DR. MELISSA ANN SIMON MD
NPI 1316265259
Ophthalmology in Providence, RI

Q: What is Melissa Simon's NPI number?

The NPI number for Melissa Simon is 1316265259. It was assigned to this individual provider in the NPPES registry on May 16, 2010.

Q: What is Melissa Simon's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Simon was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 16, 2010PECOS EnrolledAccepts Medicare Assignment

1 HOPPIN ST STE 202, PROVIDENCE, RI 02903(401) 444-6551 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Melissa Ann Simon Md NPPES

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

DR. MELISSA ANN SIMON MD (NPI 1316265259) is an individual ophthalmology provider in Providence, Rhode Island, licensed in Rhode Island (14710) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2009).

NPPES Registry Identity

NPI1316265259

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. MELISSA ANN SIMONCredential: MD

Location Address1 HOPPIN ST STE 202Providence, RI 02903-4141

Mailing Address2 Dudley St Ste 505Providence, RI 02905-3249 · (401) 444-7008

Phone(401) 444-6551

Sole ProprietorNo

Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2009

Enumeration DateMay 16, 2010

Last NPPES UpdateSeptember 13, 2023

NPPES CertifiedSeptember 13, 2023

✔ NPI 1316265259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in RI · 14710✔ Licensed in OR · 161664

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 HOPPIN ST STE 202, Providence, RI 02903

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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

Dr. Melissa Ann Simon 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 ID345488995

PECOS Enrollment IDI20141024000248

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 2

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.

Exam to measure eye deviation and range of motion 92060

This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.

24 services20 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.

21 services15 patients

Hospital Affiliations CMS Care Compare

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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.

Other Providers at the Same Location NPPES 7

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

HOLLY ROSE TORRES OD

Optometrist