DIANE MARIE SIMEONE MD
NPI 1215038138
Surgery in La Jolla, CA

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
3855 HEALTH SCIENCES DR, LA JOLLA, CA 92093(800) 926-8273 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2024, Sep 7, 2022, Mar 21, 2019 (3 updates tracked since 2019).

About Diane Marie Simeone Md NPPES

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

DIANE MARIE SIMEONE MD (NPI 1215038138) is an individual surgery provider in La Jolla, California, licensed in Michigan (4301053273) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1215038138
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDIANE MARIE SIMEONECredential: MD
Location Address3855 HEALTH SCIENCES DRLa Jolla, CA 92093-4744
Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 25, 2006
Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
NPI 1215038138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in MI · 4301053273 Licensed in CA · G195633
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3855 HEALTH SCIENCES DR, La Jolla, CA 92093

Secondary Practice Location 1

Location 1160 E 34th StNew York, NY 10016-4744 · Phone (212) 731-6150 · Fax (212) 263-7511

Other Identifiers 1

Medicaid3169854MI

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

Diane Marie Simeone 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 ID3870636053
PECOS Enrollment IDI20240925002493
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92093 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Surgery
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
Nurse Practitioner (Family)
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
Nurse Practitioner
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
Internal Medicine (Hospice and Palliative Medicine)
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
Pharmacist
3855 HEALTH SCIENCES DR, RM1036 (MAIL CODE 0845)
LA JOLLA, CA 92093
Student in an Organized Health Care Education/Training Program
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
Psychiatry & Neurology (Neurology)
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
Pharmacist (Oncology)
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093

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 Diane Simeone's NPI number?

The NPI number for Diane Simeone is 1215038138. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Diane Simeone located?

Diane Simeone practices at 3855 Health Sciences Dr, La Jolla, CA 92093. The listed phone number is (800) 926-8273.

What is Diane Simeone's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Diane Simeone enrolled in Medicare?

Yes. Diane Simeone 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 Diane Simeone was last updated on September 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.