1. Home
  2. Directory
  3. Colorado
  4. Loveland
  5. Internal Medicine
  6. NPI Profile

DR. EMILY SIMONS MD
NPI 1205368263
Internal Medicine - Medical Oncology in Loveland, CO

Active since March 29, 2017PECOS EnrolledAccepts Medicare Assignment
89.33/100
CMS Quality Rating
2000 BOISE AVE STE A, LOVELAND, CO 80538(970) 810-3894(970) 820-5940 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2023, Mar 7, 2023, Mar 29, 2017 (3 updates tracked since 2017).

About Dr. Emily Simons Md NPPES

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

DR. EMILY SIMONS MD (NPI 1205368263) is an individual medical oncology provider in Loveland, Colorado, licensed in Colorado (DR.0063990) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (2017).

NPPES Registry Identity

NPI1205368263
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameDR. EMILY SIMONSCredential: MD
Location Address2000 BOISE AVE STE ALoveland, CO 80538-5006
Mailing Address2000 Boise Ave Ste ALoveland, CO 80538-5006 · (970) 810-3894 · Fax (970) 820-5940
Phone(970) 810-3894
Fax(970) 820-5940
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2017
Enumeration DateMarch 29, 2017
Last NPPES UpdateSeptember 20, 20233 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1205368263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in CO · DR.0063990
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License DR.0063990 (CO)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License DR.0063990 (CO)
2000 BOISE AVE STE A, Loveland, CO 80538
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.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

Dr. Emily Simons 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 ID3274806716
PECOS Enrollment IDI20230905000951
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
71 services39 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
33 services33 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
27 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80538 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
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

89.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost61.89

Other Providers at the Same Location NPPES 3

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

NORTH COLORADO MEDICAL CENTER
General Acute Care Hospital
2000 BOISE AVE STE A
LOVELAND, CO 80538
Larimer County (970) 810-3894
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
Clinic/Center (Multi-Specialty)
2000 BOISE AVE STE A
LOVELAND, CO 80538
Larimer County (970) 810-3894
NORTH COLORADO MEDICAL CENTER
General Acute Care Hospital (Critical Access)
2000 BOISE AVE STE A
LOVELAND, CO 80538
Larimer County (970) 810-3894

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 Emily Simons's NPI number?

The NPI number for Emily Simons is 1205368263. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Emily Simons located?

Emily Simons practices at 2000 Boise Ave Ste A, Loveland, CO 80538. The listed phone number is (970) 810-3894.

What is Emily Simons's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Emily Simons enrolled in Medicare?

Yes. Emily Simons 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 Emily Simons accept?

Health plans from Medica and UnitedHealthcare list Emily Simons 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 Emily Simons was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.