DR. GERALD SIMON O.D.
NPI 1386654739
Optometrist in Trussville, AL

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
3240 EDWARDS LAKE PKWY STE 100, TRUSSVILLE, AL 35235(833) 733-8742(205) 634-5640 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gerald Simon O.d. NPPES

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

DR. GERALD SIMON O.D. (NPI 1386654739) is an individual optometrist in Trussville, Alabama, licensed in Alabama (S-592-TA-197) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of University Alabama Birmingham - School Of Optometry (1985).

NPPES Registry Identity

NPI1386654739
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. GERALD SIMONCredential: O.D.
Location Address3240 EDWARDS LAKE PKWY STE 100Trussville, AL 35235-3128
Mailing AddressPo Box 59449Birmingham, AL 35259-9449 · (833) 733-8742 · Fax (205) 634-5640
Fax(205) 634-5640
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 1985
Enumeration DateAugust 8, 2006
Last NPPES UpdateApril 15, 2026
NPPES CertifiedApril 15, 2026
NPI 1386654739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in AL · S-592-TA-197
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3240 EDWARDS LAKE PKWY STE 100, Trussville, AL 35235

Secondary Practice Location 1

Location 11716 University Boulevard, HPB G080ABirmingham, AL 35294-0010 · Phone (205) 975-2020 · Fax (205) 934-6755

Other Identifiers 5

Other59904AL · Bcbs
Medicaid008600476AL
Medicaid009945450AL
OtherT69064AL · Bcbs
Other25841AL · Bcbs

Accepted 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

Dr. Gerald Simon O.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 ID8921291683
PECOS Enrollment IDI20101026000903
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 4

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
29 services28 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
25 services23 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
18 services18 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35235 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Optometrist
3240 EDWARDS LAKE PKWY STE 100
TRUSSVILLE, AL 35235
Optometrist
3240 EDWARDS LAKE PKWY STE 100
TRUSSVILLE, AL 35235
Optometrist
3240 EDWARDS LAKE PKWY STE 100
BIRMINGHAM, AL 35235
Ophthalmology
3240 EDWARDS LAKE PKWY STE 100
BIRMINGHAM, AL 35235

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 Gerald Simon's NPI number?

The NPI number for Gerald Simon is 1386654739. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Gerald Simon located?

Gerald Simon practices at 3240 Edwards Lake Pkwy Ste 100, Trussville, AL 35235. The listed phone number is (833) 733-8742.

What is Gerald Simon's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Gerald Simon enrolled in Medicare?

Yes. Gerald 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 Gerald Simon accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 6 other insurers list Gerald 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 Gerald Simon was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.