COURTNEY SIMON
NPI 1114663085
Optometrist in Stilwell, OK
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Courtney Simon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tahlequah, OK 74464
- Reassigned Medicare billing, Texas enrollment
- 1,047 clinicians in this Medicare group
Tahlequah, OK 74464
- Reassigned Medicare billing, Oklahoma enrollment
- 96 clinicians in this Medicare group
Vian, OK 74962
- Reassigned Medicare billing, Oklahoma enrollment
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 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.
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, OKPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Courtney Simon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Simon reassigns Medicare benefits to 3 organizations: Cherokee Nation (Tahlequah, OK), Northeastern State University College Of Optometry (Tahlequah, OK) and Vian Eye Clinic PLLC (Vian, OK). Each 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 Courtney Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Courtney Simon accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers 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 9 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.
# Courtney Simon · NPI 1114663085
Optometrist provider in Stilwell, Oklahoma. Individual provider, active in the CMS NPPES registry since May 12, 2022.
## Identity
- **NPI:** 1114663085 (Entity type: Individual)
- **Enumerated:** May 12, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3197 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 471688 OK-51, Stilwell, OK 74960
- **Phone:** (918) 696-8800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Cherokee Nation (NPI 1275799645, Tahlequah, OK); Northeastern State University College Of Optometry (NPI 1437106333, Tahlequah, OK); Vian Eye Clinic PLLC (NPI 1265315147, Vian, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114663085) · Data from the CMS NPPES public registry.