DR. JONATHAN SIMON M.D.
NPI 1245648138
Internal Medicine in Dover, DE

Active since July 24, 2014PECOS EnrolledAccepts Medicare Assignment
665 BAY ROAD, UNIT B, DOVER, DE 19901(302) 608-5312(302) 678-2552 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jonathan Simon M.d. NPPES

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

DR. JONATHAN SIMON M.D. (NPI 1245648138) is an individual internal medicine provider in Dover, Delaware, licensed in Delaware (C1-0012286) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1245648138
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JONATHAN SIMONCredential: M.D.
Location Address665 BAY ROAD, UNIT BDover, DE 19901
Mailing Address640 S State St # Mc3055Dover, DE 19901-3530 · (302) 608-5312 · Fax (302) 678-2552
Fax(302) 678-2552
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 24, 2014
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
NPI 1245648138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in DE · C1-0012286
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

665 BAY ROAD, UNIT B, Dover, DE 19901

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

Dr. Jonathan Simon M.d. 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 ID749409027
PECOS Enrollment IDI20171109001632
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 13

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
780 services12 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
615 services364 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
164 services55 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
135 services87 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
124 services124 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
79 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19901 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers39 claims104 services$6.36 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers19 claims32 services$1.16 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers24 claims24 services$212.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Physician Assistant
665 BAY ROAD, UNIT B
DOVER, DE 19901
Internal Medicine (Gastroenterology)
665 BAY ROAD, UNIT B
DOVER, DE 19901
Internal Medicine (Gastroenterology)
665 BAY ROAD, UNIT B
DOVER, DE 19901
Psychiatry & Neurology (Neurology)
665 BAY ROAD, UNIT B
DOVER, DE 19901
Nurse Practitioner
665 BAY ROAD, UNIT B
DOVER, DE 19901
Psychiatry & Neurology (Neurology)
665 BAY ROAD, UNIT B
DOVER, DE 19901
Psychiatry & Neurology (Neurology)
665 BAY ROAD, UNIT B
DOVER, DE 19901
Nurse Practitioner
665 BAY ROAD, UNIT B
DOVER, DE 19901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245648138, enumerated as an "individual" on July 24, 2014.

The provider is located at 665 BAY ROAD, UNIT B DOVER, DE 19901 and the phone number is (302) 608-5312.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from NH. Please consult your insurance carrier or call the provider to verify.