Michael James Cornwell, M.D.
Specialist · Decatur, GA
Michael James Cornwell, M.D. is a specialist with a practice address in Decatur, Georgia, and NPI 1396738613, issued on Aug 23, 2005. Check the license (Georgia 039313, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Michael James Cornwell
- Credential
- M.D.
- Primary taxonomy
- Specialist 174400000X
- License number
- 039313 GA
Self-reported in NPPES; status is on the state search - Practice location
- 2665 N Decatur RD, Decatur, GA 30033
- Phone
- (404) 508-4320
- Enumerated
- Aug 23, 2005
- Record last updated
- Jul 31, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (404) 508-4112
- Medicare enrollment
- Enrolled (PECOS I20171109003428); accepts Medicare assignment
- Medical or professional school
- Howard University College Of Medicine, 1993
- Entity
- Type 1 · individual
8 nearest specialist records → All 845 in Georgia → Look up another NPI →
Also registered at 2665 N Decatur RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Michael James Cornwell in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license 039313Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
98% fewer Medicare Part D claims than the average specialist in 2024
22 Medicare Part D claims for 11 beneficiaries, against an average of 1,380 among the 8,233 providers of this specialty who prescribed in Part D. Brand-name drugs were 100% of claims.
Most prescribed
- Eliquis21 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 99.2 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $20.52
1 payment: food and beverage; the largest payer was Boston Scientific Corporation. The 5,844 providers of this specialty with any payment received $4,760.79 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Center For Vein Restoration PA PLLCBensalem, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Michael James Cornwell among 845 specialist records in Georgia
Michael James Cornwell, M.D. is one of 845 specialist records with a practice address in Georgia. 34% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 85% newer
- In a Medicare fileYes · 34% of these records are
- In the CMS Doctors and Clinicians fileYes · 21% of these records are
- Graduated1993 · median 1989 among the 175 with a school on file
- Record last updated2007 · 81% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Specialist providers in Georgia
There are 845 specialist records in Georgia.
All 845 in Georgia → Every provider in Decatur → Specialist nationwide →
The 8 specialist records with the nearest ZIP codes
- Tosha Balfour, MDDecatur, GA 300331184608838
- Renee Boone, MT-BCDecatur, GA 300331568507622
- Frank Critz, MDDecatur, GA 300331619951092
- Mark De Meza, CPODecatur, GA 300331306003991
- Thomas Edwards, M.D.Decatur, GA 300331326029125
- David Fern, M.D.Decatur, GA 300331265425581
- Stephanie JonesDecatur, GA 300331417369695
- Ian Katz, M.D.Decatur, GA 300331023033305
Common questions
What is Michael James Cornwell, M.D.'s NPI number?
Michael James Cornwell, M.D.'s National Provider Identifier (NPI) is 1396738613, issued on Aug 23, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Michael James Cornwell, M.D. located?
The NPPES record lists a practice address at 2665 N Decatur RD, Decatur, GA, 30033. Phone: (404) 508-4320. Providers update this record themselves, so call before visiting.
How can I verify Michael James Cornwell, M.D.'s license?
NPPES lists Georgia license number 039313, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
How much does Michael James Cornwell, M.D. prescribe under Medicare Part D?
In 2024, Michael James Cornwell, M.D. had 22 Medicare Part D claims for 11 beneficiaries; the average among specialist prescribers was 1,380. Part D covers Medicare prescriptions only.
What is Michael James Cornwell, M.D.'s MIPS final score?
The 2023 MIPS final score is 99.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.