MR. ADAM R. CORNELIUSSEN PA-C
NPI 1821490301
Physician Assistant - Medical in Anchorage, AK
Active since September 16, 2014PECOS EnrolledAccepts Medicare Assignment
71.25/100
CMS Quality Rating
3801 LAKE OTIS PKWY, SUITE 300, ANCHORAGE, AK 99508(907) 562-2277(907) 563-3460 Get Directions Write a Review
About Mr. Adam R. Corneliussen Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ADAM R. CORNELIUSSEN PA-C (NPI 1821490301) is an individual medical provider in Anchorage, Alaska, licensed in Alaska (104245) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wasilla, and is a graduate of Other (2015).
NPPES Registry Identity
NPI1821490301
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. ADAM R. CORNELIUSSENCredential: PA-C
Location Address3801 LAKE OTIS PKWY, SUITE 300Anchorage, AK 99508-5234
Mailing Address3801 Lake Otis Pkwy, Suite 300Anchorage, AK 99508-5234 · (907) 562-2277 · Fax (907) 563-3460
Phone(907) 562-2277
Fax(907) 563-3460
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 16, 2014
Last NPPES UpdateJanuary 21, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1821490301 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AK · 104245
3801 LAKE OTIS PKWY, Anchorage, AK 99508
Secondary Practice Location 1
Location 13125 E Meridian Park Loop Ste 300Wasilla, AK 99654-7528 · Phone (907) 562-2277 · Fax (907) 563-3460
Other Identifiers 1
Medicaid1636106AK
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., 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
Mr. Adam R. Corneliussen Pa-c 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 ID1557662210
PECOS Enrollment IDI20151222001728
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 17
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.
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,268 services149 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.
204 services181 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
141 services104 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
88 services88 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
85 services78 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
65 services65 patients
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.
71.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practiceQuality
53.4
Promoting Interoperability
72
Improvement Activities
40
Cost
74.09
Reported Quality Measures
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
84%1,426 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
19%21 patients1/55-star benchmark: 100%
Functional Outcome Assessment
Percentage of visits for patients aged 18 years and older with documentation of a current functional outcome assessment using a standardized functional outcome assessment tool on the date of the encounter AND documentation of a care plan based on identified…
6%990 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
88%126 patients4/55-star benchmark: 100%
Osteoarthritis (OA): Function and Pain Assessment
Percentage of patient visits for patients aged 21 years and older with a diagnosis of osteoarthritis (OA) with assessment for function and pain
5%135 patients1/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
2%990 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%373 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
16%582 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 93% · 296 patients
Patients tobacco: 5% · 57 patients
75%296 patients4/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
48%296 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
22%373 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
20%373 patients2/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
79%184 patients
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
86%63 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 2% · 111 patients
6%111 patients3/55-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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips E0114
DME-Other DME · category DE000N
1 supplier12 claims12 services$46.10 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$29.58 avg. paid by Medicare
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833
DME-Orthotic Devices · category DF011N
1 supplier18 claims19 services$157.61 avg. paid by Medicare
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf L4387
DME-Orthotic Devices · category DF000N
1 supplier22 claims22 services$120.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.
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.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3801 LAKE OTIS PKWY, SUITE 300
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
Physician Assistant (Medical)
3801 LAKE OTIS PKWY, SUITE 300
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
Physician Assistant (Medical)
3801 LAKE OTIS PKWY, SUITE 300
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
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 Adam Corneliussen's NPI number?
The NPI number for Adam Corneliussen is 1821490301. It was assigned to this individual provider in the NPPES registry on September 16, 2014.
Where is Adam Corneliussen located?
Adam Corneliussen practices at 3801 Lake Otis Pkwy Suite 300, Anchorage, AK 99508. The listed phone number is (907) 562-2277.
What is Adam Corneliussen's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Adam Corneliussen enrolled in Medicare?
Yes. Adam Corneliussen 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 Adam Corneliussen accept?
Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Adam Corneliussen 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 Adam Corneliussen was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mr. Adam R. Corneliussen, PA-C · NPI 1821490301
Medical physician in Anchorage, Alaska. Individual provider, active in the CMS NPPES registry since September 16, 2014.
## Identity
- **NPI:** 1821490301 (Entity type: Individual)
- **Enumerated:** September 16, 2014
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 104245 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 3801 LAKE OTIS PKWY, SUITE 300, Anchorage, AK 99508-5234
- **Phone:** (907) 562-2277 · **Fax:** (907) 563-3460
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 21, 2025
- **Other identifiers:** Medicaid 1636106 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1821490301) · Data from the CMS NPPES public registry.