SIMON M CORNELISSEN MD
NPI 1699759415
Orthopaedic Surgery in North Easton, MA

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
75.39/100
CMS Quality Rating
15 ROCHE BROS WAY, NORTH EASTON, MA 02356(781) 344-3535(508) 535-0192 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Simon M Cornelissen Md NPPES

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

SIMON M CORNELISSEN MD (NPI 1699759415) is an individual orthopaedic surgery provider in North Easton, Massachusetts, licensed in Massachusetts (208328) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and maintains a secondary practice location in Attleboro.

NPPES Registry Identity

NPI1699759415
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSIMON M CORNELISSENCredential: MD
Location Address15 ROCHE BROS WAYNorth Easton, MA 02356
Mailing AddressPo Box 30Stoughton, MA 02072-0030 · (781) 344-3535 · Fax (508) 535-0192
Fax(508) 535-0192
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1996
Enumeration DateDecember 5, 2005
Last NPPES UpdateApril 24, 2026
NPPES CertifiedApril 24, 2026
NPI 1699759415 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 MA · 208328
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 ListedSpecialistTaxonomy 174400000X · License 208328 (MA)
15 ROCHE BROS WAY, North Easton, MA 02356

Secondary Practice Location 1

Location 1100 ONeil BlvdAttleboro, MA 02703-4250 · Phone (508) 342-1103 · Fax (508) 342-1945

Other Identifiers 1

Medicaid0143821MA

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

Simon M Cornelissen 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 ID4486635166
PECOS Enrollment IDI20050923000822
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.
569 services363 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.
192 services192 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.
167 services150 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.
155 services124 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
128 services81 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.
115 services88 patients

Hospital Affiliations CMS Care Compare 3

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

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220008
Location211 Park StreetAttleboro, MA 02703 · Bristol County
Emergency services Birthing friendly

Morton Hospital

Acute Care Hospitals · Taunton, MA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number220073
Location88 Washington StreetTaunton, MA 02780 · Bristol County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02356 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

75.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.78
Promoting Interoperability95
Improvement Activities40
Cost62.35

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
12%450 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
93%4,709 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
76%841 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%2,678 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 89% · 1,899 patients
Patients screened: 99% · 1,899 patients
19%234 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
42%1,561 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 906 patients
Patients totalRate: 1% · 907 patients
1%907 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 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
3 suppliers14 claims14 services$82.00 avg. paid by Medicare
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809
DME-Orthotic Devices · category DF000N
3 suppliers26 claims28 services$81.91 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
3 suppliers52 claims59 services$59.46 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.

Occupational Therapist
15 ROCHE BROS WAY
NORTH EASTON, MA 02356
Physical Therapist
15 ROCHE BROS WAY
NORTH EASTON, MA 02356
Physical Therapist
15 ROCHE BROS WAY
NORTH EASTON, MA 02356
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
15 ROCHE BROS WAY
NORTH EASTON, MA 02356
Occupational Therapist
15 ROCHE BROS WAY
NORTH EASTON, MA 02356
Specialist
15 ROCHE BROS WAY
NORTH EASTON, MA 02356
Physical Therapist
15 ROCHE BROS WAY
NORTH EASTON, MA 02356
Physician Assistant
15 ROCHE BROS WAY
NORTH EASTON, MA 02356

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 Simon Cornelissen's NPI number?

The NPI number for Simon Cornelissen is 1699759415. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Simon Cornelissen located?

Simon Cornelissen practices at 15 Roche Bros Way, North Easton, MA 02356. The listed phone number is (781) 344-3535.

What is Simon Cornelissen's specialty?

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

Is Simon Cornelissen enrolled in Medicare?

Yes. Simon Cornelissen 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.

Is Simon Cornelissen affiliated with any hospitals?

According to CMS data, Simon Cornelissen is affiliated with Sturdy Memorial Hospital, Morton Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Simon Cornelissen was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.