SUSAN E CORNELL (D.O.) – Obstetrics & Gynecology Physician, NPI 1376930446

SUSAN E CORNELL (D.O.) is a healthcare provider. based in Fairhaven, Massachusetts. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. 279436 (MA). The NPI Number for SUSAN E CORNELL (D.O.) is 1376930446

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN E CORNELL (D.O.)
NPI
1376930446
Phone
(508) 973-2000
Address
200 MILL RD STE 180
Enumeration Date
16 April 2015
Last Update Date
21 April 2020

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
5089732008
Graduation Year
2015 (11 years ago)
PAC ID
4082943014
Group Practice PAC ID
0749171957
Professional Enrollment ID
I20190917000448
Address ID
MA027402782NE543XXSTXX300

Contacts

Secure Messaging
scornell46323@direct.southcoast.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

1,231 OBSTETRICS/GYNECOLOGY in MA

Provider Addresses for SUSAN E CORNELL (D.O.)

  • 200 MILL RD STE 180

    FAIRHAVEN, MA 027195255

    Phone: (508) 973-2000

    Fax: (508) 973-2001

    Type: Mailing

  • 543 NORTH ST

    NEW BEDFORD, MA 027402782

    Phone: (508) 973-2208

    Fax: (508) 973-1225

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-05-11 • Largest payer in this snapshot: CooperSurgical, Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperSurgical, Inc.$25
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190917000448IObstetrics/GynecologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina4946$0
99214Established patient office or other outpatient visit, 30-39 minutes3124$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2020$0
99213Established patient office or other outpatient visit, 20-29 minutes1817$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 02719)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749171957View full group profile
NameSpecialtyState
Nurse PractitionerRI
Pain Management, AnesthesiologyMA
Certified Registered Nurse Anesthetist (Crna)MA
Clinical Social WorkerMA
Hospitalist, Internal MedicineMA
Physician AssistantMA
H O S P I T A L I S TMA
Certified Registered Nurse Anesthetist (Crna)RI
Clinical Social WorkerMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

What is the standard ID for SUSAN E CORNELL (D.O.) in the U.S.?
In the U.S., SUSAN E CORNELL (D.O.) is identified by NPI 1376930446.
Is SUSAN E CORNELL (D.O.)'s NPI status active today?
Active status means SUSAN E CORNELL (D.O.)'s NPI record is not deactivated in the public file.
What services align with SUSAN E CORNELL (D.O.)'s listing?
SUSAN E CORNELL (D.O.)'s public classification highlights Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to SUSAN E CORNELL (D.O.)?
The directory associates SUSAN E CORNELL (D.O.) with Fairhaven, Massachusetts. Check all listed addresses for suites or satellite offices.
Why is information missing for SUSAN E CORNELL (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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