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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACK KORNFELD MD
NPI 1508444076
Emergency Medicine in Bishop, CA

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
150 PIONEER LN, BISHOP, CA 93514(760) 873-5811 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 10, 2026, May 16, 2024, Apr 22, 2021 and 1 more (4 updates tracked since 2021).

About Jack Kornfeld Md NPPES

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

JACK KORNFELD MD (NPI 1508444076) is an individual emergency medicine provider in Bishop, California, licensed in California (A194227) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bishop, and is a graduate of Geisel School Of Medicine At Dartmouth (2021).

NPPES Registry Identity

NPI1508444076
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACK KORNFELDCredential: MD
Location Address150 PIONEER LNBishop, CA 93514-2556
Mailing Address150 Pioneer LnBishop, CA 93514-2556
Phone(760) 873-5811
Sole ProprietorYes
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2021
Enumeration DateMarch 29, 2021
Last NPPES UpdateSeptember 10, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1508444076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A194227
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
150 PIONEER LN, Bishop, CA 93514
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Secondary Practice Location 1

Location 1153 Pioneer Ln Ste BBishop, CA 93514-2517 · Phone (760) 873-2849

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

Jack Kornfeld 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 ID8022475102
PECOS Enrollment IDI20240718004763
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93514 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 20

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

JEREMIAH CHENG
Internal Medicine
150 PIONEER LN
BISHOP, CA 93514
Mono County (760) 873-2623
SARAH MALLOY FNP-BC
Nurse Practitioner (Family)
150 PIONEER LN
BISHOP, CA 93514
Mono County (760) 873-5811
JAMES M. EIDEL MD
Anesthesiology
150 PIONEER LN
BISHOP, CA 93514
Mono County (760) 873-5811
JESSICA MARIK PAULSON M.D.
Emergency Medicine
150 PIONEER LN
BISHOP, CA 93514
Mono County (310) 947-1131
CLAYTON DAVIS DO
Urology
150 PIONEER LN
BISHOP, CA 93514
Mono County (760) 873-5811
TRACY LEE DREW R.N., N.P.
Nurse Practitioner (Family)
150 PIONEER LN
BISHOP, CA 93514
Mono County (760) 873-2849
COLLEEN ANN MCEVOY NP
Nurse Practitioner (Pediatrics)
150 PIONEER LN
BISHOP, CA 93514
Mono County (760) 873-2849
DR. THEODORE W RASOUMOFF M.D.
Anesthesiology
150 PIONEER LN
BISHOP, CA 93514
Mono County (760) 873-5811

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 Jack Kornfeld's NPI number?

The NPI number for Jack Kornfeld is 1508444076. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Jack Kornfeld located?

Jack Kornfeld practices at 150 Pioneer Ln, Bishop, CA 93514. The listed phone number is (760) 873-5811.

What is Jack Kornfeld's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jack Kornfeld enrolled in Medicare?

Yes. Jack Kornfeld 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.

When was this NPI record last updated?

The NPPES record for Jack Kornfeld was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.