DR. VERONIKA SIMANEK M.D.
NPI 1174556500
Internal Medicine in Walnut Creek, CA

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
2255 YGNACIO VALLEY RD, SUITE A, WALNUT CREEK, CA 94598(925) 937-9984(925) 933-4886 Get Directions Write a Review

NPPES record last updated: June 21, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Veronika Simanek M.d. NPPES

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

DR. VERONIKA SIMANEK M.D. (NPI 1174556500) is an individual internal medicine provider in Walnut Creek, California, licensed in California (A74252) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1999).

NPPES Registry Identity

NPI1174556500
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. VERONIKA SIMANEKCredential: M.D.
Location Address2255 YGNACIO VALLEY RD, SUITE AWalnut Creek, CA 94598-3343
Mailing AddressDept 34929, P.o. Box 39000San Francisco, CA 94139-0001 · (925) 952-2828 · Fax (925) 952-2850
Fax(925) 933-4886
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1999
Enumeration DateJuly 9, 2006
Last NPPES UpdateJune 21, 2012
✔ NPI 1174556500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A74252
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2255 YGNACIO VALLEY RD, Walnut Creek, CA 94598

Other Identifiers 4

Medicare PINP00044535CA
Medicaid00A742520CA
Medicare UPINH78967CA
Medicare PIN00A742520CA

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

Dr. Veronika Simanek M.d. 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 ID42291320
PECOS Enrollment IDI20040525000527
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Veronika Simanek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trauma Surgery
1601 YGNACIO VALLEY RD
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 810 clinicians in this Medicare group
General Practice
1450 TREAT BLVD, SUITE 300
Walnut Creek, CA 94597
  • Reassigned Medicare billing, California enrollment
  • 650 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.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
208 services204 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.
179 services175 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94598 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

Other Providers at the Same Location NPPES 13

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

Physical Therapist
2255 YGNACIO VALLEY RD
WALNUT CREEK, CA 94598
Internal Medicine (Obesity Medicine)
2255 YGNACIO VALLEY RD, SUITE G
WALNUT CREEK, CA 94598
Physical Therapist
2255 YGNACIO VALLEY RD, SUITE E
WALNUT CREEK, CA 94598
Specialist
2255 YGNACIO VALLEY RD, SUITE E
WALNUT CREEK, CA 94598
Physical Therapist
2255 YGNACIO VALLEY RD, SUITE E
WALNUT CREEK, CA 94598
Internal Medicine
2255 YGNACIO VALLEY RD, SUITE N
WALNUT CREEK, CA 94598
Physician Assistant (Surgical)
2255 YGNACIO VALLEY RD
WALNUT CREEK, CA 94598
Dentist
2255 YGNACIO VALLEY RD, SUITE J-2
WALNUT CREEK, CA 94598

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 Veronika Simanek's NPI number?

The NPI number for Veronika Simanek is 1174556500. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Veronika Simanek located?

Veronika Simanek practices at 2255 Ygnacio Valley Rd Suite A, Walnut Creek, CA 94598. The listed phone number is (925) 937-9984.

What is Veronika Simanek's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Veronika Simanek enrolled in Medicare?

Yes. Veronika Simanek 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 Veronika Simanek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Veronika Simanek reassigns Medicare benefits to 2 organizations: John Muir Trauma Physicians Billing Service (Walnut Creek, CA) and John Muir Physician Network (Walnut Creek, CA). 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 Veronika Simanek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Veronika Simanek was last updated on June 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.