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BLAIRE MICHELLE SIMON PA-C
NPI 1053780940
Physician Assistant in Richmond, TX

Active since September 21, 2015PECOS Enrolled
22001 SOUTHWEST FWY STE 200, RICHMOND, TX 77469(832) 595-7700 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blaire Michelle Simon Pa-c NPPES

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

BLAIRE MICHELLE SIMON PA-C (NPI 1053780940) is an individual physician assistant in Richmond, Texas, licensed in Texas (PA10135) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2015).

NPPES Registry Identity

NPI1053780940
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBLAIRE MICHELLE SIMONCredential: PA-C
Location Address22001 SOUTHWEST FWY STE 200Richmond, TX 77469-7002
Mailing Address3706 Crow Valley DrMissouri City, TX 77459-4203 · (281) 380-5158
Phone(832) 595-7700
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2015
Enumeration DateSeptember 21, 2015
Last NPPES UpdateSeptember 24, 2020
NPPES CertifiedSeptember 24, 2020
✔ NPI 1053780940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA10135
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
22001 SOUTHWEST FWY STE 200, Richmond, TX 77469
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Other Names 1

Former Name (1)Blaire Michelle Boydstun Pa-c

Other Identifiers 1

OtherPA10135TX · Pa License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blaire Michelle Simon Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274037296
PECOS Enrollment IDI20250922000848
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77469 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 5

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

NATALIE SCHMITT PA-C
Physician Assistant
22001 SOUTHWEST FWY STE 200
RICHMOND, TX 77469
Fort Bend County (832) 595-7700
ADAM SCOTT DZIEDZIC MA,
Psychologist (Counseling)
22001 SOUTHWEST FWY STE 200
RICHMOND, TX 77469
Fort Bend County (832) 595-7700
DR. COURTNEY O'NEILL BEL AU.D.
Audiologist
22001 SOUTHWEST FWY STE 200, AUDIOLOGY
RICHMOND, TX 77469
Fort Bend County (713) 791-1414
MRS. STELLOUISE MARGARET RAMER LCSW
Social Worker
22001 SOUTHWEST FWY STE 200
RICHMOND, TX 77469
Fort Bend County (832) 814-0034
JESSICA WEAVER LMFT
Marriage & Family Therapist
22001 SOUTHWEST FWY STE 200
RICHMOND, TX 77469
Fort Bend County (832) 595-7700

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 Blaire Simon's NPI number?

The NPI number for Blaire Simon is 1053780940. It was assigned to this individual provider in the NPPES registry on September 21, 2015. The provider is also known as Blaire Michelle Boydstun Pa-C.

Where is Blaire Simon located?

Blaire Simon practices at 22001 Southwest Fwy Ste 200, Richmond, TX 77469. The listed phone number is (832) 595-7700.

What is Blaire Simon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Blaire Simon enrolled in Medicare?

Yes. Blaire Simon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Blaire Simon was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.