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SHELDON SIMON M.D.
NPI 1316961469
Orthopaedic Surgery in New York, NY

Active since July 26, 2006PECOS Enrolled
10 UNION SQ E, SUITE 3M, NEW YORK, NY 10003(212) 844-6733(212) 844-6757 Get Directions Write a Review

NPPES record last updated: October 4, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sheldon Simon M.d. NPPES

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

SHELDON SIMON M.D. (NPI 1316961469) is an individual orthopaedic surgery provider in New York, New York, licensed in New York (212549) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316961469
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSHELDON SIMONCredential: M.D.
Location Address10 UNION SQ E, SUITE 3MNew York, NY 10003-3314
Mailing AddressPo Box 95000-2461Philadelphia, PA 19195-2461
Phone(212) 844-6733
Fax(212) 844-6757
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateOctober 4, 2012
✔ NPI 1316961469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 212549
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
10 UNION SQ E, New York, NY 10003
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheldon Simon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Sheldon Simon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Icahn School Of Medicine At Mount Sinai
Same address
Dermatology
10 UNION SQUARE EAST
New York, NY 10003
  • Reassigned Medicare billing, New York enrollment
  • 346 clinicians in this Medicare group
NPI 1013386812 (212) 844-8800
Icahn School Of Medicine At Mount Sinai
2.5 mi
Orthopaedic Surgery
1000 10TH AVE
New York, NY 10019
  • Reassigned Medicare billing, New York enrollment
  • 769 clinicians in this Medicare group
NPI 1124550280 (212) 523-7594

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 20

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

ANISHA GARG MD
Psychiatry & Neurology (Neuromuscular Medicine)
10 UNION SQ E
NEW YORK, NY 10003
New York County (212) 420-2000
HOWARD MAKER MD
Psychiatry & Neurology (Neurology)
10 UNION SQ E
NEW YORK, NY 10003
New York County (212) 844-8888
SUSAN ROTHENBERG MD
Obstetrics & Gynecology
10 UNION SQ E
NEW YORK, NY 10003
New York County (212) 420-4236
JANET STEIN MD
Obstetrics & Gynecology
10 UNION SQ E
NEW YORK, NY 10003
New York County (212) 420-2577
IRENE M. JANKOWSKI N.P.
Nurse Practitioner (Adult Health)
10 UNION SQ E
NEW YORK, NY 10003
New York County (212) 256-3539
TOLULOPE FALANA NP
Nurse Practitioner (Family)
10 UNION SQ E
NEW YORK, NY 10003
New York County (212) 844-6025
RICHARD MIZUGUCHI MD
Dermatology
10 UNION SQ E, SUITE 3C
NEW YORK, NY 10003
New York County (212) 523-5898
BARBARA CHEUNG MD
Internal Medicine
10 UNION SQ E, 2M
NEW YORK, NY 10003
New York County (212) 844-6888

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 Sheldon Simon's NPI number?

The NPI number for Sheldon Simon is 1316961469. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Sheldon Simon located?

Sheldon Simon practices at 10 Union Sq E Suite 3M, New York, NY 10003. The listed phone number is (212) 844-6733.

What is Sheldon Simon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Sheldon Simon enrolled in Medicare?

Yes. Sheldon Simon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sheldon Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheldon Simon reassigns Medicare benefits to 2 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY) and Icahn School Of Medicine At Mount Sinai (New York, NY). Each 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 Sheldon Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sheldon Simon was last updated on October 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.