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

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: July 26, 2026.

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

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
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

Other Identifiers 2

Medicaid201035040IN
Medicaid0067258OH

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

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.

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 2

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · 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 7

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

Nurse Practitioner (Family)
1431 WAYNE AVE
DAYTON, OH 45410
Nurse Practitioner (Family)
1431 WAYNE AVE
DAYTON, OH 45410
Internal Medicine
1431 WAYNE AVE
DAYTON, OH 45410
Family Medicine
1431 WAYNE AVE
DAYTON, OH 45410
Social Worker (Clinical)
1431 WAYNE AVE
DAYTON, OH 45410
Social Worker (Clinical)
1431 WAYNE AVE
DAYTON, OH 45410
Nurse Practitioner (Gerontology)
1431 WAYNE AVE
DAYTON, OH 45410

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 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.

Where is Jan Cornell located?

Jan Cornell practices at 1431 Wayne Ave, Dayton, OH 45410. The listed phone number is (937) 348-7001.

What is Jan Cornell's specialty?

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

Is Jan Cornell enrolled in Medicare?

Yes. Jan Cornell 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.

Is Jan Cornell affiliated with any hospitals?

According to CMS data, Jan Cornell is affiliated with Miami Valley Hospital and Kettering Health Main Campus.

When was this NPI record last updated?

The NPPES record for Jan Cornell was last updated on March 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.