FRANK TOLIS SIMON MD
NPI 1407852221
Internal Medicine in Louisville, KY

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
2215 PORTLAND AVE, LOUISVILLE, KY 40212(502) 774-8631(502) 776-8912 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Frank Tolis Simon Md NPPES

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

FRANK TOLIS SIMON MD (NPI 1407852221) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (34409) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Kentucky College Of Medicine (1991).

NPPES Registry Identity

NPI1407852221
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameFRANK TOLIS SIMONCredential: MD
Location Address2215 PORTLAND AVELouisville, KY 40212-1033
Mailing AddressPo Box 950244Louisville, KY 40295-0244 · (502) 953-4700 · Fax (502) 776-8912
Fax(502) 776-8912
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1991
Enumeration DateJune 27, 2005
Last NPPES UpdateApril 21, 2021
NPPES CertifiedApril 21, 2021
NPI 1407852221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 34409
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 34409 (KY)
2215 PORTLAND AVE, Louisville, KY 40212

Other Names 1

Other Name (5)Tolis Simon Md

Other Identifiers 2

Other000000202123KY · Anthem
Medicaid64344096KY

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

Frank Tolis Simon 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 ID9739249590
PECOS Enrollment IDI20081124000426
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 14

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,728 services36 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
464 services15 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
462 services22 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
237 services161 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
152 services109 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
44 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40212 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
3 suppliers14 claims59 services$18.28 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers22 claims50 services$1.05 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier13 claims26 services$1.01 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
3 suppliers12 claims12 services$11.50 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers24 claims25 services$13.51 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers42 claims42 services$3.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Family Medicine
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Internal Medicine
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Family Medicine
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Family Medicine
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Nurse Practitioner (Psychiatric/Mental Health)
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Nurse Practitioner
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Family Medicine
2215 PORTLAND AVE
LOUISVILLE, KY 40212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407852221, enumerated as an "individual" on June 27, 2005.

The provider is located at 2215 PORTLAND AVE LOUISVILLE, KY 40212 and the phone number is (502) 774-8631.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Frank Simon is affiliated with: NORTON HOSPITALS, INC, BAPTIST HEALTH LOUISVILLE and BAPTIST HEALTH LAGRANGE.