JAMES SIMONS MD
NPI 1366064784
Family Medicine in Carbondale, PA
About James Simons Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES SIMONS MD (NPI 1366064784) is an individual family medicine provider in Carbondale, Pennsylvania, licensed in Pennsylvania (MD482613) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and maintains a secondary practice location in Scranton.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
James Simons 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.
Medicare Billing Reassignment
Medicare enrollment records show James Simons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carbondale, PA 18407
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger-Community Medical Center
Acute Care Hospitals · Scranton, PAWayne Memorial Hospital
Acute Care Hospitals · Honesdale, PALehigh Valley Hospital - Dickson City
Acute Care Hospitals · Dickson City, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CARBONDALE, PA 18407
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 James Simons's NPI number?
The NPI number for James Simons is 1366064784. It was assigned to this individual provider in the NPPES registry on May 7, 2020.
Where is James Simons located?
James Simons practices at 267 Brooklyn St, Carbondale, PA 18407. The listed phone number is (570) 281-6670.
What is James Simons's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is James Simons enrolled in Medicare?
Yes. James Simons 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.
Which organization bills Medicare for James Simons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Simons reassigns Medicare benefits to Lehigh Valley Physician Group (Carbondale, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Simons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Simons accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James Simons 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 James Simons affiliated with any hospitals?
According to CMS data, James Simons is affiliated with Geisinger-Community Medical Center, Wayne Memorial Hospital and Lehigh Valley Hospital - Dickson City.
When was this NPI record last updated?
The NPPES record for James Simons was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# James Simons, MD · NPI 1366064784
Family Medicine physician in Carbondale, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 7, 2020.
## Identity
- **NPI:** 1366064784 (Entity type: Individual)
- **Enumerated:** May 7, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD482613 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 267 BROOKLYN ST, Carbondale, PA 18407-2836
- **Phone:** (570) 281-6670
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lehigh Valley Physician Group (NPI 1336853654, Carbondale, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366064784) · Data from the CMS NPPES public registry.