DR. CAROL J CORNEJO M.D.
NPI 1316916927
Surgery in Edmonds, WA

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
7315 212TH ST SW, SUITE 201, EDMONDS, WA 98026(425) 778-8116(425) 775-9526 Get Directions Write a Review

NPPES record last updated: October 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Carol J Cornejo M.d. NPPES

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

DR. CAROL J CORNEJO M.D. (NPI 1316916927) is an individual surgery provider in Edmonds, Washington, licensed in Washington (MD00031941) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Swedish Edmonds Hospital, and is a graduate of University Of California, San Francisco School Of Medicine (1991).

NPPES Registry Identity

NPI1316916927
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. CAROL J CORNEJOCredential: M.D.
Location Address7315 212TH ST SW, SUITE 201Edmonds, WA 98026-7610
Mailing Address805 Madison St, Suite 901Seattle, WA 98104-1172 · (206) 264-8100 · Fax (206) 264-8689
Fax(425) 775-9526
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1991
Enumeration DateMarch 16, 2006
Last NPPES UpdateOctober 7, 2011
NPI 1316916927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WA · MD00031941
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

7315 212TH ST SW, Edmonds, WA 98026

Other Identifiers 3

Medicare ID-Type UnspecifiedAB39948WA
Medicaid8234551WA
Medicare UPING77735WA

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

Dr. Carol J Cornejo 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 ID5698675981
PECOS Enrollment IDI20040112000368
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.

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.
25 services25 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.
16 services14 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.
15 services12 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500026
Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County
Emergency services Birthing friendly

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98026 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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.

Pharmacy (Community/Retail Pharmacy)
7315 212TH ST SW, SUITE 100
EDMONDS, WA 98026
Obstetrics & Gynecology (Gynecology)
7315 212TH ST SW, #204
EDMONDS, WA 98026
Family Medicine
7315 212TH ST SW, SUITE 101
EDMONDS, WA 98026
Obstetrics & Gynecology
7315 212TH ST SW, SUITE 101
EDMONDS, WA 98026
Physical Therapist
7315 212TH ST SW, SUITE 104
EDMONDS, WA 98026
Specialist
7315 212TH ST SW, SUITE 208
EDMONDS, WA 98026
Physician Assistant
7315 212TH ST SW
EDMONDS, WA 98026
Physician Assistant (Surgical)
7315 212TH ST SW, SUITE 201
EDMONDS, WA 98026

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 Carol Cornejo's NPI number?

The NPI number for Carol Cornejo is 1316916927. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Carol Cornejo located?

Carol Cornejo practices at 7315 212th St SW Suite 201, Edmonds, WA 98026. The listed phone number is (425) 778-8116.

What is Carol Cornejo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Carol Cornejo enrolled in Medicare?

Yes. Carol Cornejo 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 Carol Cornejo accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Carol Cornejo 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 Carol Cornejo affiliated with any hospitals?

According to CMS data, Carol Cornejo is affiliated with Swedish Edmonds Hospital and Swedish Medical Center.

When was this NPI record last updated?

The NPPES record for Carol Cornejo was last updated on October 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.