BAILEY SIMON MD
NPI 1124721964
Student in an Organized Health Care Education/Training Program in Portland, OR
About Bailey Simon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAILEY SIMON MD (NPI 1124721964) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Sky Lakes Medical Center, and is a graduate of Washington State University Elson S Floyd College Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bailey Simon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bailey Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97205
- Reassigned Medicare billing, Oregon enrollment
- 1,501 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sky Lakes Medical Center
Acute Care Hospitals · Klamath Falls, OROther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Bailey Simon's NPI number?
The NPI number for Bailey Simon is 1124721964. It was assigned to this individual provider in the NPPES registry on March 22, 2023.
Where is Bailey Simon located?
Bailey Simon practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8211.
What is Bailey Simon's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Bailey Simon enrolled in Medicare?
Yes. Bailey Simon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bailey Simon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bailey Simon reassigns Medicare benefits to Providence Health & Services - Oregon (Portland, OR). 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 Bailey Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bailey Simon accept?
Health plans from Providence Health Plan list Bailey 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 Bailey Simon affiliated with any hospitals?
According to CMS data, Bailey Simon is affiliated with Sky Lakes Medical Center.
When was this NPI record last updated?
The NPPES record for Bailey Simon was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Bailey Simon, MD · NPI 1124721964
Student in an Organized Health Care Education/Training Program provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since March 22, 2023.
## Identity
- **NPI:** 1124721964 (Entity type: Individual)
- **Enumerated:** March 22, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3098
- **Phone:** (503) 494-8211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Providence Health & Services - Oregon (NPI 1235479643, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Washington State University Elson S Floyd College Of Medicine, class of 2023
## Record status
- **NPPES last updated:** May 19, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1124721964) · Data from the CMS NPPES public registry.