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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: November 08, 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 and maintains 3 additional practice locations.

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
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
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Secondary Practice Locations 3

Location 11207A E Marshall AveLongview, TX 75601-5604 · Phone (903) 907-7003
Location 2801 Wellness Way Ste 200Sebastian, FL 32958-3783 · Phone (772) 581-5781 · Fax (772) 581-5781
Location 36451 N Federal Hwy Ste 800Fort Lauderdale, FL 33308 · Phone (800) 586-5022

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 Antidote Health of TX, AvMed, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathryn Mary 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

4

Medicare enrollment records show Kathryn Simon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optumcare Florida LLC
57 mi
General Practice
5130 SUNFOREST DR STE 300
Tampa, FL 33634
  • Reassigned Medicare billing, Florida enrollment
  • 315 clinicians in this Medicare group
NPI 1053384214 (727) 824-0780
Wellmed Medical Group, P.A.
962 mi
Family Medicine
5402 HOLLY RD, SUITE 102
Corpus Christi, TX 78411
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Wellmed Medical Group PA
  • 762 clinicians in this Medicare group
NPI 1477851970 (361) 883-9688
Oak Street Health Of Texas, PLLC
983 mi
Primary Care
4115 E LANCASTER AVE
Fort Worth, TX 76103
  • Reassigned Medicare billing, Texas enrollment
  • 175 clinicians in this Medicare group
NPI 1497387419 (312) 733-9730
Acclaim Physician Group, Inc
987 mi
Internal Medicine
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 985 clinicians in this Medicare group
NPI 1780076562 (817) 702-6770

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 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 enrollment system.

Which organizations bill Medicare for Kathryn Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Simon reassigns Medicare benefits to 4 organizations: Optumcare Florida LLC (Tampa, FL), Wellmed Medical Group, P.A. (Corpus Christi, TX), Oak Street Health Of Texas, PLLC (Fort Worth, TX) and Acclaim Physician Group, Inc (Fort Worth, TX). 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 Kathryn Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Simon accept?

Health plans from Antidote Health of TX, AvMed and 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 50 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.