DR. HELEN SIMIGIANNIS MD
NPI 1366497265
Obstetrics & Gynecology in East Windsor, NJ

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
375 ROUTE 130, SUITE 103, EAST WINDSOR, NJ 08520(609) 448-7800(609) 448-7880 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Helen Simigiannis Md NPPES

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

DR. HELEN SIMIGIANNIS MD (NPI 1366497265) is an individual obstetrics & gynecology provider in East Windsor, New Jersey, licensed in New Jersey (25MA07688900) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1366497265
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. HELEN SIMIGIANNISCredential: MD
Location Address375 ROUTE 130, SUITE 103East Windsor, NJ 08520-2700
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300
Fax(609) 448-7880
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 23, 2006
Last NPPES UpdateMay 24, 2023
NPPES CertifiedMay 24, 2023
NPI 1366497265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NJ · 25MA07688900
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License MA07688900 (NJ)
375 ROUTE 130, East Windsor, NJ 08520

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

Dr. Helen Simigiannis 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 ID446255707
PECOS Enrollment IDI20060921000078
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
262 services262 patients
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.
243 services158 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
39 services39 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.
36 services35 patients
Detection test by nucleic acid for human papillomavirus (hpv), high-risk types 87624
This test detects high-risk types of HPV, a common virus. It's done by analyzing a small sample of cells for the presence of HPV DNA. The aim is to identify any high-risk types early, as they may increase the risk of certain health issues.
21 services21 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
20 services19 patients

Hospital Affiliations CMS Care Compare 4

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08520 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
67%1,425 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
91%3,533 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
11%1,541 patients1/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%5,777 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
92%734 patients5/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%1,514 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
32%5,430 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
42%5,106 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 4,156 patients
Patients tobacco: 4% · 112 patients
94%4,156 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%5,430 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
76%5,430 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
75%5,430 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

Obstetrics & Gynecology (Gynecology)
375 ROUTE 130, SUITE 103
EAST WINDSOR, NJ 08520
Internal Medicine
375 ROUTE 130
EAST WINDSOR, NJ 08520

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 Helen Simigiannis's NPI number?

The NPI number for Helen Simigiannis is 1366497265. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Helen Simigiannis located?

Helen Simigiannis practices at 375 Route 130 Suite 103, East Windsor, NJ 08520. The listed phone number is (609) 448-7800.

What is Helen Simigiannis's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Helen Simigiannis enrolled in Medicare?

Yes. Helen Simigiannis 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 Helen Simigiannis affiliated with any hospitals?

According to CMS data, Helen Simigiannis is affiliated with University Medical Center Of Princeton At Plainsboro, Riverview Medical Center, Robert Wood Johnson University Hospital At Hamilton and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Helen Simigiannis was last updated on May 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.