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JEFFREY SIMONS
NPI 1184746786
Otolaryngology in Pittsburgh, PA

Active since April 04, 2007PECOS Enrolled
77.5/100
CMS Quality Rating
3705 5TH AVE, CHILDREN'S HOSPITAL 1ST FLOOR ROOM 1650, PITTSBURGH, PA 15213(412) 692-5460 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2021, May 26, 2021 (2 updates tracked since 2021).

About Jeffrey Simons NPPES

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

JEFFREY SIMONS (NPI 1184746786) is an individual otolaryngology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD420164) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184746786
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJEFFREY SIMONS
Location Address3705 5TH AVE, CHILDREN'S HOSPITAL 1ST FLOOR ROOM 1650Pittsburgh, PA 15213-2584
Mailing Address200 Lothrop St, Forbes Tower Suite 9055Pittsburgh, PA 15213-2536
Phone(412) 692-5460
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateJune 15, 20212 updates tracked since enumeration
✔ NPI 1184746786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in PA · MD420164
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3705 5TH AVE, Pittsburgh, PA 15213
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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 (PECOS)

Jeffrey Simons is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

AMISHA SHAH
Radiology (Diagnostic Radiology)
3705 5TH AVE, CHP MT 3950
PITTSBURGH, PA 15213
Allegheny County (412) 647-2273
IGOR SEMENOV
Anesthesiology
3705 5TH AVE, ONE CHILDREN'S HOSPITAL DRIVE
PITTSBURGH, PA 15213
Allegheny County (412) 692-5260
KRISTYN LOWERY
Physician Assistant
3705 5TH AVE, SUITE B-258
PITTSBURGH, PA 15213
Allegheny County (412) 692-3483
DR. BARBARA WENDEBORN BRANDOM MD
Specialist
3705 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 692-6973
JUDITH MARTIN
Specialist
3705 5TH AVE, ROOM 4B385
PITTSBURGH, PA 15213
Allegheny County (412) 692-7885
DR. BENJAMIN SHNEIDER M.D.
Pediatrics (Pediatric Gastroenterology)
3705 5TH AVE, PEDIATRIC GASTROENTEROLOGY
PITTSBURGH, PA 15213
Allegheny County (412) 692-5180
AMY KELLY
Radiology (Diagnostic Radiology)
3705 5TH AVE, CHP MT SUITE 3950
PITTSBURGH, PA 15213
Allegheny County (412) 647-2273
DR. RICHARD A ORR MD
Specialist
3705 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 692-5164

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 Jeffrey Simons's NPI number?

The NPI number for Jeffrey Simons is 1184746786. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Jeffrey Simons located?

Jeffrey Simons practices at 3705 5th Ave Children's Hospital 1st Floor Room 1650, Pittsburgh, PA 15213. The listed phone number is (412) 692-5460.

What is Jeffrey Simons's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jeffrey Simons enrolled in Medicare?

Yes. Jeffrey Simons is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Simons was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.