SIMON HENRY LUETH PAC
NPI 1215357108
Physician Assistant in Oak Park Heights, MN

Active since April 18, 2014PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
5803 NEAL AVE N, OAK PARK HEIGHTS, MN 55082(651) 439-8807(651) 439-0232 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Simon Henry Lueth Pac NPPES

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

SIMON HENRY LUETH PAC (NPI 1215357108) is an individual physician assistant in Oak Park Heights, Minnesota, licensed in Minnesota (11596) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1215357108
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSIMON HENRY LUETHCredential: PAC
Location Address5803 NEAL AVE NOak Park Heights, MN 55082-2177
Mailing Address5803 Neal Ave NOak Park Heights, MN 55082-2177 · (651) 439-8807 · Fax (651) 439-0232
Fax(651) 439-0232
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 18, 2014
Last NPPES UpdateApril 20, 2026
NPPES CertifiedApril 20, 2026
NPI 1215357108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 11596
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 11596 (MN), 3312-23 (WI)
5803 NEAL AVE N, Oak Park Heights, MN 55082

Secondary Practice Location 1

Location 1640 Jackson StSaint Paul, MN 55101-2502 · Phone (651) 495-6600 · Fax (651) 254-3123

Accepted 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

Simon Henry Lueth Pac 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 ID749405249
PECOS Enrollment IDI20140804000721
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55082 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

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
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
Physician Assistant (Surgical)
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
Specialist
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
Specialist/Technologist (Athletic Trainer)
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
Specialist/Technologist (Athletic Trainer)
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
Orthopaedic Surgery
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
Podiatrist (Foot & Ankle Surgery)
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082
Orthopaedic Surgery
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082

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 Simon Lueth's NPI number?

The NPI number for Simon Lueth is 1215357108. It was assigned to this individual provider in the NPPES registry on April 18, 2014.

Where is Simon Lueth located?

Simon Lueth practices at 5803 Neal Ave N, Oak Park Heights, MN 55082. The listed phone number is (651) 439-8807.

What is Simon Lueth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Simon Lueth enrolled in Medicare?

Yes. Simon Lueth 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 Simon Lueth accept?

Health plans from Medica and Sanford Health Plan list Simon Lueth 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.

Is Simon Lueth affiliated with any hospitals?

According to CMS data, Simon Lueth is affiliated with Regions Hospital, M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for Simon Lueth was last updated on April 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.