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

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: July 26, 2026.

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
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

Other Identifiers 1

Medicaid180525800MN

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. 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.

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
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.
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

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
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433
Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433
Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433
Nurse Practitioner
4040 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433
Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433
Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433

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.

What insurance does Derek Simons accept?

Health plans from HealthPartners and Medica 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 with the weekly NPPES data releases published by CMS.