BARRY CHARLES SIMON MD
NPI 1164413456
Emergency Medicine in Oakland, CA

Active since November 04, 2005PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
1411 E 31ST ST, OAKLAND, CA 94602(209) 342-2300(209) 524-4240 Get Directions Write a Review

NPPES record last updated: October 29, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Barry Charles Simon Md NPPES

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

BARRY CHARLES SIMON MD (NPI 1164413456) is an individual emergency medicine provider in Oakland, California, licensed in California (G51208) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1980).

NPPES Registry Identity

NPI1164413456
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBARRY CHARLES SIMONCredential: MD
Location Address1411 E 31ST STOakland, CA 94602-1018
Mailing Address4301 Northstar WayModesto, CA 95356-9262 · (209) 342-2300 · Fax (209) 524-4240
Fax(209) 524-4240
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1980
Enumeration DateNovember 4, 2005
Last NPPES UpdateOctober 29, 2007
NPI 1164413456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · G51208
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1411 E 31ST ST, Oakland, CA 94602

Other Identifiers 3

Medicaid00G512970CA
Medicare UPINF19637
Medicare ID-Type Unspecified00G512970CA

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

Barry Charles Simon Md 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 ID1850204660
PECOS Enrollment IDI20080620000288
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
41 services40 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
28 services28 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94602 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
1411 E 31ST ST
OAKLAND, CA 94602
Nurse Practitioner (Family)
1411 E 31ST ST
OAKLAND, CA 94602
Obstetrics & Gynecology
1411 E 31ST ST, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Social Worker (Clinical)
1411 E 31ST ST, ALAMEDA COUNTY MEDICAL CENTER - MEDICAL SOCAL WORK SRVC
OAKLAND, CA 94602
Registered Nurse (Ambulatory Care)
1411 E 31ST ST
OAKLAND, CA 94602
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Surgery
1411 E 31ST ST
OAKLAND, CA 94602

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 Barry Simon's NPI number?

The NPI number for Barry Simon is 1164413456. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Barry Simon located?

Barry Simon practices at 1411 E 31st St, Oakland, CA 94602. The listed phone number is (209) 342-2300.

What is Barry Simon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Barry Simon enrolled in Medicare?

Yes. Barry 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.

When was this NPI record last updated?

The NPPES record for Barry Simon was last updated on October 29, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.