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DEROK S CORNWELL PA
NPI 1174591366
Physician Assistant in Gadsden, AL

Active since March 14, 2006PECOS Enrolled
64.8/100
CMS Quality Rating
100 MEDICAL CENTER DR, SUITE 101, GADSDEN, AL 35903(256) 492-8590(256) 492-4498 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derok S Cornwell Pa NPPES

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

DEROK S CORNWELL PA (NPI 1174591366) is an individual physician assistant in Gadsden, Alabama and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174591366
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDEROK S CORNWELLCredential: PA
Location Address100 MEDICAL CENTER DR, SUITE 101Gadsden, AL 35903-1130
Mailing Address100 Medical Center Dr, Suite 101Gadsden, AL 35903-1130 · (256) 492-8590 · Fax (256) 492-4498
Phone(256) 492-8590
Fax(256) 492-4498
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateOctober 24, 2016
✔ NPI 1174591366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA- 885 (AL)
100 MEDICAL CENTER DR, Gadsden, AL 35903
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derok S Cornwell Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35903 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

64.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.37
Promoting Interoperability93
Improvement Activities40
Cost25.14

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.

GEORGE C ROBINSON M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
100 MEDICAL CENTER DR, SUITE 205
GADSDEN, AL 35903
Etowah County (256) 456-0226
JAMES D SMITH III MD
Orthopaedic Surgery
100 MEDICAL CENTER DR, SUITE 101
GADSDEN, AL 35903
Etowah County (256) 492-8590
HUGH'S PHARMACY, INC
Pharmacy
100 MEDICAL CENTER DR, SUITE 102
GADSDEN, AL 35903
Etowah County (256) 492-7407
LARRY TED JONES DMD
Dentist (Oral and Maxillofacial Surgery)
100 MEDICAL CENTER DR, SUITE 205
GADSDEN, AL 35903
Etowah County (256) 492-6363
HANGER PROSTHETICS & ORTHOTICS, INC.
Prosthetic/Orthotic Supplier
100 MEDICAL CENTER DR, SUITE 302
GADSDEN, AL 35903
Etowah County (503) 493-8288
BOB DEAN GROSS DDS
Dentist (Oral and Maxillofacial Surgery)
100 MEDICAL CENTER DR, SUITE 205
GADSDEN, AL 35903
Etowah County (256) 492-6363
ENMPC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
100 MEDICAL CENTER DR, SUITE 305
GADSDEN, AL 35903
Etowah County (256) 494-0990
NEUROLOGICAL SPECIALISTS PC
Specialist
100 MEDICAL CENTER DR, STE 402
GADSDEN, AL 35903
Etowah County (256) 492-3571

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 Derok Cornwell's NPI number?

The NPI number for Derok Cornwell is 1174591366. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Derok Cornwell located?

Derok Cornwell practices at 100 Medical Center Dr Suite 101, Gadsden, AL 35903. The listed phone number is (256) 492-8590.

What is Derok Cornwell's specialty?

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

Is Derok Cornwell enrolled in Medicare?

Yes. Derok Cornwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derok Cornwell was last updated on October 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.