CORNELIUS A WILSON M.D.
NPI 1215032586
Internal Medicine - Adolescent Medicine in Houston, TX

Active since September 13, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D1000292 · Waiver
12739 WOODFOREST BLVD STE 2, HOUSTON, TX 77015(713) 450-4455(713) 450-4737 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2026, Sep 3, 2025 (2 updates tracked since 2025).

About Cornelius A Wilson M.d. NPPES

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

CORNELIUS A WILSON M.D. (NPI 1215032586) is an individual adolescent medicine provider in Houston, Texas, licensed in Texas (J2845) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 13, 2026, and is a graduate of Rutgers New Jersey Medical School (1988).

NPPES Registry Identity

NPI1215032586
Entity TypeIndividualMale
Primary Taxonomy207RA0000X
Provider Legal NameCORNELIUS A WILSONCredential: M.D.
Location Address12739 WOODFOREST BLVD STE 2Houston, TX 77015-2737
Mailing AddressPo Box 24308Houston, TX 77229-4308 · (713) 450-4455 · Fax (713) 450-4737
Fax(713) 450-4737
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1988
Enumeration DateSeptember 13, 2006
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
NPI 1215032586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License Licensed in TX · J2845
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedInternal MedicineTaxonomy 207R00000X · License J2845 (TX)
12739 WOODFOREST BLVD STE 2, Houston, TX 77015

Other Identifiers 4

Medicaid137938013TX
Other87622ZTX · Global
Other2242072TX · Cigna
Other8AJ396TX · Blue Cross

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

Cornelius A Wilson M.d. 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 ID1759360837
PECOS Enrollment IDI20040714000753
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1000292

Cornelius A Wilson · Houston, TX
Active · expires Sep 13, 2026
CLIA Number45D1000292
Laboratory TypeOther
Certificate Effective DateSeptember 14, 2024
Certificate Expiration DateSeptember 13, 2026
Laboratory DirectorCornelius A. Wilson
Laboratory Phone(713) 450-4455
Laboratory LocationCornelius A Wilson902 Normandy Street Suite 100, Houston, TX 77015
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
24 services19 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services13 patients

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.

Reported Quality Measures

Colorectal Cancer Screening
8%333 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
47%278 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%131 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
28%131 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
79%1,734 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%768 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%737 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 595 patients
0%595 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Pediatrics
12739 WOODFOREST BLVD STE 2
HOUSTON, TX 77015

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 Cornelius Wilson's NPI number?

The NPI number for Cornelius Wilson is 1215032586. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Cornelius Wilson located?

Cornelius Wilson practices at 12739 Woodforest Blvd Ste 2, Houston, TX 77015. The listed phone number is (713) 450-4455.

What is Cornelius Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Is Cornelius Wilson enrolled in Medicare?

Yes. Cornelius Wilson 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.

Does Cornelius Wilson hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1000292) is associated with this NPI, valid through September 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cornelius Wilson accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare, Oscar Insurance Company and WellPoint list Cornelius Wilson 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.

When was this NPI record last updated?

The NPPES record for Cornelius Wilson was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.