PAUL J SIMON D.O.
NPI 1417908468
Pathology - Anatomic Pathology & Clinical Pathology in Toms River, NJ

Q: What is Paul Simon's NPI number?

The NPI number for Paul Simon is 1417908468. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Q: What is Paul Simon's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Paul Simon was last updated on August 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment

95.3/100

CMS Quality Rating

99 HIGHWAY 37, TOMS RIVER, NJ 08755(732) 557-8000 Get Directions Write a Review

NPPES record last updated: August 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Paul J Simon D.o. NPPES

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

PAUL J SIMON D.O. (NPI 1417908468) is an individual anatomic pathology & clinical pathology provider in Toms River, New Jersey, licensed in New Jersey (MB048321) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Centrastate Medical Center, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1982).

NPPES Registry Identity

NPI1417908468

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NamePAUL J SIMONCredential: D.O.

Location Address99 HIGHWAY 37Toms River, NJ 08755-6423

Mailing AddressPo Box 1247Toms River, NJ 08754-1247 · (732) 349-3838 · Fax (732) 349-2233

Phone(732) 557-8000

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1982

Enumeration DateMay 15, 2006

Last NPPES UpdateAugust 13, 2010

✔ NPI 1417908468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in NJ · MB048321

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

99 HIGHWAY 37, Toms River, NJ 08755

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Other Identifiers 7

Medicare ID-Type Unspecified703677NJ

Other5126401Amgp

Medicaid5126401NJ

Medicare UPINF10413

Other220018740Rrm

Other1130329Mhp

Other0539253000Amerihealth

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

Paul J Simon D.o. 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 ID7012935976

PECOS Enrollment IDI20051109000411

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 19

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

720 services376 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

212 services57 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

179 services120 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

156 services123 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

153 services142 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

105 services34 patients

Pathology clinical consultation for clinical problem, 5-20 minutes 80503

A pathology clinical consultation is a brief meeting with a medical expert to discuss health concerns. The consultation, lasting between 5-20 minutes, involves reviewing your medical history and possibly conducting tests to diagnose or understand your health condition better.

101 services75 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

96 services85 patients

Protein measurement, serum 84165

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

93 services83 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

82 services69 patients

Immunologic analysis technique on serum (immunofixation) 86334

Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.

79 services72 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

72 services65 patients

Protein measurement, body fluid 84166

A protein measurement of body fluid is a test that gauges the amount of proteins in your fluids. This analysis helps in detecting various health conditions. It's done via a simple sample collection process, usually from blood or urine, in a safe and painless manner.

64 services48 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

63 services46 patients

Screening test for antibody to noninfectious agent 86255

A screening test for antibodies to noninfectious agents is a medical procedure that checks your body's response to substances that are not infectious. It involves taking a blood sample to identify specific antibodies, which are proteins your body produces when it detects harmful elements.

40 services22 patients

Measurement of antibody to noninfectious agent 86256

The measurement of antibody to noninfectious agent is a test that checks your body's immune response to a non-disease causing substance. This could be anything from a food allergen to a medication. It helps doctors understand how your immune system reacts to these substances.

33 services22 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

33 services23 patients

Crystal identification from tissue or body fluid 89060

Crystal identification from tissue or body fluid is a medical test that helps identify the presence of certain substances in the body. It involves analyzing samples from your body to detect crystals that may indicate health conditions like gout or kidney stones.

28 services21 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

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 08755 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

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

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.

95.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

96.47

Promoting Interoperability

Improvement Activities

Cost

82.55

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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.

JULIE SPINNER PA-C

Physician Assistant (Medical)