THERESA SOLA SIMON MD
NPI 1356423016
Internal Medicine in Point Pleasant, WV

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment
2520 VALLEY DRIVE, POINT PLEASANT, WV 25550(304) 675-4500(304) 674-4019 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theresa Sola Simon Md NPPES

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

THERESA SOLA SIMON MD (NPI 1356423016) is an individual internal medicine provider in Point Pleasant, West Virginia, licensed in Ohio (35-086077) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1356423016
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTHERESA SOLA SIMONCredential: MD
Location Address2520 VALLEY DRIVEPoint Pleasant, WV 25550
Mailing Address2520 Valley DrivePoint Pleasant, WV 25550 · (304) 675-4340 · Fax (304) 675-6911
Fax(304) 674-4019
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateOctober 20, 2006
Last NPPES UpdateMay 21, 2021
NPPES CertifiedMay 21, 2021
NPI 1356423016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in OH · 35-086077 Licensed in WV · 22919
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2520 VALLEY DRIVE, Point Pleasant, WV 25550

Other Names 1

Former Name (1)Dr. Ma.theresa R. Sola Md

Other Identifiers 2

Medicaid2708976OH
Medicaid3810009604WV

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

Theresa Sola Simon Md 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 ID8022025691
PECOS Enrollment IDI20090406000016
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.

Hospital Affiliations CMS Care Compare 2

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

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360054
Location100 Jackson PikeGallipolis, OH 45631 · Gallia County
Emergency services Birthing friendly

Rivers Health

Acute Care Hospitals · Point Pleasant, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510012
Location2520 Valley DrivePoint Pleasant, WV 25550 · Mason County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25550 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers33 claims86 services$6.25 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
1 supplier12 claims12 services$10.73 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$21.15 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$103.27 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$207.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
2520 VALLEY DRIVE, SUITE 212
POINT PLEASANT, WV 25550
Speech-Language Pathologist
2520 VALLEY DRIVE
POINT PLEASANT, WV 25550
Clinic/Center (Medical Specialty)
2520 VALLEY DRIVE, SUITE 016
POINT PLEASANT, WV 25550
Obstetrics & Gynecology
2520 VALLEY DRIVE, SUITE 215
PT PLEASANT, WV 25550
Internal Medicine (Cardiovascular Disease)
2520 VALLEY DRIVE
POINT PLEASANT, WV 25550
Psychiatry & Neurology (Neurology)
2520 VALLEY DRIVE, SUIRE G12
POINT PLEASANT, WV 25550

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 Theresa Simon's NPI number?

The NPI number for Theresa Simon is 1356423016. It was assigned to this individual provider in the NPPES registry on October 20, 2006. The provider is also known as Dr. Ma.Theresa R. Sola MD.

Where is Theresa Simon located?

Theresa Simon practices at 2520 Valley Drive, Point Pleasant, WV 25550. The listed phone number is (304) 675-4500.

What is Theresa Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theresa Simon enrolled in Medicare?

Yes. Theresa 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 Theresa Simon accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Theresa 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.

Is Theresa Simon affiliated with any hospitals?

According to CMS data, Theresa Simon is affiliated with Holzer Medical Center and Rivers Health.

When was this NPI record last updated?

The NPPES record for Theresa Simon was last updated on May 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.