1. Home
  2. Directory
  3. California
  4. San Andreas
  5. Optometrist
  6. NPI Profile

KEVIN CORNWELL O.D.
NPI 1881060366
Optometrist in San Andreas, CA

Active since August 19, 2015PECOS EnrolledAccepts Medicare Assignment
1113A HWY 49, SAN ANDREAS, CA 95249(209) 755-1480 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2021, Dec 22, 2020, Apr 22, 2020 (3 updates tracked since 2020).

About Kevin Cornwell O.d. NPPES

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

KEVIN CORNWELL O.D. (NPI 1881060366) is an individual optometrist in San Andreas, California, licensed in California (33361) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mariposa, and is a graduate of New England College Of Optometry (2015).

NPPES Registry Identity

NPI1881060366
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKEVIN CORNWELLCredential: O.D.
Location Address1113A HWY 49San Andreas, CA 95249-9524
Mailing Address850 Stella DrMurphys, CA 95247-9483 · (321) 446-1902
Phone(209) 755-1480
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2015
Enumeration DateAugust 19, 2015
Last NPPES UpdateOctober 13, 20213 updates tracked since enumeration
NPPES CertifiedOctober 13, 2021
✔ NPI 1881060366 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 CA · 33361
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.
1113A HWY 49, San Andreas, CA 95249
Open in Google Maps ↗

Secondary Practice Location 1

Location 15192 Hospital RoadMariposa, CA 95338 · Phone (209) 966-0780 · Fax (209) 398-8758

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

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

Kevin 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 ID3971889825
PECOS Enrollment IDI20230320001724
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 Reassignment

Medicare enrollment records show Kevin Cornwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Care Partners Of South Carolina, Inc.
2,307 mi
Federally Qualified Health Center (FQHC)
145 PALMETTO POINTE RD
Marion, SC 29571
  • Reassigned Medicare billing, South Carolina enrollment
  • 39 clinicians in this Medicare group
NPI 1770668824 (843) 423-2400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95249 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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 Kevin Cornwell's NPI number?

The NPI number for Kevin Cornwell is 1881060366. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Where is Kevin Cornwell located?

Kevin Cornwell practices at 1113A Hwy 49, San Andreas, CA 95249. The listed phone number is (209) 755-1480.

What is Kevin Cornwell's specialty?

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

Is Kevin Cornwell enrolled in Medicare?

Yes. Kevin 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.

Which organization bills Medicare for Kevin Cornwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Cornwell reassigns Medicare benefits to Health Care Partners Of South Carolina, Inc. (Marion, SC). The 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 Kevin Cornwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Cornwell accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 5 other insurers list Kevin 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 Kevin Cornwell was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.