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PAUL CORNEA MD
NPI 1083603906
Internal Medicine - Infectious Disease in Chattanooga, TN

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating
725 GLENWOOD DR, SUITE E-486, CHATTANOOGA, TN 37404(423) 495-2650(423) 495-2655 Get Directions Write a Review

NPPES record last updated: November 2, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul Cornea Md NPPES

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

PAUL CORNEA MD (NPI 1083603906) is an individual infectious disease provider in Chattanooga, Tennessee, licensed in Tennessee (37738) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1083603906
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NamePAUL CORNEACredential: MD
Location Address725 GLENWOOD DR, SUITE E-486Chattanooga, TN 37404-1163
Mailing Address725 Glenwood Dr, Suite E-486Chattanooga, TN 37404-1163 · (423) 495-2650 · Fax (423) 495-2655
Phone(423) 495-2650
Fax(423) 495-2655
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateOctober 14, 2005
Last NPPES UpdateNovember 2, 2011
✔ NPI 1083603906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TN · 37738
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

725 GLENWOOD DR, Chattanooga, TN 37404
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH92236TN
Medicare PIN38878311TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and more.Insurance ›

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

Paul Cornea Md 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 ID4688624844
PECOS Enrollment IDI20050125000923
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
172 services61 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
70 services40 patients
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.
54 services39 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services18 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.
21 services17 patients

Hospital Affiliations CMS Care Compare

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. COLLIN G CHERRY MD
Internal Medicine
725 GLENWOOD DR, SUITE 480
CHATTANOOGA, TN 37404
Hamilton County (423) 756-5779
DR. SAMUEL M CURRIN M.D.
Urology
725 GLENWOOD DR, STE E780
CHATTANOOGA, TN 37404
Hamilton County (423) 697-0072
DAVID NEWTON COLLINS MD
Internal Medicine (Gastroenterology)
725 GLENWOOD DR, STE 690 E
CHATTANOOGA, TN 37404
Hamilton County (423) 622-0694
DR. LIEZELLE JURGENS MD
Internal Medicine
725 GLENWOOD DR, SUITE 788
CHATTANOOGA, TN 37404
Hamilton County (423) 495-3940
DR. CHRISTINE PARKER MD
Internal Medicine
725 GLENWOOD DR, SUITE E788
CHATTANOOGA, TN 37404
Hamilton County (423) 495-3940
DR. JACK B MCCALLIE MD
Internal Medicine
725 GLENWOOD DR, SUITE E480
CHATTANOOGA, TN 37404
Hamilton County (423) 756-5779
DR. GLENN A NEWMAN MD
Internal Medicine
725 GLENWOOD DR, SUITE 480
CHATTANOOGA, TN 37404
Hamilton County (423) 756-5779
DR. MARY C HAMMOCK MD
Internal Medicine
725 GLENWOOD DR, SUITE 480
CHATTANOOGA, TN 37404
Hamilton County (423) 756-5779

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 Paul Cornea's NPI number?

The NPI number for Paul Cornea is 1083603906. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Paul Cornea located?

Paul Cornea practices at 725 Glenwood Dr Suite E-486, Chattanooga, TN 37404. The listed phone number is (423) 495-2650.

What is Paul Cornea's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Paul Cornea enrolled in Medicare?

Yes. Paul Cornea 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.

What insurance does Paul Cornea accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 2 other insurers list Paul Cornea as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Cornea affiliated with any hospitals?

According to CMS data, Paul Cornea is affiliated with Memorial Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Paul Cornea was last updated on November 2, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.