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IVAN ANDRO SIMUNOVIC
NPI 1275050999
Physician Assistant in La Habra, CA

Active since August 23, 2017PECOS EnrolledAccepts Medicare Assignment
55.29/100
CMS Quality Rating
1341 BROOKDALE AVE., LA HABRA, CA 90631(562) 441-0677 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 8, 2021, Aug 23, 2017 (2 updates tracked since 2017).

About Ivan Andro Simunovic NPPES

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

IVAN ANDRO SIMUNOVIC (NPI 1275050999) is an individual physician assistant in La Habra, California, licensed in California (55186) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1275050999
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameIVAN ANDRO SIMUNOVIC
Location Address1341 BROOKDALE AVE.La Habra, CA 90631
Mailing AddressFile 50670Los Angeles, CA 90074-0670
Phone(562) 441-0677
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 23, 2017
Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
✔ NPI 1275050999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 55186
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1341 BROOKDALE AVE., La Habra, CA 90631
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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

Ivan Andro Simunovic 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 ID1355685520
PECOS Enrollment IDI20181129002223
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90631 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

55.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality5.97
Promoting Interoperability100
Improvement Activities20
Cost64.86

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 Ivan Simunovic's NPI number?

The NPI number for Ivan Simunovic is 1275050999. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Where is Ivan Simunovic located?

Ivan Simunovic practices at 1341 Brookdale Ave., La Habra, CA 90631. The listed phone number is (562) 441-0677.

What is Ivan Simunovic's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ivan Simunovic enrolled in Medicare?

Yes. Ivan Simunovic 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.

When was this NPI record last updated?

The NPPES record for Ivan Simunovic was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.