MARIO CORNACCHIONE DO
NPI 1194807503
Family Medicine - Geriatric Medicine in Allentown, PA

Active since October 19, 2006PECOS EnrolledAccepts Medicare Assignment
1627 CHEW ST, ALLENTOWN, PA 18102(610) 969-3390 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mario Cornacchione Do NPPES

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

MARIO CORNACCHIONE DO (NPI 1194807503) is an individual geriatric medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (OS005253L) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1982).

NPPES Registry Identity

NPI1194807503
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameMARIO CORNACCHIONECredential: DO
Location Address1627 CHEW STAllentown, PA 18102-3648
Mailing Address1200 Aleeda BlvdBear Creek Township, PA 18702-9611 · (570) 829-1095 · Fax (570) 331-3584
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1982
Enumeration DateOctober 19, 2006
Last NPPES UpdateNovember 3, 2023
NPPES CertifiedNovember 3, 2023
NPI 1194807503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License Licensed in PA · OS005253L
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
1627 CHEW ST, Allentown, PA 18102

Accepted 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

Mario Cornacchione Do 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 ID1850308644
PECOS Enrollment IDI20060320000671
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 3

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
39 services33 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
34 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services23 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18102 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Nurse Practitioner (Women's Health)
1627 CHEW ST
ALLENTOWN, PA 18102
Nurse Practitioner (Family)
1627 CHEW ST
ALLENTOWN, PA 18102
Nurse Practitioner (Family)
1627 CHEW ST
ALLENTOWN, PA 18102
Obstetrics & Gynecology
1627 CHEW ST
ALLENTOWN, PA 18102
Internal Medicine (Geriatric Medicine)
1627 CHEW ST
ALLENTOWN, PA 18102
Dentist
1627 CHEW ST
ALLENTOWN, PA 18102
Obstetrics & Gynecology
1627 CHEW ST
ALLENTOWN, PA 18102
Obstetrics & Gynecology
1627 CHEW ST
ALLENTOWN, PA 18102

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 Mario Cornacchione's NPI number?

The NPI number for Mario Cornacchione is 1194807503. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Mario Cornacchione located?

Mario Cornacchione practices at 1627 Chew St, Allentown, PA 18102. The listed phone number is (610) 969-3390.

What is Mario Cornacchione's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Mario Cornacchione enrolled in Medicare?

Yes. Mario Cornacchione 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 Mario Cornacchione accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mario Cornacchione 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 Mario Cornacchione affiliated with any hospitals?

According to CMS data, Mario Cornacchione is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Mario Cornacchione was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.