrona, PA 15065 · Allegheny County
Emergency services

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

Canonsburg General Hospital

Acute Care Hospitals · Canonsburg, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390160
Location100 Medical BoulevardCanonsburg, PA 15317 · Washington County
Emergency services

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Grove City Medical Center

Acute Care Hospitals · Grove City, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390266
Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16412 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
450 ERIE ST
EDINBORO, PA 16412
Family Medicine
450 ERIE ST
EDINBORO, PA 16412
Family Medicine
450 ERIE ST
EDINBORO, PA 16412
Family Medicine
450 ERIE ST
EDINBORO, PA 16412
Nurse Practitioner
450 ERIE ST
EDINBORO, PA 16412
Family Medicine
450 ERIE ST
EDINBORO, PA 16412
Physician Assistant
450 ERIE ST
EDINBORO, PA 16412
Nurse Practitioner (Family)
450 ERIE ST
EDINBORO, PA 16412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brett Cornelius's NPI number?

The NPI number for Brett Cornelius is 1083221675. It was assigned to this individual provider in the NPPES registry on September 28, 2020.

Where is Brett Cornelius located?

Brett Cornelius practices at 450 Erie St, Edinboro, PA 16412. The listed phone number is (148) 734-1618.

What is Brett Cornelius's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brett Cornelius enrolled in Medicare?

Yes. Brett Cornelius is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Brett Cornelius affiliated with any hospitals?

According to CMS data, Brett Cornelius is affiliated with Allegheny Valley Hospital, Allegheny General Hospital, Canonsburg General Hospital, Jefferson Hospital and Grove City Medical Center.

When was this NPI record last updated?

The NPPES record for Brett Cornelius was last updated on May 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.