DR. RUTH MARGARET SIMONS MD
NPI 1104925023
Internal Medicine - Hospice and Palliative Medicine in Louisville, KY

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3 AUDUBON PLAZA DR STE 610, LOUISVILLE, KY 40217(502) 636-8334 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2022, Feb 18, 2016 (2 updates tracked since 2016).

About Dr. Ruth Margaret Simons Md NPPES

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

DR. RUTH MARGARET SIMONS MD (NPI 1104925023) is an individual hospice and palliative medicine provider in Louisville, Kentucky, licensed in Kentucky (38762) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1104925023
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameDR. RUTH MARGARET SIMONSCredential: MD
Location Address3 AUDUBON PLAZA DR STE 610Louisville, KY 40217-1362
Mailing AddressPo Box 776347Chicago, IL 60677-6347 · (502) 588-9490
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2001
Enumeration DateSeptember 21, 2006
Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
NPI 1104925023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License Licensed in KY · 38762
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedInternal MedicineTaxonomy 207R00000X · License KY 38762 (KY), 38762 (KY)
3 AUDUBON PLAZA DR STE 610, Louisville, KY 40217

Secondary Practice Location 1

Location 13532 Ephraim McDowell DrLouisville, KY 40205-3224 · Phone (502) 456-6200 · Fax (502) 456-6655

Other Identifiers 3

Other50007366Passport
OtherP00915027KY · Medicare Rr
Medicaid64104961KY

Accepted 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

Dr. Ruth Margaret Simons 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.

PECOS PAC ID3779510987
PECOS Enrollment IDI20181210001316, I20220816002480
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 5

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
71 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
45 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services24 patients
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.
22 services18 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Gastroenterology)
3 AUDUBON PLAZA DR STE 610
LOUISVILLE, KY 40217
Social Worker (Clinical)
3 AUDUBON PLAZA DR STE 610
LOUISVILLE, KY 40217
Nurse Practitioner (Family)
3 AUDUBON PLAZA DR STE 610
LOUISVILLE, KY 40217
Social Worker (Clinical)
3 AUDUBON PLAZA DR STE 610
LOUISVILLE, KY 40217
Family Medicine (Hospice and Palliative Medicine)
3 AUDUBON PLAZA DR STE 610
LOUISVILLE, KY 40217

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 Ruth Simons's NPI number?

The NPI number for Ruth Simons is 1104925023. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Ruth Simons located?

Ruth Simons practices at 3 Audubon Plaza Dr Ste 610, Louisville, KY 40217. The listed phone number is (502) 636-8334.

What is Ruth Simons's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Ruth Simons enrolled in Medicare?

Yes. Ruth Simons 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 Ruth Simons accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Ruth Simons 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 Ruth Simons affiliated with any hospitals?

According to CMS data, Ruth Simons is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Ruth Simons was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.