DR. RAYMOND ANTHONY SIMON II MD
NPI 1245693811
Family Medicine in Lebanon, OR

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment
91.4/100
CMS Quality Rating
100 MULLINS DR STE C1, LEBANON, OR 97355(541) 451-7450 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2025, Nov 3, 2020, Jun 17, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Raymond Anthony Simon Ii Md NPPES

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

DR. RAYMOND ANTHONY SIMON II MD (NPI 1245693811) is an individual family medicine provider in Lebanon, Oregon, licensed in Oregon (MD193727) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Samaritan Albany General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245693811
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAYMOND ANTHONY SIMON IICredential: MD
Location Address100 MULLINS DR STE C1Lebanon, OR 97355-2868
Mailing AddressPo Box 1189Corvallis, OR 97339-1189
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2016
Enumeration DateMarch 31, 2016
Last NPPES UpdateMay 27, 20254 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
NPI 1245693811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OR · MD193727
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License MD193727 (OR)
100 MULLINS DR STE C1, Lebanon, OR 97355

Secondary Practice Locations 2

Location 1221 N Celia AveMuncie, IN 47303-4609 · Phone (765) 747-3141
Location 21700 Geary St SE Ste 200Albany, OR 97322-6842 · Phone (541) 812-5570

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. Raymond Anthony Simon 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 ID1557655024
PECOS Enrollment IDI20190812003921
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 4

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.

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.
130 services67 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.
61 services39 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services13 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.
47 services47 patients

Hospital Affiliations CMS Care Compare 2

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

Samaritan Albany General Hospital

Acute Care Hospitals · Albany, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380022
Location1046 6th Avenue SWAlbany, OR 97321 · Linn County
Emergency services Birthing friendly

Samaritan Lebanon Community Hospital

Critical Access Hospitals · Lebanon, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381323
Location525 N Santiam HighwayLebanon, OR 97355 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97355 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

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.

91.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.63
Promoting Interoperability100
Improvement Activities40
Cost68.32

Referred Medical Equipment & Supplies CMS DME claims 2

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

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims1,320 services$0.10 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
3 suppliers13 claims13 services$185.23 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 5

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

Family Medicine (Addiction Medicine)
100 MULLINS DR STE C1
LEBANON, OR 97355
Internal Medicine (Addiction Medicine)
100 MULLINS DR STE C1
LEBANON, OR 97355
Emergency Medicine
100 MULLINS DR STE C1
LEBANON, OR 97355
Counselor (Addiction (Substance Use Disorder))
100 MULLINS DR STE C1
LEBANON, OR 97355
Psychiatry & Neurology (Psychiatry)
100 MULLINS DR STE C1
LEBANON, OR 97355

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 Raymond Simon's NPI number?

The NPI number for Raymond Simon is 1245693811. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Raymond Simon located?

Raymond Simon practices at 100 Mullins Dr Ste C1, Lebanon, OR 97355. The listed phone number is (541) 451-7450.

What is Raymond Simon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raymond Simon enrolled in Medicare?

Yes. Raymond Simon 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 Raymond Simon accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Raymond Simon 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 Raymond Simon affiliated with any hospitals?

According to CMS data, Raymond Simon is affiliated with Samaritan Albany General Hospital and Samaritan Lebanon Community Hospital.

When was this NPI record last updated?

The NPPES record for Raymond Simon was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.