KARL ANTHONY SIMON P.A.
NPI 1356671630
Physician Assistant in Dalhart, TX

Active since January 08, 2010PECOS EnrolledAccepts Medicare Assignment
1411 DENVER AVE, DALHART, TX 79022(806) 244-9267 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karl Anthony Simon P.a. NPPES

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

KARL ANTHONY SIMON P.A. (NPI 1356671630) is an individual physician assistant in Dalhart, Texas, licensed in Texas (PA06580) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1356671630
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKARL ANTHONY SIMONCredential: P.A.
Location Address1411 DENVER AVEDalhart, TX 79022-4809
Mailing Address7415 Broken Oak LaneSugar Land, TX 77479 · (832) 265-7883
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 8, 2010
Last NPPES UpdateJuly 30, 2021
NPPES CertifiedJuly 30, 2021
NPI 1356671630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in TX · PA06580 Licensed in TX · 1088804
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1411 DENVER AVE, Dalhart, TX 79022

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

Karl Anthony Simon P.a. 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 ID9335263664
PECOS Enrollment IDI20100824000391
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 12

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
233 services24 patients
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.
190 services167 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
122 services59 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
72 services61 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
61 services59 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.
60 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79022 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 20

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

Internal Medicine
1411 DENVER AVE
DALHART, TX 79022
Dietitian, Registered
1411 DENVER AVE
DALHART, TX 79022
Emergency Medicine
1411 DENVER AVE
DALHART, TX 79022
Occupational Therapy Assistant
1411 DENVER AVE
DALHART, TX 79022
General Acute Care Hospital (Critical Access)
1411 DENVER AVE
DALHART, TX 79022
Physical Medicine & Rehabilitation
1411 DENVER AVE
DALHART, TX 79022
Physical Therapy Assistant
1411 DENVER AVE
DALHART, TX 79022
Occupational Therapist
1411 DENVER AVE
DALHART, TX 79022

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 Karl Simon's NPI number?

The NPI number for Karl Simon is 1356671630. It was assigned to this individual provider in the NPPES registry on January 8, 2010.

Where is Karl Simon located?

Karl Simon practices at 1411 Denver Ave, Dalhart, TX 79022. The listed phone number is (806) 244-9267.

What is Karl Simon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Karl Simon enrolled in Medicare?

Yes. Karl 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 Karl Simon accept?

Health plans from Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Karl 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 Karl Simon was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.