MARK O SIMON MD
NPI 1043207533
Emergency Medicine - Emergency Medical Services in Fairbanks, AK
About Mark O Simon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK O SIMON MD (NPI 1043207533) is an individual emergency medical services provider in Fairbanks, Alaska, licensed in Alaska (4813) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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
Mark O 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.
Medicare Billing Reassignments
8Medicare enrollment records show Mark Simon reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fairbanks, AK 99701
- Reassigned Medicare billing, Alaska enrollment
- 30 clinicians in this Medicare group
Fairbanks, AK 99701
- Reassigned Medicare billing, Texas enrollment
- 207 clinicians in this Medicare group
Fairbanks, AK 99701
- Reassigned Medicare billing, Alaska enrollment
- 172 clinicians in this Medicare group
Palmer, AK 99645
- Reassigned Medicare billing, Alaska enrollment
- Medicare enrollment name: Matsu Emergency Medicine Physicians Corp
- 35 clinicians in this Medicare group
Anchorage, AK 99508
- Reassigned Medicare billing, Texas enrollment
- 1,373 clinicians in this Medicare group
Homer, AK 99603
- Reassigned Medicare billing, Alaska enrollment
- 82 clinicians in this Medicare group
Kodiak, AK 99615
- Reassigned Medicare billing, Alaska enrollment
- 73 clinicians in this Medicare group
Nome, AK 99762
- Reassigned Medicare billing, Alaska enrollment
- Also billed through NPI 1225101041 (Alaska)
- 193 clinicians in this Medicare group
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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
FAIRBANKS, AK 99701
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 Mark Simon's NPI number?
The NPI number for Mark Simon is 1043207533. It was assigned to this individual provider in the NPPES registry on September 30, 2005.
Where is Mark Simon located?
Mark Simon practices at 1650 Cowles St, Fairbanks, AK 99701. The listed phone number is (907) 458-5556.
What is Mark Simon's specialty?
The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.
Is Mark Simon enrolled in Medicare?
Yes. Mark 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 Mark Simon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Simon reassigns Medicare benefits to 8 organizations: Golden Heart Emergency Physicians, Inc. (Fairbanks, AK), Tanana Chiefs Conference (Fairbanks, AK), Tanana Valley Clinic LLC (Fairbanks, AK), Mat-Su Emergency Medicine Physicians Corp (Palmer, AK), Alaska Native Tribal Health Consortium (Anchorage, AK) and 3 more organizations, listed in the Medicare section above. 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 Mark Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Simon accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Mark 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 Mark Simon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mark O Simon, MD · NPI 1043207533
Emergency Medical Services physician in Fairbanks, Alaska. Individual provider, active in the CMS NPPES registry since September 30, 2005.
## Identity
- **NPI:** 1043207533 (Entity type: Individual)
- **Enumerated:** September 30, 2005
- **Primary specialty:** Emergency Medicine - Emergency Medical Services · taxonomy 207PE0004X
- **State license:** 4813 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 1650 COWLES ST, Fairbanks, AK 99701-5925
- **Phone:** (907) 458-5556
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Golden Heart Emergency Physicians, Inc. (NPI 1649469446, Fairbanks, AK); Tanana Chiefs Conference (NPI 1821201278, Fairbanks, AK); Tanana Valley Clinic LLC (NPI 1922559558, Fairbanks, AK); Mat-Su Emergency Medicine Physicians Corp (NPI 1073548129, Palmer, AK); Alaska Native Tribal Health Consortium (NPI 1437189339, Anchorage, AK); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 1998
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 160047 (AK); Medicaid MD2451 (AK); Medicare UPIN H13781
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Source: [NPI Profile](https://npiprofile.com/npi/1043207533) · Data from the CMS NPPES public registry.