JONATHAN PHILIP CORNELIUS MD
NPI 1285843896
Orthopaedic Surgery in Lebanon, TN

Q: What is Jonathan Cornelius's NPI number?

The NPI number for Jonathan Cornelius is 1285843896. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Jonathan Cornelius's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment

69.57/100

CMS Quality Rating

100 PHYSICIANS WAY, SUITE 110, LEBANON, TN 37090(615) 547-6700(615) 547-6707 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2020, Jun 8, 2020, Sep 20, 2018 and 1 more (4 updates tracked since 2017).

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About Jonathan Philip Cornelius Md NPPES

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

JONATHAN PHILIP CORNELIUS MD (NPI 1285843896) is an individual orthopaedic surgery provider in Lebanon, Tennessee, licensed in Tennessee (44463) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Cookeville Regional Medical Center, and is a graduate of Indiana University School Of Medicine (2003).

NPPES Registry Identity

NPI1285843896

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameJONATHAN PHILIP CORNELIUSCredential: MD

Location Address100 PHYSICIANS WAY, SUITE 110Lebanon, TN 37090-8102

Mailing AddressPo Box 370Fortson, GA 31808-0370 · Fax (706) 494-3008

Phone(615) 547-6700

Fax(615) 547-6707

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2003

Enumeration DateMay 21, 2007

Last NPPES UpdateAugust 21, 20204 updates tracked since enumeration

NPPES CertifiedAugust 21, 2020

✔ NPI 1285843896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TN · 44463

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 44463 (TN)

100 PHYSICIANS WAY, Lebanon, TN 37090

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Other Identifiers 1

Medicaid1513462TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Jonathan Philip Cornelius Md 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 ID7517018039

PECOS Enrollment IDI20090623000780

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 19

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.

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.

526 services383 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

504 services167 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

240 services177 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

230 services207 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.

167 services129 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

145 services113 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.

101 services101 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.

97 services84 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

93 services85 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

89 services86 patients

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.

74 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

66 services66 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

47 services46 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

27 services26 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

19 services19 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

14 services12 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

14 services14 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

13 services13 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

13 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440059

Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County

Emergency services Birthing friendly

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440150

Location5655 Frist BlvdHermitage, TN 37076 · Davidson County

Emergency services Birthing friendly

Vanderbilt Wilson County Hospital

Acute Care Hospitals · Lebanon, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440193

Location1411 Baddour ParkwayLebanon, TN 37087 · Wilson County

Emergency services Birthing friendly

Trousdale Medical Center

Critical Access Hospitals · Hartsville, TN

OwnershipVoluntary non-profit - Other

CMS Certification Number441301

Location500 Church StreetHartsville, TN 37074 · Trousdale County

Emergency services

Macon Community Hospital

Critical Access Hospitals · Lafayette, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number441305

Location204 Medical DriveLafayette, TN 37083 · Macon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37090 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

69.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

52.14

Promoting Interoperability

Improvement Activities

Cost

53.08

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

57%630 patients3/55-star benchmark: 87%

Controlling High Blood Pressure

0%94 patients1/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%35 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%3,532 patients4/55-star benchmark: 100%

e-Prescribing

100%642 patients5/55-star benchmark: 100%

Functional Status Assessment for Total Hip Replacement

0%93 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

15%2,089 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%3,180 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 1,429 patients

0%1,429 patients

Provide Patients Electronic Access to Their Health Information

74%904 patients3/55-star benchmark: 100%

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.04%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83%99 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,150 patients

Patients totalRate: 2% · 1,150 patients

1%1,150 patients4/55-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.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

3 suppliers70 claims70 services$49.51 avg. paid by Medicare

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

1 supplier58 claims58 services$9.82 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

2 suppliers22 claims22 services$56.59 avg. paid by Medicare

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$108.59 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.

MS. KRISTY M BLANEY RN, APRN

Nurse Practitioner

100 PHYSICIANS WAY, SUITE 250
LEBANON, TN 37090

Wilson County (615) 444-3307

MRS. KRISTINA MOORE PA-C

Physician Assistant (Surgical)

100 PHYSICIANS WAY, SUITE 110
LEBANON, TN 37090

Wilson County (615) 547-6700

MIDDLE TENNESSEE AND ADOLESCENT MEDICINE P.C.

Clinic/Center

100 PHYSICIANS WAY, SUITE 200
LEBANON, TN 37090

Wilson County (615) 449-5611

UAP LEBANON ENDO, LLC

Nurse Anesthetist, Certified Registered

100 PHYSICIANS WAY, STE 340
LEBANON, TN 37090

Wilson County (615) 466-9532

DR. SHAWN PATRICK MOUNTAIN D.O

Orthopaedic Surgery (Sports Medicine)

100 PHYSICIANS WAY, SUITE 110
LEBANON, TN 37090

Wilson County (615) 547-6700

LEBANON ENDOSCOPY CENTER LLC

Clinic/Center (Ambulatory Surgical)

100 PHYSICIANS WAY, SUITE 340
LEBANON, TN 37090

Wilson County (615) 446-9532

STACEY ATKINS FNP-C

Nurse Practitioner (Family)

100 PHYSICIANS WAY, SUITE 250
LEBANON, TN 37090

Wilson County (615) 444-3307

JEFFREY E. HAZLEWOOD M.D.

Physical Medicine & Rehabilitation

100 PHYSICIANS WAY, SUITE 250
LEBANON, TN 37090

Wilson County (615) 444-3307

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 Jonathan Cornelius's NPI number?

The NPI number for Jonathan Cornelius is 1285843896. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Jonathan Cornelius located?

Jonathan Cornelius practices at 100 Physicians Way Suite 110, Lebanon, TN 37090. The listed phone number is (615) 547-6700.

What is Jonathan Cornelius's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jonathan Cornelius enrolled in Medicare?

Yes. Jonathan 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.

What insurance does Jonathan Cornelius accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Jonathan Cornelius 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.

Is Jonathan Cornelius affiliated with any hospitals?

According to CMS data, Jonathan Cornelius is affiliated with Cookeville Regional Medical Center, Tristar Summit Medical Center, Vanderbilt Wilson County Hospital, Trousdale Medical Center and Macon Community Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Cornelius was last updated on August 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.