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COURTNEY SIMON
NPI 1114663085
Optometrist in Stilwell, OK

Active since May 12, 2022PECOS EnrolledAccepts Medicare Assignment
78.75/100
CMS Quality Rating
471688 OK-51, STILWELL, OK 74960(918) 696-8800 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2026, Sep 26, 2024, May 12, 2022 (3 updates tracked since 2022).

About Courtney Simon NPPES

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

COURTNEY SIMON (NPI 1114663085) is an individual optometrist in Stilwell, Oklahoma, licensed in Oklahoma (3197) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Cherokee Nation W W Hastings Indian Hospital, and maintains a secondary practice location in Vian.

NPPES Registry Identity

NPI1114663085
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCOURTNEY SIMON
Location Address471688 OK-51Stilwell, OK 74960
Mailing Address117 S BlackstoneVian, OK 74962-1437 · (918) 931-9506
Phone(918) 696-8800
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 12, 2022
Last NPPES UpdateFebruary 6, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1114663085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OK · 3197
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
471688 OK-51, Stilwell, OK 74960
Open in Google Maps ↗

Secondary Practice Location 1

Location 1117 S BlackstoneVian, OK 74962-1437 · Phone (918) 773-5045

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Courtney Simon 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 ID5193108975
PECOS Enrollment IDI20220811000254, I20221013002248
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 9

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.

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.
204 services138 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
125 services124 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
69 services60 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.
27 services26 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
20 services16 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
19 services17 patients

Hospital Affiliations CMS Care Compare

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

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74960 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.59
Promoting Interoperability98
Improvement Activities40
Cost65.11

Other Providers at the Same Location NPPES 4

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

TABATHA V WELKER PHARMD
Pharmacist
471688 OK-51
STILWELL, OK 74960
Adair County (918) 696-8800
JENNIFER KLIEST RDH
Dental Hygienist
471688 OK-51
STILWELL, OK 74960
Adair County (918) 696-8800
MS. MADISON KITCHENS PA
Physician Assistant
471688 OK-51
STILWELL, OK 74960
Adair County (918) 696-8800
NICHOLAS CHARLES GAGLIANO DMD
Dentist
471688 OK-51
STILWEL, OK 74960
Adair County (918) 696-8800

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 Courtney Simon's NPI number?

The NPI number for Courtney Simon is 1114663085. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Courtney Simon located?

Courtney Simon practices at 471688 Ok-51, Stilwell, OK 74960. The listed phone number is (918) 696-8800.

What is Courtney Simon's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Courtney Simon enrolled in Medicare?

Yes. Courtney 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.

What insurance does Courtney Simon accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Courtney 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 Courtney Simon affiliated with any hospitals?

According to CMS data, Courtney Simon is affiliated with Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Courtney Simon was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.