DR. JAN GORDON CORNELL MD
NPI 1306908132
Family Medicine in Dayton, OH

Q: What is Jan Cornell's NPI number?

The NPI number for Jan Cornell is 1306908132. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Q: What is Jan Cornell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jan Cornell was last updated on March 18, 2024. 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.

Active since December 15, 2006PECOS EnrolledAccepts Medicare Assignment

1431 WAYNE AVE, DAYTON, OH 45410(937) 348-7001(937) 949-6113 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 21, 2021, May 22, 2019, Apr 3, 2019 and 3 more (6 updates tracked since 2016).

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About Dr. Jan Gordon Cornell Md NPPES

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

DR. JAN GORDON CORNELL MD (NPI 1306908132) is an individual family medicine provider in Dayton, Ohio, licensed in Ohio (35.129685) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of University Of Kentucky College Of Medicine (1997).

NPPES Registry Identity

NPI1306908132

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAN GORDON CORNELLCredential: MD

Location Address1431 WAYNE AVEDayton, OH 45410-1411

Mailing AddressPo Box 746071Atlanta, GA 30374-6071 · (312) 733-9730 · Fax (773) 866-8014

Phone(937) 348-7001

Fax(937) 949-6113

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1997

Enumeration DateDecember 15, 2006

Last NPPES UpdateMarch 18, 20246 updates tracked since enumeration

NPPES CertifiedMarch 18, 2024

✔ NPI 1306908132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OH · 35.129685✔ Licensed in IN · 01070166 A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1431 WAYNE AVE, Dayton, OH 45410

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Other Identifiers 2

Medicaid201035040IN

Medicaid0067258OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jan Gordon Cornell Md 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 ID7618957150

PECOS Enrollment IDI20170117000660

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.

Medicare Billing Reassignment

Medicare enrollment records show Jan Cornell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Osh-Oh Physicians Group PC

174 mi

Primary Care

10688 LORAIN AVE
Cleveland, OH 44111

Reassigned Medicare billing, Ohio enrollment
75 clinicians in this Medicare group

NPI 1346747946 (216) 682-7703

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

69 services36 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

34 services34 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

31 services31 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

19 services17 patients

Hospital Affiliations CMS Care Compare

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45410 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 8

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

LATONYA LAVETTE DUNSON CNP

Nurse Practitioner (Family)