DR. BLAIR TIBURCIO SIMEON DMD
NPI 1417487984
Dentist - General Practice in Jacksonville, FL

Active since June 15, 2017PECOS Enrolled
8440 BLANDING BLVD, JACKSONVILLE, FL 32244(904) 525-8041 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 16, 2017 (2 updates tracked since 2017).

About Dr. Blair Tiburcio Simeon Dmd NPPES

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

DR. BLAIR TIBURCIO SIMEON DMD (NPI 1417487984) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN22742) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417487984
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BLAIR TIBURCIO SIMEONCredential: DMD
Location Address8440 BLANDING BLVDJacksonville, FL 32244-5725
Mailing Address8049 Macinnes Dr EJacksonville, FL 32244-5579 · (808) 389-6550
Sole ProprietorNo
Enumeration DateJune 15, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1417487984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN22742
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

8440 BLANDING BLVD, Jacksonville, FL 32244

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 (PECOS)

Dr. Blair Tiburcio Simeon Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32244 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 6

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

Dentist (General Practice)
8440 BLANDING BLVD
JACKSONVILLE, FL 32244
Dentist
8440 BLANDING BLVD
JACKSONVILLE, FL 32244
Dentist
8440 BLANDING BLVD
JACKSONVILLE, FL 32244
Dentist
8440 BLANDING BLVD
JACKSONVILLE, FL 32244
Dentist
8440 BLANDING BLVD
JACKSONVILLE, FL 32244
Dentist (General Practice)
8440 BLANDING BLVD
JACKSONVILLE, FL 32244

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 Blair Simeon's NPI number?

The NPI number for Blair Simeon is 1417487984. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Blair Simeon located?

Blair Simeon practices at 8440 Blanding Blvd, Jacksonville, FL 32244. The listed phone number is (904) 525-8041.

What is Blair Simeon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Blair Simeon enrolled in Medicare?

Yes. Blair Simeon is registered in the Medicare PECOS enrollment system.

What insurance does Blair Simeon accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 13 other insurers list Blair Simeon 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 Blair Simeon was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.