DR. LLEWELLYN SIMON M.D.
NPI 1063494128
Internal Medicine in Lake Providence, LA

Q: What is Llewellyn Simon's NPI number?

The NPI number for Llewellyn Simon is 1063494128. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Q: What is Llewellyn Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Llewellyn Simon was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 15, 2005PECOS Enrolled

320 N HOOD ST, LAKE PROVIDENCE, LA 71254(318) 559-2404(318) 559-2430 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Llewellyn Simon M.d. NPPES

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

DR. LLEWELLYN SIMON M.D. (NPI 1063494128) is an individual internal medicine provider in Lake Providence, Louisiana, licensed in Louisiana (11828R) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Francis Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1063494128

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. LLEWELLYN SIMONCredential: M.D.

Location Address320 N HOOD STLake Providence, LA 71254-2140

Mailing Address320 N Hood StLake Providence, LA 71254-2140 · (318) 559-2404 · Fax (318) 559-2430

Phone(318) 559-2404

Fax(318) 559-2430

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateNovember 15, 2005

Last NPPES UpdateOctober 16, 2019

✔ NPI 1063494128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in LA · 11828R

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

320 N HOOD ST, Lake Providence, LA 71254

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Other Identifiers 2

Other11828RLA · State License

Medicaid1680893LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Llewellyn Simon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002701562

PECOS Enrollment IDI20040216000529

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.

Medicare Billing Reassignment

Medicare enrollment records show Llewellyn Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Carroll Parish Hospital

Same address

Rural Health

326 N HOOD ST
Lake Providence, LA 71254

Reassigned Medicare billing, Louisiana enrollment
78 clinicians in this Medicare group

NPI 1710966478 (318) 559-4024

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 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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

273 services46 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

101 services46 patients

Hospital Affiliations CMS Care Compare 5

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

St Francis Medical Center

Acute Care Hospitals · Monroe, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190125

Location309 Jackson StreetMonroe, LA 71201 · Ouachita County

Emergency services Birthing friendly

Richardson Medical Center

Acute Care Hospitals · Rayville, LA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190151

Location254 Highway 3048Rayville, LA 71269 · Richland County

Emergency services

East Carroll Parish Hospital

Acute Care Hospitals · Lake Providence, LA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190208

Location336 North Hood StreetLake Providence, LA 71254 · East Carroll County

Emergency services

Richland Parish Hospital-Delhi

Critical Access Hospitals · Delhi, LA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number191323

Location407 Cincinnati StreetDelhi, LA 71232 · Richland County

Emergency services

West Carroll Memorial Hospital

Critical Access Hospitals · Oak Grove, LA

OwnershipProprietary

CMS Certification Number191327

Location706 Ross StreetOak Grove, LA 71263 · West Carroll County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71254 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

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

Referred Medical Equipment & Supplies CMS DME claims 23

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers67 claims213 services$6.65 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers16 claims16 services$2.94 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers32 claims57 services$1.16 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers34 claims66 services$1.90 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

3 suppliers11 claims11 services$18.07 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers32 claims32 services$110.92 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

6 suppliers28 claims72 services$40.26 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers16 claims16 services$74.68 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

7 suppliers28 claims28 services$23.08 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

6 suppliers44 claims44 services$21.64 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers42 claims242 services$3.08 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

4 suppliers12 claims12 services$14.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers37 claims37 services$18.95 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers57 claims57 services$8.52 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers39 claims39 services$41.77 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers142 claims142 services$107.19 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers47 claims47 services$35.75 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers25 claims5,700 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers51 claims4,630 services$0.09 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims270 services$0.16 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier24 claims24 services$29.66 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

6 suppliers56 claims56 services$190.52 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers86 claims86 services$24.53 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

CARLA C COSTELLO FNP

Nurse Practitioner (Family)

320 N HOOD ST
LAKE PROVIDENCE, LA 71254

East Carroll Parish (318) 559-2404

STACEY HACKLER APRN, FNP-C

Nurse Practitioner (Family)

320 N HOOD ST
LAKE PROVIDENCE, LA 71254

East Carroll Parish (318) 559-2404

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 Llewellyn Simon's NPI number?

The NPI number for Llewellyn Simon is 1063494128. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Llewellyn Simon located?

Llewellyn Simon practices at 320 N Hood St, Lake Providence, LA 71254. The listed phone number is (318) 559-2404.

What is Llewellyn Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Llewellyn Simon enrolled in Medicare?

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

Which organization bills Medicare for Llewellyn Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Llewellyn Simon reassigns Medicare benefits to East Carroll Parish Hospital (Lake Providence, LA). The 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 Llewellyn Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Llewellyn Simon accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and UnitedHealthcare list Llewellyn 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 Llewellyn Simon affiliated with any hospitals?

According to CMS data, Llewellyn Simon is affiliated with St Francis Medical Center, Richardson Medical Center, East Carroll Parish Hospital, Richland Parish Hospital-Delhi and West Carroll Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Llewellyn Simon was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.