Simon M Cornelissen, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

208328 Issued in MA

Practice address

15 Roche Bros Way
North Easton, MA 02356

Phone

(781) 344-3535

Fax

(508) 535-0192

NPI assigned

Dec 5, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA, RI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Orthopedic Surgery

Education

Yale University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Orthopedics IncGroup PAC ID 9931000395, 185 clinicians

Sturdy Health IncGroup PAC ID 9537152806, 191 clinicians

Orthopedic Care Physician Network, LLCGroup PAC ID 7214185511, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008
• The Miriam Hospital Hospital, Providence, RI, CCN 410012
• Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073
• Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Merit-based Incentive Payment System (MIPS)

Final score

82.13 of 100Reported as group

Quality

66.76

Promoting interoperability

96

Improvement activities

40

Cost

77

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: simon.cornelissen.1@13709.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JGDFCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthopedic Care Physician Network, LLC

  • Orthopaedic Surgery Physician
  • North Easton, MA
  • NPI 1508121070
  Medicare reassignment Care Compare group NPD
• University Orthopedics, Inc.

  • Orthopaedic Surgery Physician
  • Mansfield, MA
  • NPI 1013557727
  Medicare reassignment Care Compare group NPD
• Sturdy Health Inc

  • Orthopaedic Surgery Physician
  • Attleboro, MA
  • NPI 1942359856
  Medicare reassignment Care Compare group
• University Orthopedics, Inc.

  • Orthopaedic Surgery Physician
  • Providence, RI
  • NPI 1235181041
  Medicare reassignment NPD
• Orthopedic Care Physician Network LLC Plymouth

  • Orthopaedic Surgery Physician
  • Plymouth, MA
  • NPI 1316411929
  NPD Authorized official
• Orthopedic Care Physician Network LLC

  • Orthopaedic Surgery Physician
  • Mansfield, MA
  • NPI 1457999351
  NPD
• Orthopedic Care Physician Network LLC Plymouth

  • Occupational Therapist
  • Plymouth, MA
  • NPI 1356975379
  NPD
• University Orthopedics, Inc.

  • Orthopaedic Surgery Physician
  • Cranston, RI
  • NPI 1285320093
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boston Medical Center - South Corporation

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1871329110
  Care Compare affiliation
• Lifespan of Massachusetts - Taunton Inc

  • General Acute Care Hospital
  • Taunton, MA
  • NPI 1609603877
  Care Compare affiliation
• Sturdy Memorial Hospital Inc

  • General Acute Care Hospital
  • Attleboro, MA
  • NPI 1730106162
  Care Compare affiliation
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1699759415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020720030",
            "telephone_number": "781-344-3535",
            "fax_number": "508-535-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ROCHE BROS WAY",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "02356",
            "telephone_number": "781-344-3535",
            "fax_number": "508-535-0192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 ONeil Blvd",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027034250",
            "country_code": "US",
            "telephone_number": "508-342-1103",
            "fax_number": "508-342-1945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNELISSEN",
        "first_name": "SIMON",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "208328",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "208328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143821",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith S Colandreo, MSPT
• Compassion Counseling Services, CP
• Leeann Connolly, RD
• Judith McCrone Copley, LICSW
• Corinne Crossley LMHC LLC
• Lucianna Craig, M.S., CCC-SLP
• Julia Rose Cremin
• Jessica Crowley, DPT
• Kayla Ann Cullerton, M.ED, M.S, LAT, ATC
• Kristen Cuneo, PA-C

• Orthopaedic Surgery Physician in North Easton, MA
• Providers in North Easton, MA by specialty
• Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.