JAMES PETER CORNETET M.D.
NPI 1306868153
Ophthalmology in Billings, MT

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
94.3/100
CMS Quality Rating
801 N 29TH ST, BILLINGS, MT 59101(406) 238-2500 Get Directions Write a Review

NPPES record last updated: January 3, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James Peter Cornetet M.d. NPPES

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

JAMES PETER CORNETET M.D. (NPI 1306868153) is an individual ophthalmology provider in Billings, Montana, licensed in Montana (9800) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of Medical University Of South Carolina College Of Medicine (1996).

NPPES Registry Identity

NPI1306868153
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJAMES PETER CORNETETCredential: M.D.
Location Address801 N 29TH STBillings, MT 59101-0905
Mailing AddressPo Box 35100Billings, MT 59107-5100 · (406) 238-2500
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1996
Enumeration DateJuly 24, 2006
Last NPPES UpdateJanuary 3, 2013
NPI 1306868153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MT · 9800
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
801 N 29TH ST, Billings, MT 59101

Other Names 1

Other Name (5)James Peter Cornetet M.d.

Other Identifiers 5

Medicare ID-Type Unspecified000084488MT
Medicaid0096968MT
Medicare UPINH37704
Other000099295MT · Blue Cross/blue Shield
OtherP00209306Railroad Medicare

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

James Peter Cornetet 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 ID7214980903
PECOS Enrollment IDI20050222000775
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 12

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
949 services834 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
734 services652 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
280 services267 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
278 services255 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.
225 services188 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.
77 services75 patients

Hospital Affiliations CMS Care Compare 3

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

St Vincent Healthcare

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270049
Location1233 N 30th StBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Beartooth Billings Clinic

Critical Access Hospitals · Red Lodge, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271326
Location2525 N BroadwayRed Lodge, MT 59068 · Carbon County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59101 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

94.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.58
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.

Physical Therapist
801 N 29TH ST
BILLINGS, MT 59101
Physician Assistant (Surgical)
801 N 29TH ST
BILLINGS, MT 59101
Obstetrics & Gynecology (Gynecologic Oncology)
801 N 29TH ST
BILLINGS, MT 59101
Physician Assistant
801 N 29TH ST
BILLINGS, MT 59101
Occupational Therapist
801 N 29TH ST
BILLINGS, MT 59101
Ophthalmology
801 N 29TH ST
BILLINGS, MT 59101
Physician Assistant (Surgical)
801 N 29TH ST
BILLINGS, MT 59101
Family Medicine
801 N 29TH ST
BILLINGS, MT 59101

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 James Cornetet's NPI number?

The NPI number for James Cornetet is 1306868153. It was assigned to this individual provider in the NPPES registry on July 24, 2006. The provider is also known as James Peter Cornetet M.D..

Where is James Cornetet located?

James Cornetet practices at 801 N 29th St, Billings, MT 59101. The listed phone number is (406) 238-2500.

What is James Cornetet's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is James Cornetet enrolled in Medicare?

Yes. James Cornetet 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 James Cornetet accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list James Cornetet 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 James Cornetet affiliated with any hospitals?

According to CMS data, James Cornetet is affiliated with Billings Clinic, St Vincent Healthcare and Beartooth Billings Clinic.

When was this NPI record last updated?

The NPPES record for James Cornetet was last updated on January 3, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.