SARAH SCHWANDT CORNELIUS PA-C NPI 1164845384
Physician Assistant in Houston, TX
About SARAH SCHWANDT CORNELIUS PA-C
Sarah Cornelius is a primary care provider established in Houston, Texas and her medical specialization is Physician Assistant. The NPI number of this provider is 1164845384 and was assigned on January 2014. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and her NPI record was last updated 8 years ago.
| NPI | 1164845384 |
| Provider Name | SARAH SCHWANDT CORNELIUS PA-C |
| Location Address | 6560 FANNIN ST SUITE 1016 HOUSTON, TX 77030 |
| Location Phone | (713) 333-4100 |
| Mailing Address | 6560 FANNIN ST SUITE 1016 HOUSTON, TX 77030 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 01-23-2014 |
| Last Update Date | 02-18-2016 |
A primary care provider (PCP) like Sarah Cornelius sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Sarah Cornelius is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..
The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: chronic care and preventative care management for empaneled patients, measurement and improvement at the practice and panel level, security risk analysis, specialized registry reporting and use of decision support and standardized treatment protocols. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 363A00000X |
| Classification | Physician Assistant |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| License State | TX |
| Taxonomy Description | 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. |
Business Address
6560 FANNIN ST
SUITE 1016
HOUSTON, TX
ZIP 77030
Phone: (713) 333-4100
Fax: (713) 333-4101
Mailing Address
6560 FANNIN ST
SUITE 1016
HOUSTON, TX
ZIP 77030
Phone: (713) 333-4100
Fax: (713) 333-4101
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 77030 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $60.64 | $183.87 | $93.23 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $15.16 | $45.96 | $23.3 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.93 | $150.28 | $75.86 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.73 | $37.57 | $18.96 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 8 | 4 | 5 | 3 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 16 | 4 | 10 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 6 + 4 + 1 + 0 + 3 + 1 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1164845384 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346245636 | HERBERT ISAAC DORFAN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 6560 FANNIN ST STE 1616 HOUSTON, TX 77030 (713) 795-0515 |
| 1619972692 | DOLON C. DAS MD Individual | Internal Medicine (Nephrology) | 6560 FANNIN ST SUITE 1532 HOUSTON, TX 77030 (713) 795-5005 |
| 1164427746 | JAMES M PARRISH P.A. Individual | Physician Assistant (Medical) | 6560 FANNIN ST STE 1824 HOUSTON, TX 77030 (713) 521-2825 |
| 1790781961 | KAREN WOODS MD Individual | Internal Medicine (Gastroenterology) | 6560 FANNIN ST STE 2000 HOUSTON, TX 77030 (713) 383-7800 |
| 1104823483 | SRINIVASACHARI VATSALA MD Individual | Obstetrics & Gynecology | 6560 FANNIN ST STE 1840 HOUSTON, TX 77030 (713) 799-2050 |
| 1952309577 | DR. MICHAEL GREGORY KALDIS M.D. Individual | Orthopaedic Surgery | 6560 FANNIN ST SUITE 1016 HOUSTON, TX 77030 (713) 333-4120 |
| 1306844659 | DR. VLADIMIR REDKO M.D. Individual | Specialist | 6560 FANNIN ST SUITE 2020 HOUSTON, TX 77030 (713) 790-1400 |
| 1053311720 | BORIS BRATOVICH PAC Individual | Physician Assistant (Surgical) | 6560 FANNIN ST SUITE 1842 HOUSTON, TX 77030 (713) 790-5227 |
| 1427058197 | FONTEYN BECK PA-C Individual | Physician Assistant (Surgical) | 6560 FANNIN ST STE 1402 HOUSTON, TX 77030 (713) 790-5227 |
| 1164415170 | ALFONSO ALDAMA MD Individual | Neurological Surgery | 6560 FANNIN ST 1200 HOUSTON, TX 77030 (713) 790-1211 |
| 1174516116 | RICHARD LOUIS HARPER I MD Individual | Neurological Surgery | 6560 FANNIN ST SUITE 1200 HOUSTON, TX 77030 (713) 790-1211 |
| 1043203987 | DR. WILLIAM HYPES OBENOUR JR. M.D. Individual | Internal Medicine | 6560 FANNIN ST SUITE 1112 HOUSTON, TX 77030 (713) 790-1541 |
| 1548254667 | DAVID CECH MD Individual | Neurological Surgery | 6560 FANNIN ST SUITE 1200 HOUSTON, TX 77030 (713) 790-1211 |
| 1457345571 | WARREN PARKER MD Individual | Neurological Surgery | 6560 FANNIN ST SUITE 1200 HOUSTON, TX 77030 (713) 790-1211 |
| 1154315166 | BRIAN C POWERS MD Individual | Urology | 6560 FANNIN ST SUITE 2030 HOUSTON, TX 77030 (713) 790-9779 |
| 1063406072 | JOHN DAVID WRIGHT MD Individual | Urology | 6560 FANNIN ST STE 1270 HOUSTON, TX 77030 (713) 790-9779 |
| 1821082785 | MS. LINDA B MEASON RN Individual | Registered Nurse (Otorhinolaryngology & Head-Neck) | 6560 FANNIN ST STE 704 HOUSTON, TX 77030 (713) 532-3223 |
| 1851385629 | DAVID ROBERT WIEMER MD Individual | Plastic Surgery | 6560 FANNIN ST #1760 HOUSTON, TX 77030 (713) 795-5584 |
| 1346238268 | GUILLERMO JUAN MORELL MD Individual | Internal Medicine (Nephrology) | 6560 FANNIN ST SUITE 1532 HOUSTON, TX 77030 (713) 796-0800 |
| 1679562037 | SHEPPY J. SILVERMAN M.D. Individual | Ophthalmology | 6560 FANNIN ST SUITE 2200 HOUSTON, TX 77030 (713) 798-3880 |
Frequently Asked Questions
What is Sarah Cornelius PA-C NPI number?
The NPI number assigned to this healthcare provider is 1164845384, registered as an "individual" on January 23, 2014
Where is the provider located?
The provider is located at 6560 Fannin St Suite 1016 Houston, Tx 77030 and the phone number is (713) 333-4100
What is the provider specialty code?
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
Is Sarah Cornelius PA-C registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Sarah Cornelius PA-C?
Medicare beneficiaries should expect a typical cost of $93.23 with an average copayment of $23.3 for new patient appointments. Established patients should expect a typical charge of $75.86 and an average copayment of 18.96. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Sarah Cornelius PA-C was last updated on January 23, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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