DR. JAMES VINCENT CORNETTA OD
NPI 1689665861
Optometrist in Portsmouth, VA

Active since November 04, 2005PECOS EnrolledAccepts Medicare Assignment
226 FORT LN, PORTSMOUTH, VA 23704(757) 393-6131(757) 393-0976 Get Directions Write a Review

NPPES record last updated: June 30, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James Vincent Cornetta Od NPPES

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

DR. JAMES VINCENT CORNETTA OD (NPI 1689665861) is an individual optometrist in Portsmouth, Virginia, licensed in Virginia (0618000158) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1981).

NPPES Registry Identity

NPI1689665861
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES VINCENT CORNETTACredential: OD
Location Address226 FORT LNPortsmouth, VA 23704-2220
Mailing Address226 Fort LnPortsmouth, VA 23704-2220 · (757) 393-6131 · Fax (757) 939-0976
Fax(757) 393-0976
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1981
Enumeration DateNovember 4, 2005
Last NPPES UpdateJune 30, 2009
NPI 1689665861 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 VA · 0618000158
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.
226 FORT LN, Portsmouth, VA 23704

Other Identifiers 7

Medicare PIN410001077VA
Medicare UPINU21005VA
Medicare NSC5519730001VA
Other178555VA · Anthem Bcbs
Medicare PINP00182004VA
Other25072VA · Optima
Medicaid010284716VA

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. James Vincent Cornetta Od 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 ID3971555863
PECOS Enrollment IDI20100819000086
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 8

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
2,403 services18 patients
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 services184 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
100 services99 patients
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.
34 services24 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.
29 services29 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.
25 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23704 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%118 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Optometrist
226 FORT LN
PORTSMOUTH, VA 23704
Optometrist
226 FORT LN
PORTSMOUTH, VA 23704
Optometrist
226 FORT LN
PORTSMOUTH, VA 23704
Optometrist
226 FORT LN
PORTSMOUTH, VA 23704
Optometrist
226 FORT LN
PORTSMOUTH, VA 23704

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 Cornetta's NPI number?

The NPI number for James Cornetta is 1689665861. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is James Cornetta located?

James Cornetta practices at 226 Fort Ln, Portsmouth, VA 23704. The listed phone number is (757) 393-6131.

What is James Cornetta's specialty?

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

Is James Cornetta enrolled in Medicare?

Yes. James Cornetta 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 Cornetta accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list James Cornetta 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 Cornetta was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.