1. Home
  2. Directory
  3. California
  4. Loma Linda
  5. Family Medicine
  6. NPI Profile

LAUREN SIMON M.D.
NPI 1033137013
Family Medicine - Sports Medicine in Loma Linda, CA

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
25455 BARTON RD, SUITE 204B, LOMA LINDA, CA 92354(909) 558-6600 Get Directions Write a Review

NPPES record last updated: November 9, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lauren Simon M.d. NPPES

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

LAUREN SIMON M.D. (NPI 1033137013) is an individual sports medicine provider in Loma Linda, California, licensed in Pennsylvania (G72126) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Hahnemann University College Of Medicine (1990).

NPPES Registry Identity

NPI1033137013
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameLAUREN SIMONCredential: M.D.
Location Address25455 BARTON RD, SUITE 204BLoma Linda, CA 92354-3128
Mailing Address54701 File NumberLos Angeles, CA 90074-4701 · (909) 558-3111
Phone(909) 558-6600
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1990
Enumeration DateJuly 17, 2006
Last NPPES UpdateNovember 9, 2015
✔ NPI 1033137013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in PA · G72126
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License G72126 (CA)
25455 BARTON RD, Loma Linda, CA 92354
Open in Google Maps ↗

Other Identifiers 3

Medicaid00G721260CA
Medicare UPINF07394
Medicare ID-Type Unspecified00G721260

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

Lauren Simon M.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 ID7810051547
PECOS Enrollment IDI20090126000202
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 9

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
229 services140 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
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.
26 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
26 services24 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
22 services21 patients
Hepatitis b vaccine, adult dosage (3 dose schedule) 90746
The Hepatitis B vaccine for adults is given in a 3-dose schedule to protect against the Hepatitis B virus. The first dose is given, followed by a second dose 1 month later, and a final dose 6 months after the first. It helps your body develop immunity to the virus.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%45 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%75 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%79 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%88 patients5/55-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.

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.

BARBARA ORR M.D.
Family Medicine
25455 BARTON RD, STE 204B
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6600
LOMA LINDA INLAND CONSORTIUM FOR HEALTHCARE EDUCATION
Clinic/Center
25455 BARTON RD, SUITE 209-B
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6688
VICTORIA V TEPPONE FNP
Family Medicine
25455 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6600
TERESA P. AVANTS, M.D., INC.
Obstetrics & Gynecology
25455 BARTON RD, SUITE A204
LOMA LINDA, CA 92354
San Bernardino County (909) 799-8620
T ALLAN DARNELL M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
25455 BARTON RD, STE.106A
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6222
MICAH CLEMENT PA
Physician Assistant
25455 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6600
MICHELLE OPSAHL M.D.
Family Medicine
25455 BARTON RD, STE. 204A
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6600
DR. GARY D BOTIMER MD
Orthopaedic Surgery
25455 BARTON RD, STE 102B
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2808

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 Lauren Simon's NPI number?

The NPI number for Lauren Simon is 1033137013. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Lauren Simon located?

Lauren Simon practices at 25455 Barton Rd Suite 204B, Loma Linda, CA 92354. The listed phone number is (909) 558-6600.

What is Lauren Simon's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Lauren Simon enrolled in Medicare?

Yes. Lauren 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.

When was this NPI record last updated?

The NPPES record for Lauren Simon was last updated on November 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.