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MR. JONATHAN T SIMON M.D.
NPI 1073565511
Internal Medicine in Ansonia, CT

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
22 WESTFIELD AVE, ANSONIA, CT 06401(203) 736-9919(203) 735-2055 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Jonathan T Simon M.d. NPPES

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

MR. JONATHAN T SIMON M.D. (NPI 1073565511) is an individual internal medicine provider in Ansonia, Connecticut, licensed in Connecticut (46849) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1998).

NPPES Registry Identity

NPI1073565511
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. JONATHAN T SIMONCredential: M.D.
Location Address22 WESTFIELD AVEAnsonia, CT 06401
Mailing Address67 Maple Ave Fl 2Derby, CT 06418-1328 · (203) 732-1330 · Fax (203) 732-1332
Phone(203) 736-9919
Fax(203) 735-2055
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1998
Enumeration DateMay 16, 2006
Last NPPES UpdateSeptember 26, 2018
✔ NPI 1073565511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CT · 46849✔ Licensed in NY · 234884
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.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 234884 (NY), 46849 (CT)
22 WESTFIELD AVE, Ansonia, CT 06401
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Other Identifiers 1

Medicaid008002867CT

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

Mr. Jonathan T 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 ID4385634583
PECOS Enrollment IDI20090210000634
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 Jonathan Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Griffin Faculty Physicians, Inc.
0.4 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
67 MAPLE AVE, 2ND FLOOR
Derby, CT 06418
  • Reassigned Medicare billing, Connecticut enrollment
  • 190 clinicians in this Medicare group
NPI 1598755605 (203) 732-1330

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 10

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
55 services55 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
46 services45 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
38 services38 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.
31 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services26 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.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06401 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%3,930 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
23%1,205 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%445 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
48%1,039 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
95%1,039 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
26%1,039 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
28%1,039 patients
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 18

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

BRUCE T BRENNAN MD
Internal Medicine
22 WESTFIELD AVE
ANSONIA, CT 06401
Naugatuck Valley Planning Region (203) 734-7100
ROY E. KALMAN M.D.
Obstetrics & Gynecology (Gynecology)
22 WESTFIELD AVE
ANSONIA, CT 06401
Naugatuck Valley Planning Region (203) 735-3393
GASTROENTEROLOGY SPECIALISTS PC
Nurse Practitioner
22 WESTFIELD AVE
ANSONIA, CT 06401
Naugatuck Valley Planning Region (203) 736-9919
M EHSAN QADIR MD LLC
Internal Medicine
22 WESTFIELD AVE, SUITE 1
ANSONIA, CT 06401
Naugatuck Valley Planning Region (203) 732-1677
AMY J MIKLOS PA-C
Physician Assistant
22 WESTFIELD AVE
ANSONIA, CT 06401
Naugatuck Valley Planning Region (203) 736-9919
DR. SARAH ELIZABETH OLIVIER-CABRERA MD
Internal Medicine (Gastroenterology)
22 WESTFIELD AVE
ANSONIA, CT 06401
Naugatuck Valley Planning Region (203) 736-9919
DR. MUHAMMAD EHSAN QADIR M.D.
Internal Medicine
22 WESTFIELD AVE, UNIT 1
ANSONIA, CT 06401
Naugatuck Valley Planning Region (203) 732-1677
SCOTT ARNOLD MCINTYRE APRN
Nurse Practitioner (Adult Health)
22 WESTFIELD AVE
ANSONIA, CT 06401
Naugatuck Valley Planning Region (203) 736-9919

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 Jonathan Simon's NPI number?

The NPI number for Jonathan Simon is 1073565511. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Jonathan Simon located?

Jonathan Simon practices at 22 Westfield Ave, Ansonia, CT 06401. The listed phone number is (203) 736-9919.

What is Jonathan Simon's specialty?

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

Is Jonathan Simon enrolled in Medicare?

Yes. Jonathan 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 organization bills Medicare for Jonathan Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Simon reassigns Medicare benefits to Griffin Faculty Physicians, Inc. (Derby, CT). 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 Jonathan Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Simon was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.