DR. JAMES F SIMON M.D.
NPI 1346231180
Internal Medicine - Nephrology in Cleveland, OH

Q: What is James Simon's NPI number?

The NPI number for James Simon is 1346231180. It was assigned to this individual provider in the NPPES registry on November 1, 2005.

Q: What is James Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for James Simon was last updated on August 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 November 01, 2005PECOS EnrolledAccepts Medicare Assignment

9500 EUCLID AVE # Q7, CLEVELAND, OH 44195(216) 445-6771 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. James F Simon M.d. NPPES

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

DR. JAMES F SIMON M.D. (NPI 1346231180) is an individual nephrology provider in Cleveland, Ohio, licensed in Ohio (35089531) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Medina Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1998).

NPPES Registry Identity

NPI1346231180

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. JAMES F SIMONCredential: M.D.

Location Address9500 EUCLID AVE # Q7Cleveland, OH 44195-0001

Mailing Address9500 Euclid Ave # Q7Cleveland, OH 44195-0001

Phone(216) 445-6771

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1998

Enumeration DateNovember 1, 2005

Last NPPES UpdateAugust 17, 2016

✔ NPI 1346231180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in OH · 35089531

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

9500 EUCLID AVE # Q7, Cleveland, OH 44195

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Corporation of Ohio.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. James F 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 ID7719085265

PECOS Enrollment IDI20070606000334

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 5

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 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.

69 services54 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

49 services37 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

17 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Medina Hospital

Acute Care Hospitals · Medina, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360091

Location1000 East Washington StreetMedina, OH 44256 · Medina County

Emergency services

Ashtabula County Medical Center

Acute Care Hospitals · Ashtabula, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360125

Location2420 Lake AvenueAshtabula, OH 44004 · Ashtabula County

Emergency services

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360230

Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County

Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360364

Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44195 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 8

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

LAURA FERREIRA PROVENZANO MD

Internal Medicine (Nephrology)