DR. KENNETH SIMONS MD
NPI 1225089709
Ophthalmology in Milwaukee, WI

Active since May 12, 2006PECOS Enrolled
80.46/100
CMS Quality Rating
925 N 87TH ST, THE EYE INSTITUTE, MILWAUKEE, WI 53226(414) 955-2020(414) 955-6332 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth Simons Md NPPES

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

DR. KENNETH SIMONS MD (NPI 1225089709) is an individual ophthalmology provider in Milwaukee, Wisconsin, licensed in Wisconsin (30163) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225089709
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. KENNETH SIMONSCredential: MD
Location Address925 N 87TH ST, THE EYE INSTITUTEMilwaukee, WI 53226-4812
Mailing Address925 N 87th St, The Eye InstituteMilwaukee, WI 53226-4812 · (414) 955-2020 · Fax (414) 955-6332
Fax(414) 955-6332
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateJanuary 20, 2015
NPI 1225089709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WI · 30163
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License 30163 (WI)
925 N 87TH ST, Milwaukee, WI 53226

Other Identifiers 4

Medicare PIN085973601WI
Medicare UPIND37658
Other002000133Humana
Medicaid1225089709WI

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 (PECOS)

Dr. Kenneth Simons Md 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 53226 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

Optometrist
925 N 87TH ST
MILWAUKEE, WI 53226
Ophthalmology
925 N 87TH ST
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
925 N 87TH ST
MILWAUKEE, WI 53226
Ophthalmology
925 N 87TH ST
MILWAUKEE, WI 53226
Ophthalmology
925 N 87TH ST
MILWAUKEE, WI 53226
Ophthalmology
925 N 87TH ST
MILWAUKEE, WI 53226
Optometrist
925 N 87TH ST
MILWAUKEE, WI 53226
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
925 N 87TH ST, THE EYE INSTITUTE
MILWAUKEE, WI 53226

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 Kenneth Simons's NPI number?

The NPI number for Kenneth Simons is 1225089709. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Kenneth Simons located?

Kenneth Simons practices at 925 N 87th St The Eye Institute, Milwaukee, WI 53226. The listed phone number is (414) 955-2020.

What is Kenneth Simons's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kenneth Simons enrolled in Medicare?

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

What insurance does Kenneth Simons accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Kenneth 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 Kenneth Simons was last updated on January 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.