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PAUL SIMON MD
NPI 1164581310
Anesthesiology in Louisville, KY

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202(502) 587-4203(502) 587-4155 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul Simon Md NPPES

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

PAUL SIMON MD (NPI 1164581310) is an individual anesthesiology provider in Louisville, Kentucky, licensed in Kentucky (26595) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of University Of Kentucky College Of Medicine (1985).

NPPES Registry Identity

NPI1164581310
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NamePAUL SIMONCredential: MD
Location Address200 ABRAHAM FLEXNER WAYLouisville, KY 40202-1818
Mailing Address100 E Liberty St Ste 800Louisville, KY 40202-1428 · (502) 587-4404 · Fax (502) 587-4156
Phone(502) 587-4203
Fax(502) 587-4155
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1985
Enumeration DateDecember 6, 2006
Last NPPES UpdateApril 19, 2018
✔ NPI 1164581310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in KY · 26595
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
200 ABRAHAM FLEXNER WAY, Louisville, KY 40202
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Other Identifiers 2

Medicaid200041560AIN
Medicaid64265952KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Paul 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 ID6305759861
PECOS Enrollment IDI20080211000530
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 5

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
35 services34 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
25 services25 patients
Anesthesia for other procedure on skin of arms, legs, and front body 00400
Anesthesia for procedures on the skin of your arms, legs, and front body is a service that numbs the area being treated. This ensures you don't feel pain during procedures like biopsies, stitches, or minor surgeries. It's administered through a small injection or a topical cream.
14 services14 patients
Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope 00732
This procedure involves using an endoscope, a flexible tube with a light and camera, to examine or treat your gallbladder, pancreas, or liver. Anesthesia is administered to ensure you're comfortable and pain-free during the procedure.
11 services11 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson 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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

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.

MAR MILBURN
Pharmacist
200 ABRAHAM FLEXNER WAY, ADMINISTRATION
LOUISVILLE, KY 40202
Jefferson County (502) 210-4210
ERIC HO CHUN CHEUNG MD
Internal Medicine
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Jefferson County (502) 587-4267
DR. CYNTHIA H HART MD
Radiology (Diagnostic Radiology)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Jefferson County (502) 587-4231
JESSICA ANN BANET BLAKE FNP-C
Nurse Practitioner
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Jefferson County (502) 367-3360
LOUISVILLE KIDNEY CARE LLC
Internal Medicine (Nephrology)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Jefferson County (502) 587-4011
UOFL HEALTH-LOUISVILLE INC
Pharmacy (Community/Retail Pharmacy)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Jefferson County (615) 268-1380
MRS. KELLY GOSHORN A.P.R.N.
Nurse Practitioner (Family)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Jefferson County (502) 852-5689
EMMA ROSE GANSHIRT FOX
Emergency Medicine
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Jefferson County (502) 852-5689

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 Paul Simon's NPI number?

The NPI number for Paul Simon is 1164581310. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Paul Simon located?

Paul Simon practices at 200 Abraham Flexner Way, Louisville, KY 40202. The listed phone number is (502) 587-4203.

What is Paul Simon's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Paul Simon enrolled in Medicare?

Yes. Paul 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 Paul Simon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Paul 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 Paul Simon affiliated with any hospitals?

According to CMS data, Paul Simon is affiliated with Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Paul Simon was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.