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DR. AGNES A ENRICO-SIMON MD
NPI 1003910670
Family Medicine in Pt Pleasant, WV

Active since September 12, 2006PECOS EnrolledAccepts Medicare Assignment
2420 JEFFERSON AVE, PT PLEASANT, WV 25550(304) 675-6817(304) 675-5893 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Agnes A Enrico-simon Md NPPES

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

DR. AGNES A ENRICO-SIMON MD (NPI 1003910670) is an individual family medicine provider in Pt Pleasant, West Virginia, licensed in West Virginia (20514) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains a secondary practice location in Spencer.

NPPES Registry Identity

NPI1003910670
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. AGNES A ENRICO-SIMONCredential: MD
Location Address2420 JEFFERSON AVEPt Pleasant, WV 25550-1528
Mailing Address2420 Jefferson AvePt Pleasant, WV 25550-1528 · (304) 675-6817 · Fax (304) 675-5893
Phone(304) 675-6817
Fax(304) 675-5893
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 12, 2006
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1003910670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 20514
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2420 JEFFERSON AVE, Pt Pleasant, WV 25550
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Secondary Practice Location 1

Location 1200 Hospital DrSpencer, WV 25276-1050 · Phone (304) 927-4444 · Fax (304) 927-6837

Other Identifiers 4

Medicaid2362269OH
Other001723700WV · Bcbs
Medicaid3002914000WV
Other7133291WV · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Agnes A Enrico-simon 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 ID3870526007
PECOS Enrollment IDI20100713000277, I20200320002552
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Agnes Enrico-simon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Holzer Clinic, LLC
6.1 mi
Multi-Specialty
100 JACKSON PIKE
Gallipolis, OH 45631
  • Reassigned Medicare billing, Ohio enrollment
  • 321 clinicians in this Medicare group
NPI 1508817248 (740) 446-5385
Ohio Valley Physicians Inc
35 mi
Family Medicine
601 20TH ST
Huntington, WV 25703
  • Reassigned Medicare billing, Ohio enrollment
  • 176 clinicians in this Medicare group
NPI 1962433177 (304) 781-0076
Hospital Development Co
41 mi
Emergency Medicine
200 HOSPITAL DR
Spencer, WV 25276
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1316907322 (West Virginia)
  • 90 clinicians in this Medicare group
NPI 1184721581 (304) 927-4444

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
347 services112 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
126 services51 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
62 services61 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
41 services38 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
40 services40 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360054
Location100 Jackson PikeGallipolis, OH 45631 · Gallia County
Emergency services Birthing friendly

Holzer Medical Center Jackson

Critical Access Hospitals · Jackson, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361320
Location500 Burlington RoadJackson, OH 45640 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25550 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers75 claims75 services$19.86 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers22 claims22 services$913.14 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$60.81 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers75 claims75 services$113.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Agnes Enrico-simon's NPI number?

The NPI number for Agnes Enrico-simon is 1003910670. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Agnes Enrico-simon located?

Agnes Enrico-simon practices at 2420 Jefferson Ave, Pt Pleasant, WV 25550. The listed phone number is (304) 675-6817.

What is Agnes Enrico-simon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Agnes Enrico-simon enrolled in Medicare?

Yes. Agnes Enrico-simon 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.

Which organizations bill Medicare for Agnes Enrico-simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Agnes Enrico-simon reassigns Medicare benefits to 3 organizations: Holzer Clinic, LLC (Gallipolis, OH), Ohio Valley Physicians Inc (Huntington, WV) and Hospital Development Co (Spencer, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Agnes Enrico-simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Agnes Enrico-simon accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Agnes Enrico-simon 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 Agnes Enrico-simon affiliated with any hospitals?

According to CMS data, Agnes Enrico-simon is affiliated with Riverside Methodist Hospital, Holzer Medical Center and Holzer Medical Center Jackson.

When was this NPI record last updated?

The NPPES record for Agnes Enrico-simon was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.