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DR. ANDREW ROBERT SIMONSEN D.O.
NPI 1235327495
Otolaryngology - Pediatric Otolaryngology in St Petersburg, FL

Active since October 11, 2007PECOS EnrolledAccepts Medicare Assignment
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108, ST PETERSBURG, FL 33701(727) 456-3288(727) 456-3289 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Andrew Robert Simonsen D.o. NPPES

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

DR. ANDREW ROBERT SIMONSEN D.O. (NPI 1235327495) is an individual pediatric otolaryngology provider in St Petersburg, Florida, licensed in Florida (OS 11689) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1235327495
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameDR. ANDREW ROBERT SIMONSENCredential: D.O.
Location Address1033 DR MARTIN LUTHER KING JR ST N, SUITE 108St Petersburg, FL 33701-1547
Mailing Address1033 Dr Martin Luther King Jr St N, Suite 108St Petersburg, FL 33701-1547 · (727) 456-3288 · Fax (727) 456-3289
Phone(727) 456-3288
Fax(727) 456-3289
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 11, 2007
Last NPPES UpdateJune 24, 2014
✔ NPI 1235327495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in FL · OS 11689
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
1033 DR MARTIN LUTHER KING JR ST N, St Petersburg, FL 33701
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Other Identifiers 3

Medicare PINGJ559ZFL
Medicaid006311700FL
Other14LY7FL · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew Robert Simonsen D.o. 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 ID5395992572
PECOS Enrollment IDI20120822000665
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrew Simonsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Pediatric Associates LLC
0.5 mi
Pediatrics
1800 DR MARTIN LUTHER KING JR ST N
St Petersburg, FL 33704
  • Reassigned Medicare billing, Florida enrollment
  • 34 clinicians in this Medicare group
NPI 1053346718 (727) 456-3288
Charles C Greene MD Phd PA
166 mi
Otolaryngology
789 W DUVAL ST
Lake City, FL 32055
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1598014805 (904) 419-2054

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JEANNE HARDIN-GRES
Nurse Anesthetist, Certified Registered
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108
ST PETERSBURG, FL 33701
Pinellas County (727) 456-3288
DR. ELIZABETH E BANKS M.D.
Pediatrics
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108
ST PETERSBURG, FL 33701
Pinellas County (727) 456-4250
JOHN CARPENTER BARNES M.D.
Radiology (Pediatric Radiology)
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108
ST PETERSBURG, FL 33701
Pinellas County (727) 456-3288
JAIME L ULRICH PA
Physician Assistant (Medical)
1033 DR MARTIN LUTHER KING JR ST N, STE. 108
ST PETERSBURG, FL 33701
Pinellas County (727) 456-3288
JOHN HAFFNER M.D.
Pediatrics (Pediatric Critical Care Medicine)
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108
ST PETERSBURG, FL 33701
Pinellas County (727) 456-4250
PERRY BOYD EVERETT M.D.
Pediatrics (Pediatric Critical Care Medicine)
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108
ST PETERSBURG, FL 33701
Pinellas County (727) 456-4250
DAVID CLENDENIN
Anesthesiology
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108
ST PETERSBURG, FL 33701
Pinellas County (727) 456-3288
ERIK J BENTON MD
Anesthesiology
1033 DR MARTIN LUTHER KING JR ST N, STE. 108
ST PETERSBURG, FL 33701
Pinellas County (727) 456-4250

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 Andrew Simonsen's NPI number?

The NPI number for Andrew Simonsen is 1235327495. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Where is Andrew Simonsen located?

Andrew Simonsen practices at 1033 Dr Martin Luther King Jr St N Suite 108, St Petersburg, FL 33701. The listed phone number is (727) 456-3288.

What is Andrew Simonsen's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Andrew Simonsen enrolled in Medicare?

Yes. Andrew Simonsen 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.

Which organizations bill Medicare for Andrew Simonsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Simonsen reassigns Medicare benefits to 2 organizations: Florida Pediatric Associates LLC (St Petersburg, FL) and Charles C Greene MD Phd PA (Lake City, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Simonsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Simonsen accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Andrew Simonsen 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 Andrew Simonsen was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.