1. Home
  2. Directory
  3. Utah
  4. Holladay
  5. Podiatrist
  6. NPI Profile

THOMAS BULLOCK SIMON DPM
NPI 1356832398
Podiatrist in Holladay, UT

Active since May 25, 2018PECOS EnrolledAccepts Medicare Assignment
6405 S 3000 E STE 300, HOLLADAY, UT 84121(801) 266-3113(801) 931-2166 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2024, Apr 18, 2022, Jul 26, 2021 and 1 more (4 updates tracked since 2018).

About Thomas Bullock Simon Dpm NPPES

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

THOMAS BULLOCK SIMON DPM (NPI 1356832398) is an individual podiatrist in Holladay, Utah, licensed in Utah (12286299-0501) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Kent State University College Of Podiatric Medicine (2018).

NPPES Registry Identity

NPI1356832398
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameTHOMAS BULLOCK SIMONCredential: DPM
Location Address6405 S 3000 E STE 300Holladay, UT 84121-6977
Mailing Address6405 S 3000 E Ste 300Holladay, UT 84121-6977 · (801) 266-3113 · Fax (801) 931-2166
Phone(801) 266-3113
Fax(801) 931-2166
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2018
Enumeration DateMay 25, 2018
Last NPPES UpdateFebruary 5, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1356832398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in UT · 12286299-0501✔ Licensed in TX · T17-2018
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 12286299-0501 (UT)
6405 S 3000 E STE 300, Holladay, UT 84121
Open in Google Maps ↗

Secondary Practice Locations 3

Location 16405 S 3000 E Ste 201Salt Lake City, UT 84121-6990 · Phone (801) 266-3113
Location 212121 Richmond Ave Ste 417Houston, TX 77082-2439 · Phone (281) 597-1630 · Fax (281) 531-9600
Location 3836 S Angel St Ste 102Layton, UT 84041-3687 · Phone (801) 544-6400 · Fax (801) 823-6595

Other Identifiers 1

Medicaid4071953UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.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

Thomas Bullock Simon Dpm 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 ID3274936299
PECOS Enrollment IDI20210728000632
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 10

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
222 services93 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
160 services56 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
152 services17 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
147 services60 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
59 services26 patients
Removal of noncancer thickened skin growth, more than 4 growths 11057
This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.
57 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84121 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 4

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

DR. NIESHA R NELSON NP-C
Nurse Practitioner (Family)
6405 S 3000 E STE 300
SALT LAKE CITY, UT 84121
Salt Lake County (801) 266-3113
JOHN SCOTT ZINGELMAN NP-C
Nurse Practitioner (Family)
6405 S 3000 E STE 300
SALT LAKE CITY, UT 84121
Salt Lake County (801) 266-3113
INNOVATION MEDICAL GROUP PC
Podiatrist
6405 S 3000 E STE 300
SALT LAKE CITY, UT 84121
Salt Lake County (801) 266-3113
DR. TAYLOR G WRIGHT D.P.M.
Podiatrist (Foot & Ankle Surgery)
6405 S 3000 E STE 300
SALT LAKE CITY, UT 84121
Salt Lake County (801) 266-3113

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 Thomas Simon's NPI number?

The NPI number for Thomas Simon is 1356832398. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Where is Thomas Simon located?

Thomas Simon practices at 6405 S 3000 E Ste 300, Holladay, UT 84121. The listed phone number is (801) 266-3113.

What is Thomas Simon's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Thomas Simon enrolled in Medicare?

Yes. Thomas 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 Thomas Simon accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Thomas 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 Thomas Simon was last updated on February 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.