PAUL M SIMIC M.D.
NPI 1205867488
Orthopaedic Surgery - Hand Surgery in Van Nuys, CA

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
77.59/100
CMS Quality Rating
6815 NOBLE AVE, VAN NUYS, CA 91405(818) 901-6600(818) 997-7826 Get Directions Write a Review

NPPES record last updated: August 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul M Simic M.d. NPPES

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

PAUL M SIMIC M.D. (NPI 1205867488) is an individual hand surgery provider in Van Nuys, California, licensed in California (A86693) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Js Weill Medical College, Cornell University (1998).

NPPES Registry Identity

NPI1205867488
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NamePAUL M SIMICCredential: M.D.
Location Address6815 NOBLE AVEVan Nuys, CA 91405-3796
Mailing Address6815 Noble AveVan Nuys, CA 91405-3796 · (818) 901-6600 · Fax (818) 997-7826
Fax(818) 997-7826
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1998
Enumeration DateJuly 5, 2006
Last NPPES UpdateAugust 21, 2009
NPI 1205867488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in CA · A86693
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License A86693 (CA)
6815 NOBLE AVE, Van Nuys, CA 91405

Other Identifiers 1

Medicare UPINH89438CA

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 M Simic 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 ID3476525908
PECOS Enrollment IDI20040806000279
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 32

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
1,523 services475 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,013 services688 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
422 services422 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.
395 services313 patients
X-ray of finger, minimum of 2 views 73140
An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.
322 services262 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
310 services181 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91405 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

77.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.22
Promoting Interoperability100
Improvement Activities40
Cost45.09

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809
DME-Orthotic Devices · category DF000N
3 suppliers15 claims15 services$179.98 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
3 suppliers68 claims75 services$59.63 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
3 suppliers47 claims61 services$65.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
6815 NOBLE AVE
VAN NUYS, CA 91405
Orthopaedic Surgery
6815 NOBLE AVE
VAN NUYS, CA 91405
Family Medicine (Sports Medicine)
6815 NOBLE AVE
VAN NUYS, CA 91405
Specialist/Technologist (Athletic Trainer)
6815 NOBLE AVE
VAN NUYS, CA 91405
Specialist
6815 NOBLE AVE
VAN NUYS, CA 91405
Physician Assistant
6815 NOBLE AVE
VAN NUYS, CA 91405
Nurse Anesthetist, Certified Registered
6815 NOBLE AVE
VAN NUYS, CA 91405
Anesthesiology (Pain Medicine)
6815 NOBLE AVE
VAN NUYS, CA 91405

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 Simic's NPI number?

The NPI number for Paul Simic is 1205867488. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Paul Simic located?

Paul Simic practices at 6815 Noble Ave, Van Nuys, CA 91405. The listed phone number is (818) 901-6600.

What is Paul Simic's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Paul Simic enrolled in Medicare?

Yes. Paul Simic 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.

When was this NPI record last updated?

The NPPES record for Paul Simic was last updated on August 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.