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JOHN SIMONSON
NPI 1134595721
Physician Assistant - Surgical in Sanford, FL

Active since August 18, 2015PECOS EnrolledAccepts Medicare Assignment
309 N MANGOUSTINE AVE UNIT G, SANFORD, FL 32771(321) 363-1754(321) 363-3336 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, Dec 1, 2020, Jun 8, 2020 (3 updates tracked since 2020).

About John Simonson NPPES

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

JOHN SIMONSON (NPI 1134595721) is an individual surgical provider in Sanford, Florida, licensed in Florida (PA9108786) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Fish Memorial, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1134595721
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJOHN SIMONSON
Location Address309 N MANGOUSTINE AVE UNIT GSanford, FL 32771-1098
Mailing AddressPo Box 370Fortson, GA 31808-0370 · Fax (706) 221-3132
Phone(321) 363-1754
Fax(321) 363-3336
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 18, 2015
Last NPPES UpdateSeptember 10, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1134595721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA9108786
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9108786 (FL)
309 N MANGOUSTINE AVE UNIT G, Sanford, FL 32771
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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

John Simonson 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 ID7012213390
PECOS Enrollment IDI20160311002323
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 2

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.
36 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Fish Memorial

Acute Care Hospitals · Orange City, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100072
Location1055 Saxon BlvdOrange City, FL 32763 · Volusia County
Emergency services Birthing friendly

Central Florida Lake Monroe Hospital

Acute Care Hospitals · Sanford, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100161
Location1401 W Seminole BlvdSanford, FL 32771 · Seminole County
Emergency services

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.

Reported Quality Measures

Colorectal Cancer Screening
0%69 patients1/55-star benchmark: 88%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%145 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%224 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
64%95 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

HUGHSTON CLINIC SOUTHEAST PC
Durable Medical Equipment & Medical Supplies
309 N MANGOUSTINE AVE UNIT G
SANFORD, FL 32771
Seminole County (321) 363-1754
DR. ANTHONY MICHAEL HARRIS M.D.
Orthopaedic Surgery (Orthopaedic Trauma)
309 N MANGOUSTINE AVE UNIT G
SANFORD, FL 32771
Seminole County (321) 363-1754
DR. DAVID J. HAK MD
Orthopaedic Surgery (Orthopaedic Trauma)
309 N MANGOUSTINE AVE UNIT G
SANFORD, FL 32771
Seminole County (321) 363-1754
SAMUEL G. AGNEW MD
Orthopaedic Surgery (Orthopaedic Trauma)
309 N MANGOUSTINE AVE UNIT G
SANFORD, FL 32771
Seminole County (321) 363-1754

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 John Simonson's NPI number?

The NPI number for John Simonson is 1134595721. It was assigned to this individual provider in the NPPES registry on August 18, 2015.

Where is John Simonson located?

John Simonson practices at 309 N Mangoustine Ave Unit G, Sanford, FL 32771. The listed phone number is (321) 363-1754.

What is John Simonson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is John Simonson enrolled in Medicare?

Yes. John Simonson 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.

Is John Simonson affiliated with any hospitals?

According to CMS data, John Simonson is affiliated with Adventhealth Fish Memorial and Central Florida Lake Monroe Hospital.

When was this NPI record last updated?

The NPPES record for John Simonson was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.