DR. DEREK BRENT SIMONS M.D.
NPI 1285672949
Internal Medicine - Cardiovascular Disease in Minneapolis, MN

Q: What is Derek Simons's NPI number?

The NPI number for Derek Simons is 1285672949. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Q: What is Derek Simons's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Simons was last updated on November 10, 2020. 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.

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment

83.53/100

CMS Quality Rating

4040 COON RAPIDS BLVD NW, SUITE 120, MINNEAPOLIS, MN 55433(763) 427-9980(763) 427-9908 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Derek Brent Simons M.d. NPPES

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

DR. DEREK BRENT SIMONS M.D. (NPI 1285672949) is an individual cardiovascular disease provider in Minneapolis, Minnesota, licensed in Minnesota (279967) 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 Other (1987).

NPPES Registry Identity

NPI1285672949

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. DEREK BRENT SIMONSCredential: M.D.

Location Address4040 COON RAPIDS BLVD NW, SUITE 120Minneapolis, MN 55433-2522

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000

Phone(763) 427-9980

Fax(763) 427-9908

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateJune 3, 2006

Last NPPES UpdateNovember 10, 2020

NPPES CertifiedNovember 10, 2020

✔ NPI 1285672949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in MN · 279967

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

4040 COON RAPIDS BLVD NW, Minneapolis, MN 55433

Open in Google Maps ↗

Other Identifiers 1

Medicaid180525800MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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. Derek Brent Simons 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 ID9537050224

PECOS Enrollment IDI20040802001340

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 Reassignment

Medicare enrollment records show Derek Simons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allina Health System

0.1 mi

Surgery

11850 BLACKFOOT ST NW STE 130
Coon Rapids, MN 55433

Reassigned Medicare billing, Minnesota enrollment
3,733 clinicians in this Medicare group

NPI 1649576091 (763) 236-9000

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

Areas of Expertise CMS Part B claims 21

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

100 services100 patients

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.

94 services81 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

90 services60 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

83 services62 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

65 services63 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

58 services50 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

58 services58 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

42 services42 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

41 services41 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

41 services40 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

40 services40 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

28 services25 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

26 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

17 services17 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

13 services12 patients

Ultrasound of heart, follow-up 93308

13 services13 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

13 services13 patients

Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan 78431

This is a diagnostic test where a tiny amount of radioactive material is used to examine your heart's blood flow at rest & during stress, alongside a CT scan for detailed images. It helps identify any heart-related issues like blockages or damage.

12 services12 patients

Nuclear medicine study of heart muscle blood flow by pet 78434

A nuclear medicine study of heart muscle blood flow by PET is a non-invasive test that uses a small amount of radioactive substance to create detailed images of your heart's blood flow and function. It helps assess heart health and diagnose heart conditions.

12 services12 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Buffalo Hospital

Acute Care Hospitals · Buffalo, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number240076

Location303 Catlin StreetBuffalo, MN 55313 · Wright County

Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240115

Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

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.

83.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.79

Promoting Interoperability

100

Improvement Activities

Cost

63.31

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.

DR. MARK D KRAEMER M.D.

Internal Medicine (Cardiovascular Disease)

4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 427-9980

DR. MARGO F TOLINS-MEJIA M.D.

Internal Medicine (Cardiovascular Disease)

4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 427-9980

DR. RANDALL P STARK M.D.

Internal Medicine (Interventional Cardiology)

4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 427-9980

RACHEL MARGARET BETHKE AGNP-C

Nurse Practitioner

4040 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433

Anoka County (763) 427-9980

DR. BRIAN J ANDERSON M.D.

Internal Medicine (Cardiovascular Disease)

4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 427-9980

DR. AMIN F RAHMATULLAH M.D.

Internal Medicine (Cardiovascular Disease)

4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 427-9980

DR. MARK A EVANS M.D.

Internal Medicine (Cardiovascular Disease)

4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 427-9980

MR. RONALD M DIORIO PA-C

Physician Assistant

4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 427-9980

DR. ZEEV VLODAVER M.D.

Internal Medicine (Cardiovascular Disease)

4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 427-9980

METROPOLITAN CARDIOLOGY CONSULTANTS

Internal Medicine (Cardiovascular Disease)

4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 427-9980

DR. DANIEL D DULAS M.D.

Internal Medicine (Interventional Cardiology)

4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 427-9980

JOHN H LEE MD

Internal Medicine (Interventional Cardiology)

4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 427-9980

LAUREN WEDEL

Physician Assistant

4040 COON RAPIDS BLVD NW, SUITE 120
COON RAPIDS, MN 55433

Anoka County (763) 427-9980

MRS. ELIZABETH A HOFFMAN PA-C

Physician Assistant

4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 427-9980

DR. SAJAD MIR M.D.

Internal Medicine (Cardiovascular Disease)

4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 427-9980

MRS. LISA BORDEAUX CNP

Nurse Practitioner

4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 427-9980

ALEC DROEGE PA-C

Physician Assistant

4040 COON RAPIDS BLVD NW, SUITE 120
COON RAPIDS, MN 55433

Anoka County (763) 427-9980

DR. JEFFREY CHAMBERS M.D.

Internal Medicine (Cardiovascular Disease)

4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 427-9980

DR. ZEHYANI BANKWALA M.D.

Internal Medicine (Cardiovascular Disease)

4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 427-9980

MS. ALYSSA A MUELLNER PA-C

Physician Assistant

4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

Anoka County (763) 427-9980

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 Derek Simons's NPI number?

The NPI number for Derek Simons is 1285672949. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Derek Simons located?

Derek Simons practices at 4040 Coon Rapids Blvd NW Suite 120, Minneapolis, MN 55433. The listed phone number is (763) 427-9980.

What is Derek Simons's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Derek Simons enrolled in Medicare?

Yes. Derek Simons 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 organization bills Medicare for Derek Simons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Simons reassigns Medicare benefits to Allina Health System (Coon Rapids, MN). The 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 Derek Simons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Simons accept?

Health plans from HealthPartners list Derek Simons 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 Derek Simons affiliated with any hospitals?

According to CMS data, Derek Simons is affiliated with Abbott Northwestern Hospital, Buffalo Hospital and Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Derek Simons was last updated on November 10, 2020. 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.