DR. KAREN STONEBRAKER SIMON O.D.
NPI 1013134600
Optometrist in Gilbert, AZ

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
690 E WARNER RD, SUITE 128, GILBERT, AZ 85296(480) 248-6173(480) 240-5972 Get Directions Write a Review

NPPES record last updated: July 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Karen Stonebraker Simon O.d. NPPES

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

DR. KAREN STONEBRAKER SIMON O.D. (NPI 1013134600) is an individual optometrist in Gilbert, Arizona, licensed in Arizona (998) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1998).

NPPES Registry Identity

NPI1013134600
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KAREN STONEBRAKER SIMONCredential: O.D.
Location Address690 E WARNER RD, SUITE 128Gilbert, AZ 85296-3054
Mailing Address690 E Warner Rd, Suite 128Gilbert, AZ 85296-3054 · (480) 248-6173 · Fax (480) 240-5972
Fax(480) 240-5972
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1998
Enumeration DateApril 18, 2007
Last NPPES UpdateJuly 8, 2014
NPI 1013134600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in AZ · 998
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
690 E WARNER RD, Gilbert, AZ 85296

Accepted 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

Dr. Karen Stonebraker Simon O.d. 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 ID7517863525
PECOS Enrollment IDI20031210000713
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 2

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
116 services114 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85296 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
690 E WARNER RD, BLDG 10, STE# 152
GILBERT, AZ 85296
Counselor (Mental Health)
690 E WARNER RD, SUITE 115
GILBERT, AZ 85296
Counselor
690 E WARNER RD
GILBERT, AZ 85296
Clinic/Center (Primary Care)
690 E WARNER RD, 112
GILBERT, AZ 85296
Family Medicine
690 E WARNER RD, SUITE 131
GILBERT, AZ 85296
Counselor (Mental Health)
690 E WARNER RD, SUITE 115
GILBERT, AZ 85296
Speech-Language Pathologist
690 E WARNER RD, SUITE14
GILBERT, AZ 85296
Clinic/Center (Adult Mental Health)
690 E WARNER RD
GILBERT, AZ 85296

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 Karen Simon's NPI number?

The NPI number for Karen Simon is 1013134600. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Karen Simon located?

Karen Simon practices at 690 E Warner Rd Suite 128, Gilbert, AZ 85296. The listed phone number is (480) 248-6173.

What is Karen Simon's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Karen Simon enrolled in Medicare?

Yes. Karen 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.

What insurance does Karen Simon accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan list Karen 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.

When was this NPI record last updated?

The NPPES record for Karen Simon was last updated on July 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.