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MARK WILLIAM CORNELIUS M.D.
NPI 1649384439
Family Medicine in Columbus, NC

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
101 HOSPITAL DRIVE, COLUMBUS, NC 28792(828) 894-3311 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2026, Sep 6, 2018 (2 updates tracked since 2018).

About Mark William Cornelius M.d. NPPES

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

MARK WILLIAM CORNELIUS M.D. (NPI 1649384439) is an individual family medicine provider in Columbus, North Carolina, licensed in Kentucky (61124) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Whitesburg Arh Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1649384439
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK WILLIAM CORNELIUSCredential: M.D.
Location Address101 HOSPITAL DRIVEColumbus, NC 28792
Mailing Address101 Hospital DriveColumbus, NC 28792 · (828) 894-3311
Phone(828) 894-3311
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 18, 2006
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1649384439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in KY · 61124✔ Licensed in NC · 2006-01954
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 61124 (KY), 2006-01954 (NC)
Also ListedHospitalistTaxonomy 208M00000X · License 2006-01954 (NC)
101 HOSPITAL DRIVE, Columbus, NC 28792
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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

Mark William Cornelius 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 ID3476623380
PECOS Enrollment IDI20080604000456
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 Reassignments

4

Medicare enrollment records show Mark Cornelius reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Coverage, LLC
56 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, North Carolina enrollment
  • 557 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Sound Physicians Emergency Medicine Of Kentucky PLLC
215 mi
Emergency Medicine
1000 SAINT CHRISTOPHER DR
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • 38 clinicians in this Medicare group
NPI 1720587447 (606) 833-3333
Bowling Green-Warren County Community Hospital Corporation
244 mi
Urgent Care
457 LOVERS LN
Bowling Green, KY 42103
  • Reassigned Medicare billing, Kentucky enrollment
  • 36 clinicians in this Medicare group
NPI 1861380289 (270) 745-1000
Green Valley Emergency Physicians, LLC
362 mi
Emergency Medicine
1530 LONE OAK RD
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 220 clinicians in this Medicare group
NPI 1720755739 (271) 444-2444

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
232 services216 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
158 services147 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
63 services58 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Whitesburg Arh Hospital

Acute Care Hospitals · Whitesburg, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180002
Location240 Hospital RoadWhitesburg, KY 41858 · Letcher County
Emergency services Birthing friendly

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Harlan Arh Hospital

Acute Care Hospitals · Harlan, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180050
Location81 Ball Park RoadHarlan, KY 40831 · Harlan County
Emergency services Birthing friendly

Knox County Hospital

Critical Access Hospitals · Barbourville, KY
OwnershipGovernment - Local
CMS Certification Number181328
Location80 Hospital DriveBarbourville, KY 40906 · Knox County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28792 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Mark Cornelius's NPI number?

The NPI number for Mark Cornelius is 1649384439. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Mark Cornelius located?

Mark Cornelius practices at 101 Hospital Drive, Columbus, NC 28792. The listed phone number is (828) 894-3311.

What is Mark Cornelius's specialty?

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

Is Mark Cornelius enrolled in Medicare?

Yes. Mark Cornelius 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.

Which organizations bill Medicare for Mark Cornelius's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Cornelius reassigns Medicare benefits to 4 organizations: Emergency Coverage, LLC (Newport, TN), Sound Physicians Emergency Medicine Of Kentucky PLLC (Ashland, KY), Bowling Green-Warren County Community Hospital Corporation (Bowling Green, KY) and Green Valley Emergency Physicians, LLC (Paducah, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Cornelius's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mark Cornelius affiliated with any hospitals?

According to CMS data, Mark Cornelius is affiliated with Whitesburg Arh Hospital, Middlesboro Arh Hospital, Harlan Arh Hospital and Knox County Hospital.

When was this NPI record last updated?

The NPPES record for Mark Cornelius was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.