DR. KAREN SIMON MD
NPI 1174597728
Obstetrics & Gynecology in Chester, PA
About Dr. Karen Simon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAREN SIMON MD (NPI 1174597728) is an individual obstetrics & gynecology provider in Chester, Pennsylvania, licensed in Pennsylvania (MD433955) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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)
Dr. Karen Simon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Karen Simon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chester, PA 19013
- Reassigned Medicare billing, Pennsylvania enrollment
- 654 clinicians in this Medicare group
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 178 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHESTER, PA 19013
CHESTER, PA 19013
CHESTER, PA 19013
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 Karen Simon's NPI number?
The NPI number for Karen Simon is 1174597728. It was assigned to this individual provider in the NPPES registry on February 13, 2006.
Where is Karen Simon located?
Karen Simon practices at 1 Medical Center Blvd Acp #334, Chester, PA 19013. The listed phone number is (610) 872-7660.
What is Karen Simon's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Karen Simon enrolled in Medicare?
Yes. Karen Simon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Karen Simon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Simon reassigns Medicare benefits to 2 organizations: Prospect Health Access Network, Inc. (Chester, PA) and Children's Surgical Associates Ltd (Philadelphia, PA). 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 Karen Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Simon accept?
Health plans from Highmark Blue Cross Blue Shield Delaware list Karen 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.
When was this NPI record last updated?
The NPPES record for Karen Simon was last updated on March 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Karen Simon, MD · NPI 1174597728
Obstetrics & Gynecology physician in Chester, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 13, 2006.
## Identity
- **NPI:** 1174597728 (Entity type: Individual)
- **Enumerated:** February 13, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** MD433955 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 MEDICAL CENTER BLVD, ACP #334, Chester, PA 19013-3902
- **Phone:** (610) 872-7660 · **Fax:** (610) 876-2628
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Prospect Health Access Network, Inc. (NPI 1154776797, Chester, PA); Children's Surgical Associates Ltd (NPI 1144399825, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2014
- **Other identifiers:** Medicaid 010061911 (DC); Medicaid 404650100 (DC); Medicaid 035611900 (DC); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1174597728) · Data from the CMS NPPES public registry.