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DR. JAMES DAVID CORNWELL O.D.
NPI 1366528663
Optometrist in Omak, WA

Active since October 29, 2006PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2022, Mar 4, 2022 (2 updates tracked since 2022).

About Dr. James David Cornwell O.d. NPPES

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

DR. JAMES DAVID CORNWELL O.D. (NPI 1366528663) is an individual optometrist in Omak, Washington, licensed in Washington (MC6817146) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1985).

NPPES Registry Identity

NPI1366528663
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES DAVID CORNWELLCredential: O.D.
Location Address916 KOALA DROmak, WA 98841-9759
Mailing Address820 N Chelan AveWenatchee, WA 98801-2028 · (509) 663-8711
Phone(509) 663-8711
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 1985
Enumeration DateOctober 29, 2006
Last NPPES UpdateSeptember 26, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
✔ NPI 1366528663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WA · MC6817146
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
916 KOALA DR, Omak, WA 98841
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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. James David Cornwell O.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 ID6406907054
PECOS Enrollment IDI20090622000695
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 10

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.
184 services182 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
157 services157 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.
155 services155 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
126 services126 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.
120 services98 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
75 services70 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98841 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
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.

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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.76
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.

DR. ALANA JEAN JACKSON M.D.
Family Medicine
916 KOALA DR
OMAK, WA 98841
Okanogan County (509) 663-8711
DR. SARAH MARIE CAMPBELL M.D.
Family Medicine
916 KOALA DR
OMAK, WA 98841
Okanogan County (509) 663-8711
MR. CLARENCE JEP EDWARDS ARNP
Nurse Practitioner (Family)
916 KOALA DR
OMAK, WA 98841
Okanogan County (509) 663-8711
MS. DEBRA M WADDELL FNP-C
Nurse Practitioner (Family)
916 KOALA DR
OMAK, WA 98841
Okanogan County (509) 663-8711
ALEXA DEANN CZMOWSKI DO
Family Medicine
916 KOALA DR
OMAK, WA 98841
Okanogan County (509) 663-8711
DR. IOANNIS PAPADOPOULOS M.D.
Internal Medicine (Gastroenterology)
916 KOALA DR
OMAK, WA 98841
Okanogan County (509) 662-1511
ANDREW JOHN CONBOY PA-C
Physician Assistant
916 KOALA DR
OMAK, WA 98841
Okanogan County (509) 663-8711
CALEB GILLHAM MD
Family Medicine
916 KOALA DR
OMAK, WA 98841
Okanogan County (509) 663-8711

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 Cornwell's NPI number?

The NPI number for James Cornwell is 1366528663. It was assigned to this individual provider in the NPPES registry on October 29, 2006.

Where is James Cornwell located?

James Cornwell practices at 916 Koala Dr, Omak, WA 98841. The listed phone number is (509) 663-8711.

What is James Cornwell's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is James Cornwell enrolled in Medicare?

Yes. James Cornwell 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 Cornwell accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list James Cornwell 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 James Cornwell was last updated on September 26, 2023. 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.