DR. KATHRYN MARY SIMON M.D.
NPI 1316962038
Family Medicine in Longview, TX

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1207A E MARSHALL AVE, LONGVIEW, TX 75601(903) 907-7003 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 18, 2024, Oct 13, 2021, Jun 18, 2018 (3 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 Longview, Texas, licensed in Texas (G7884) 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 Address1207A E MARSHALL AVELongview, TX 75601-5604
Mailing AddressPo Box 746079Atlanta, GA 30374-6079
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1982
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 18, 20243 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
NPI 1316962038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License 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.

1207A E MARSHALL AVE, Longview, TX 75601

Secondary Practice Locations 3

Location 1801 Wellness Way Ste 200Sebastian, FL 32958-3783 · Phone (772) 581-5781 · Fax (772) 581-5781
Location 23201 Student Affairs & Administration BuildingSanta Barbara, CA 93106-0001 · Phone (805) 893-5361 · Fax (805) 893-2758
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

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 2024 & 2026 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 75601 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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
Quality75.75
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Physician Assistant (Medical)
1207A E MARSHALL AVE
LONGVIEW, TX 75601
Nurse Practitioner (Family)
1207A E MARSHALL AVE
LONGVIEW, TX 75601
Internal Medicine
1207A E MARSHALL AVE
LONGVIEW, TX 75601
Internal Medicine
1207A E MARSHALL AVE
LONGVIEW, TX 75601
Nurse Practitioner (Family)
1207A E MARSHALL AVE
LONGVIEW, TX 75601
Nurse Practitioner (Primary Care)
1207A E MARSHALL AVE
LONGVIEW, TX 75601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316962038, enumerated as an "individual" on July 13, 2006.

The provider is located at 1207A E MARSHALL AVE LONGVIEW, TX 75601 and the phone number is (903) 907-7003.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Blue Cross. Please consult your insurance carrier or call the provider to verify.