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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KATHRYN MARY SIMON M.D.
NPI 1316962038
Family Medicine in Davenport, FL

Active since July 13, 2006PECOS Enrolled
89.89/100
CMS Quality Rating
2380 NORTH BLVD W STE 1, DAVENPORT, FL 33837(863) 422-8574(863) 422-7251 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 21, 2026, Jul 18, 2024, Oct 13, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Kathryn Mary Simon M.d. NPPES

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

DR. KATHRYN MARY SIMON M.D. (NPI 1316962038) is an individual family medicine provider in Davenport, Florida, licensed in Florida (ME122966) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Missouri, Columbia School Of Medicine (1982).

NPPES Registry Identity

NPI1316962038
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KATHRYN MARY SIMONCredential: M.D.
Location Address2380 NORTH BLVD W STE 1Davenport, FL 33837-8983
Mailing Address2380 North Blvd W Ste 1Davenport, FL 33837-8983 · (863) 422-8574 · Fax (863) 422-7251
Phone(863) 422-8574
Fax(863) 422-7251
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1982
Enumeration DateJuly 13, 2006
Last NPPES UpdateSeptember 21, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1316962038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME122966✔ Licensed in TX · G7884
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2380 NORTH BLVD W STE 1, Davenport, FL 33837
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11207A E Marshall AveLongview, TX 75601-5604 · Phone (903) 907-7003
Location 26451 N Federal Hwy Ste 800Fort Lauderdale, FL 33308 · Phone (800) 586-5022
Location 3801 Wellness Way Ste 200Sebastian, FL 32958-3783 · Phone (772) 581-5781 · Fax (772) 581-5781

Other Identifiers 5

Other85Y881TX · Bcbs
OtherIO430YFL · Medicare
Medicaid016935400FL
OtherP00052224TX · Rr Medicare
Medicaid122866001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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. Kathryn Mary Simon 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 ID7113944331
PECOS Enrollment IDI20100226000853
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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
52 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33837 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

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 Kathryn Simon's NPI number?

The NPI number for Kathryn Simon is 1316962038. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Kathryn Simon located?

Kathryn Simon practices at 2380 North Blvd W Ste 1, Davenport, FL 33837. The listed phone number is (863) 422-8574.

What is Kathryn Simon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kathryn Simon enrolled in Medicare?

Yes. Kathryn Simon 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 Kathryn Simon accept?

Health plans from Blue Cross and Blue Shield of Texas list Kathryn Simon 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.

When was this NPI record last updated?

The NPPES record for Kathryn Simon was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.