CHARLES B SIMONE II MD
NPI 1225334865
Radiology - Radiation Oncology in New York, NY

Q: What is Charles Simone's NPI number?

The NPI number for Charles Simone is 1225334865. It was assigned to this individual provider in the NPPES registry on January 30, 2011.

Q: What is Charles Simone's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Charles Simone was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 30, 2011PECOS EnrolledAccepts Medicare Assignment

96.04/100

CMS Quality Rating

225 E 126TH ST, NEW YORK, NY 10035(646) 968-9012 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2022, Apr 22, 2019 (2 updates tracked since 2019).

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About Charles B Simone Ii Md NPPES

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

CHARLES B SIMONE II MD (NPI 1225334865) is an individual radiation oncology provider in New York, New York, licensed in New York (298311) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2006).

NPPES Registry Identity

NPI1225334865

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameCHARLES B SIMONE IICredential: MD

Location Address225 E 126TH STNew York, NY 10035-1406

Mailing Address225 E 126th StNew York, NY 10035-1406 · (646) 813-1880

Phone(646) 968-9012

Sole ProprietorNo

Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2006

Enumeration DateJanuary 30, 2011

Last NPPES UpdateJune 9, 20222 updates tracked since enumeration

NPPES CertifiedJune 9, 2022

✔ NPI 1225334865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

Licenses✔ Licensed in NY · 298311✔ Licensed in PA · MD443367

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

225 E 126TH ST, New York, NY 10035

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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

Charles B Simone Ii 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 ID2567632672

PECOS Enrollment IDI20190821002917

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 15

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.

Intermediate proton beam radiation treatment 77523

Intermediate proton beam radiation treatment is a precise type of radiation therapy. It uses protons instead of X-rays to treat certain types of cancer and other diseases. The protons can be directed to target the disease area with minimal damage to surrounding healthy tissue.

283 services121 patients

Ct guidance for insertion of radiation therapy fields 77014

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

247 services105 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

106 services28 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

86 services44 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

82 services25 patients

Continuing radiation therapy consultation per week 77336

Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.

72 services57 patients

Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy G6002

Stereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.

61 services35 patients

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.

52 services35 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

33 services32 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

27 services26 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.

27 services27 patients

Cranial lesion surgery using radiation over multiple sessions 77373

Cranial lesion surgery using radiation involves targeting abnormal tissue in the brain with high-energy rays. This non-invasive procedure is done over multiple sessions to gradually destroy the lesion without harming healthy tissue. It's a precise, painless process often used when traditional surgery isn't possible.

26 services18 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.

25 services22 patients

Special radiation treatment 77470

Special radiation treatment is a medical procedure that uses high-energy rays to destroy or damage cancer cells. It's a targeted approach that aims to minimize harm to healthy tissues. The treatment duration varies based on individual health conditions.

20 services20 patients

Management of cranial lesion surgery using radiation over multiple sessions 77435

This procedure involves using targeted radiation to treat a lesion in the brain over several sessions. The radiation destroys the abnormal cells, helping to control or eliminate the lesion. It's a non-invasive treatment, meaning no surgical cuts are made.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10035 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

$198.19 typical visit price

range $65.69 – $198.19

Typical copayment $49.54 (range $16.42 – $49.54)

Most-billed visit code 99205

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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.

96.04/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

92.55

Improvement Activities

Other Providers at the Same Location NPPES 5

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

THE NEW YORK PROTON CENTER

Radiology (Radiation Oncology)