TOMMIE SIMON M.D.
NPI 1043653264
Internal Medicine - Rheumatology in Lawton, OK

Q: What is Tommie Simon's NPI number?

The NPI number for Tommie Simon is 1043653264. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Q: What is Tommie Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Tommie Simon was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since April 08, 2013PECOS EnrolledAccepts Medicare Assignment

84.09/100

CMS Quality Rating

6401 SW LEE BLVD, LAWTON, OK 73505(580) 699-5139 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2025, May 16, 2016 (2 updates tracked since 2016).

On this page

About Tommie Simon M.d. NPPES

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

TOMMIE SIMON M.D. (NPI 1043653264) is an individual rheumatology provider in Lawton, Oklahoma, licensed in Oklahoma (29814) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Jackson County Memorial Hospital Authority, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1043653264

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameTOMMIE SIMONCredential: M.D.

Location Address6401 SW LEE BLVDLawton, OK 73505-9678

Mailing Address6401 Sw Lee BlvdLawton, OK 73505-9678 · (580) 699-5139

Phone(580) 699-5139

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 8, 2013

Last NPPES UpdateNovember 21, 20252 updates tracked since enumeration

NPPES CertifiedNovember 21, 2025

✔ NPI 1043653264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in OK · 29814

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

6401 SW LEE BLVD, Lawton, OK 73505

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health, UnitedHealthcare.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

Tommie 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 ID9931454329

PECOS Enrollment IDI20180627000617

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 24

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.

Injection, tocilizumab, 1 mg J3262

Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.

58,760 services18 patients

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717

Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.

52,800 services18 patients

Injection, golimumab, 1 mg, for intravenous use J1602

Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.

30,850 services36 patients

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129

Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.

22,575 services35 patients

Injection, romosozumab-aqqg, 1 mg J3111

Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.

13,650 services14 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

10,800 services107 patients

Injection, infliximab, excludes biosimilar, 10 mg J1745

Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.

7,130 services28 patients

Injection, rituximab, 10 mg J9312

Rituximab is a medication given via injection. It's used to treat certain types of cancer and autoimmune diseases. The 10 mg dosage refers to the amount of the drug in the injection. It works by targeting and destroying specific cells, helping your body's immune system.

3,600 services14 patients

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.

1,073 services578 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

480 services79 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

427 services132 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

408 services69 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

300 services248 patients

Administration of chemotherapy into vein, each additional hour 96415

Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.

254 services43 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

137 services137 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

120 services37 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.

109 services98 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

106 services83 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

105 services49 patients

Injection of additional new drug or substance into vein 96375

This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.

92 services21 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

52 services11 patients

Injection, diphenhydramine hcl, up to 50 mg J1200

Diphenhydramine HCL injection is a medicine given to alleviate symptoms of allergies, colds, or hay fever. It can also help with motion sickness and certain symptoms of Parkinson's disease. Up to 50 mg may be administered depending on your condition.

44 services16 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Jackson County Memorial Hospital Authority

Acute Care Hospitals · Altus, OK

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370022

Location1200 East Pecan StAltus, OK 73521 · Jackson County

Emergency services Birthing friendly

Duncan Regional Hospital, Inc

Acute Care Hospitals · Duncan, OK

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370023

Location2621 Whisenant DrDuncan, OK 73533 · Stephens County

Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Chickasha, OK

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number370054

Location2220 Iowa StreetChickasha, OK 73018 · Grady County

Emergency services

Comanche County Memorial Hospital

Acute Care Hospitals · Lawton, OK

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370056

Location3401 West Gore BlvdLawton, OK 73505 · Comanche County

Emergency services Birthing friendly

Southwestern Medical Center

Acute Care Hospitals · Lawton, OK

3/5 CMS rating

OwnershipProprietary

CMS Certification Number370097

Location5602 Southwest Lee BoulevardLawton, OK 73505 · Comanche County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73505 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

84.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

71.63

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

86%802 patients4/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

56%602 patients3/55-star benchmark: 87%

Controlling High Blood Pressure

61%142 patients3/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%146 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%5,276 patients4/55-star benchmark: 100%

e-Prescribing

93%1,583 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

15%2,490 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

29%3,249 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 28% · 1,649 patients

Patients screened: 33% · 1,649 patients

19%96 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

79%1,293 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

27%437 patients2/55-star benchmark: 98%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 826 patients

Patients totalRate: 7% · 826 patients

7%826 patients4/55-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 4

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

COMANCHE COUNTY HEALTHCARE CORPORATION

Internal Medicine

6401 SW LEE BLVD
LAWTON, OK 73505

Comanche County (580) 536-4585

DR. ROBERT MILTON LOVE MD

Internal Medicine

6401 SW LEE BLVD
LAWTON, OK 73505

Comanche County (580) 536-4585

TOMMIE SIMON MD, PLLC

Internal Medicine (Rheumatology)

6401 SW LEE BLVD
LAWTON, OK 73505

Comanche County (580) 699-5139

ROBERT M LOVE MD INC

Internal Medicine

6401 SW LEE BLVD
LAWTON, OK 73505

Comanche County (580) 536-4585

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 Tommie Simon's NPI number?

The NPI number for Tommie Simon is 1043653264. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Where is Tommie Simon located?

Tommie Simon practices at 6401 SW Lee Blvd, Lawton, OK 73505. The listed phone number is (580) 699-5139.

What is Tommie Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Tommie Simon enrolled in Medicare?

Yes. Tommie 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 Tommie Simon accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and UnitedHealthcare list Tommie 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 Tommie Simon affiliated with any hospitals?

According to CMS data, Tommie Simon is affiliated with Jackson County Memorial Hospital Authority, Duncan Regional Hospital, Inc, Grady Memorial Hospital, Comanche County Memorial Hospital and Southwestern Medical Center.

When was this NPI record last updated?

The NPPES record for Tommie Simon was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.