JAMES SIMONS MD
NPI 1366064784
Family Medicine in Carbondale, PA

Active since May 07, 2020PECOS EnrolledAccepts Medicare Assignment
267 BROOKLYN ST, CARBONDALE, PA 18407(570) 281-6670 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, May 7, 2020 (2 updates tracked since 2020).

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

NPI1366064784
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES SIMONSCredential: MD
Location Address267 BROOKLYN STCarbondale, PA 18407-2836
Mailing Address501 S Washington AveScranton, PA 18505-3814 · (570) 343-2383
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 7, 2020
Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
NPI 1366064784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD482613
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
267 BROOKLYN ST, Carbondale, PA 18407

Secondary Practice Location 1

Location 1501 S Washington AveScranton, PA 18505-3814 · Phone (570) 343-2383

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

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.

PECOS PAC ID2961828579
PECOS Enrollment IDI20240927002933
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

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.
38 services30 patients

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, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390125
Location601 Park StreetHonesdale, PA 18431 · Wayne County
Emergency services Birthing friendly

Lehigh Valley Hospital - Dickson City

Acute Care Hospitals · Dickson City, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390338
Location330 Main StreetDickson City, PA 18519 · Lackawanna County
Emergency services

Physician 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.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 6

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

Family Medicine
267 BROOKLYN ST
CARBONDALE, PA 18407
Clinic/Center (Urgent Care)
267 BROOKLYN ST, SUITE B
CARBONDALE, PA 18407
Internal Medicine
267 BROOKLYN ST
CARBONDALE, PA 18407
Chiropractor
267 BROOKLYN ST, SUITE A
CARBONDALE, PA 18407
Chiropractor
267 BROOKLYN ST
CARBONDALE, PA 18407
Family Medicine
267 BROOKLYN ST, STE B
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.

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 22 months 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.