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DR. GLEN W. SIMONS M.D.
NPI 1386641470
Surgery in Lexington, KY

Active since July 05, 2005PECOS EnrolledAccepts Medicare Assignment
3080 HARRODSBURG RD STE 200, LEXINGTON, KY 40503(859) 455-8346(859) 455-8866 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Glen W. Simons M.d. NPPES

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

DR. GLEN W. SIMONS M.D. (NPI 1386641470) is an individual surgery provider in Lexington, Kentucky, licensed in Kentucky (36709) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (1983).

NPPES Registry Identity

NPI1386641470
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. GLEN W. SIMONSCredential: M.D.
Location Address3080 HARRODSBURG RD STE 200Lexington, KY 40503-2787
Mailing Address3080 Harrodsburg Rd Ste 200Lexington, KY 40503-2787 · (859) 455-8346 · Fax (859) 455-8866
Phone(859) 455-8346
Fax(859) 455-8866
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1983
Enumeration DateJuly 5, 2005
Last NPPES UpdateJune 6, 2019
✔ NPI 1386641470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · 36709
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3080 HARRODSBURG RD STE 200, Lexington, KY 40503
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Other Identifiers 1

Medicaid64039829KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.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

Dr. Glen W. Simons M.d. 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 ID4082674080
PECOS Enrollment IDI20041014000170
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Glen Simons reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Glen W. Simons, M.D., P.S.C.
Same address
Surgery
3080 HARRODSBURG ROAD, SUITE 200
Lexington, KY 40503
  • Reassigned Medicare billing, Kentucky enrollment
NPI 1003033705 (859) 455-8346
Emergency Medicine Physicians Of Estill County,pllc
38 mi
Emergency Medicine
60 MERCY CT
Irvine, KY 40336
  • Reassigned Medicare billing, Kentucky enrollment
  • 54 clinicians in this Medicare group
NPI 1407235666 (330) 493-4443
Southeastern Emergency Physicians LLC
59 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 828 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311

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.

Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
22 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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 Glen Simons's NPI number?

The NPI number for Glen Simons is 1386641470. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is Glen Simons located?

Glen Simons practices at 3080 Harrodsburg Rd Ste 200, Lexington, KY 40503. The listed phone number is (859) 455-8346.

What is Glen Simons's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Glen Simons enrolled in Medicare?

Yes. Glen 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 organizations bill Medicare for Glen Simons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glen Simons reassigns Medicare benefits to 3 organizations: Glen W. Simons, M.D., P.S.C. (Lexington, KY), Emergency Medicine Physicians Of Estill County,pllc (Irvine, KY) and Southeastern Emergency Physicians LLC (Maysville, KY). Each 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 Glen Simons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Glen Simons accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Glen 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.

When was this NPI record last updated?

The NPPES record for Glen Simons was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.