DR. JOHN ERNEST SIMON M.D.
NPI 1255374609
Psychiatry & Neurology - Psychiatry in Minneapolis, MN

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
701 25TH AVE S, #303, MINNEAPOLIS, MN 55454(612) 333-9954(612) 333-9969 Get Directions Write a Review

NPPES record last updated: October 19, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Ernest Simon M.d. NPPES

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

DR. JOHN ERNEST SIMON M.D. (NPI 1255374609) is an individual psychiatry provider in Minneapolis, Minnesota, licensed in Minnesota (23781) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of University Of Nebraska College Of Medicine (1976).

NPPES Registry Identity

NPI1255374609
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JOHN ERNEST SIMONCredential: M.D.
Location Address701 25TH AVE S, #303Minneapolis, MN 55454-1513
Mailing Address701 25th Ave S, #303Minneapolis, MN 55454-1513 · (612) 333-9954 · Fax (612) 333-9969
Fax(612) 333-9969
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1976
Enumeration DateJune 14, 2006
Last NPPES UpdateOctober 19, 2007
NPI 1255374609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in MN · 23781
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
701 25TH AVE S, Minneapolis, MN 55454

Other Identifiers 1

Medicare UPINA93750MN

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. John Ernest 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 ID7911972534
PECOS Enrollment IDI20060725000378, I20070831000272
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 3

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 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.
239 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
109 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

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.

Dentist (Pediatric Dentistry)
701 25TH AVE S, SUITE 400
MINNEAPOLIS, MN 55454
Audiologist
701 25TH AVE S, SUITE 200
MINNEAPOLIS, MN 55454
Audiologist
701 25TH AVE S, SUITE 200
MINNEAPOLIS, MN 55454
Student in an Organized Health Care Education/Training Program
701 25TH AVE S
MINNEAPOLIS, MN 55454
Dentist
701 25TH AVE S, SUITE 400
MINNEAPOLIS, MN 55454
Technician/Technologist (Orthoptist)
701 25TH AVE S
MINNEAPOLIS, MN 55454
Internal Medicine
701 25TH AVE S, SUITE 505
MINNEAPOLIS, MN 55454
Hearing Instrument Specialist
701 25TH AVE S, SUITE 200
MINNEAPOLIS, MN 55454

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 John Simon's NPI number?

The NPI number for John Simon is 1255374609. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is John Simon located?

John Simon practices at 701 25th Ave S #303, Minneapolis, MN 55454. The listed phone number is (612) 333-9954.

What is John Simon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Simon enrolled in Medicare?

Yes. John 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 John Simon accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list John 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 John Simon affiliated with any hospitals?

According to CMS data, John Simon is affiliated with Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for John Simon was last updated on October 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.