DR. PETER JOHN SIMON M.D.
NPI 1114244175
Pediatrics in San Rafael, CA

Q: What is Peter Simon's NPI number?

The NPI number for Peter Simon is 1114244175. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Q: What is Peter Simon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Simon was last updated on April 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 29, 2010PECOS Enrolled

3110 KERNER BLVD, SAN RAFAEL, CA 94901(415) 448-1500 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Peter John Simon M.d. NPPES

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

DR. PETER JOHN SIMON M.D. (NPI 1114244175) is an individual pediatrics provider in San Rafael, California, licensed in California (A120382) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114244175

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. PETER JOHN SIMONCredential: M.D.

Location Address3110 KERNER BLVDSan Rafael, CA 94901-5411

Mailing Address3110 Kerner BlvdSan Rafael, CA 94901-5411 · (415) 448-1500

Phone(415) 448-1500

Sole ProprietorYes

Enumeration DateApril 29, 2010

Last NPPES UpdateApril 22, 2026

NPPES CertifiedApril 22, 2026

✔ NPI 1114244175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A120382

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3110 KERNER BLVD, San Rafael, CA 94901

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 94901 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

$104.67 typical visit price

range $69.07 – $202.63

Typical copayment $26.16 (range $17.26 – $50.65)

Most-billed visit code 99203

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

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.

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