DR. HEROLD SIMON
NPI 1427034974
Internal Medicine in Brooklyn, NY

Q: What is Herold Simon's NPI number?

The NPI number for Herold Simon is 1427034974. It was assigned to this individual provider in the NPPES registry on December 16, 2005. The provider is also known as Herold Simon MD.

Q: What is Herold Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Herold Simon was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since December 16, 2005PECOS EnrolledAccepts Medicare Assignment

93.49/100

CMS Quality Rating

672 UTICA AVE, BROOKLYN, NY 11203(718) 940-0400(718) 940-8327 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Herold Simon NPPES

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

DR. HEROLD SIMON (NPI 1427034974) is an individual internal medicine provider in Brooklyn, New York, licensed in New York (175968) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Brooklyn Hospital Center - Downtown Campus, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1427034974

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. HEROLD SIMON

Location Address672 UTICA AVEBrooklyn, NY 11203-2210

Mailing Address328 Arkansas DrValley Stream, NY 11580-1804 · (516) 561-3040 · Fax (718) 240-0564

Phone(718) 940-0400

Fax(718) 940-8327

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateDecember 16, 2005

Last NPPES UpdateOctober 22, 2024

NPPES CertifiedOctober 22, 2024

✔ NPI 1427034974 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 NY · 175968

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 ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 175968 (NY)

672 UTICA AVE, Brooklyn, NY 11203

Open in Google Maps ↗

Other Names 1

Professional Name (2)Herold Simon Md

Other Identifiers 1

Medicaid01191588NY

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. Herold Simon 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 ID42409278

PECOS Enrollment IDI20110104000811

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 8

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

410 services110 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

342 services120 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

224 services109 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

77 services77 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

58 services39 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

25 services24 patients

Hospital Affiliations CMS Care Compare

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

Brooklyn Hospital Center - Downtown Campus

Acute Care Hospitals · Brooklyn, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330056

Location121 Dekalb AvenueBrooklyn, NY 11201 · Kings County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

93.49/100

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

Scored through an Alternative Payment Model

Quality

72.62

Promoting Interoperability

90.58

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

70%101 patients4/55-star benchmark: 93%

Cervical Cancer Screening

49%97 patients3/55-star benchmark: 98%

Colorectal Cancer Screening

51%198 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

40%126 patients2/55-star benchmark: 91%

Diabetes: Eye Exam

45%56 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

34%56 patients3/55-star benchmark: 91%

HIV Screening

32%198 patients3/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

17%793 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

39%721 patients2/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

4%3,433 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 95% · 268 patients

92%268 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 28

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier31 claims31 services$23.52 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier28 claims28 services$9.34 avg. paid by Medicare

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each A4417

DME-Orthotic Devices · category DF010N

1 supplier13 claims660 services$3.61 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier51 claims376 services$4.36 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

1 supplier46 claims5,437 services$0.57 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

1 supplier24 claims24 services$52.29 avg. paid by Medicare

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

4 suppliers33 claims33 services$38.30 avg. paid by Medicare

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

2 suppliers24 claims24 services$6.99 avg. paid by Medicare

Seat attachment, walker E0156

DME-Other DME · category DE000N

3 suppliers27 claims27 services$14.70 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

4 suppliers26 claims26 services$43.08 avg. paid by Medicare

Gel or gel-like pressure pad for mattress, standard mattress length and width E0185

DME-Other DME · category DE000N

2 suppliers14 claims14 services$145.52 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers18 claims18 services$45.86 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

1 supplier72 claims72 services$42.45 avg. paid by Medicare

Mattress, innerspring E0271

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$87.70 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

4 suppliers37 claims37 services$14.13 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

2 suppliers45 claims45 services$39.72 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

1 supplier31 claims31 services$4.55 avg. paid by Medicare

Manual wheelchair accessory, wheel lock brake extension (handle), each E0961

DME-Wheelchairs · category DD021N

3 suppliers42 claims84 services$14.15 avg. paid by Medicare

Manual wheelchair accessory, anti-tipping device, each E0971

DME-Wheelchairs · category DD021N

3 suppliers43 claims84 services$23.84 avg. paid by Medicare

Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973

DME-Wheelchairs · category DD021N

2 suppliers32 claims64 services$42.76 avg. paid by Medicare

Wheelchair accessory, positioning belt/safety belt/pelvic strap, each E0978

DME-Wheelchairs · category DD021N

3 suppliers42 claims42 services$18.11 avg. paid by Medicare

Rollabout chair, any and all types with casters 5" or greater E1031

DME-Wheelchairs · category DD000N

2 suppliers16 claims16 services$23.28 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers37 claims37 services$64.62 avg. paid by Medicare

General use wheelchair seat cushion, width less than 22 inches, any depth E2601

DME-Wheelchairs · category DD021N

3 suppliers39 claims39 services$26.45 avg. paid by Medicare

General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware E2611

DME-Wheelchairs · category DD021N

3 suppliers39 claims39 services$119.42 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers273 claims273 services$13.32 avg. paid by Medicare

Heavy duty wheelchair K0006

DME-Wheelchairs · category DD000N

2 suppliers15 claims15 services$36.99 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

3 suppliers292 claims292 services$6.11 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 5

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

HEROLD SIMON MEDICAL SERVICES, PLLC

Internal Medicine (Nephrology)

672 UTICA AVE
BROOKLYN, NY 11203

Kings County (718) 940-0400

P & P MEDICAL SERVICES PLLC

Internal Medicine

672 UTICA AVE
BROOKLYN, NY 11203

Kings County (718) 221-9999

DR. RATESH KHILLAN M.D.

Internal Medicine (Hematology & Oncology)

672 UTICA AVE
BROOKLYN, NY 11203

Kings County (718) 221-9999

LIFE INFUSION PHARMACY CORP

Pharmacy (Community/Retail Pharmacy)

672 UTICA AVE
BROOKLYN, NY 11203

Kings County (718) 981-9819

BROOKLYN CANCER CARE MEDICAL PC

Internal Medicine (Hematology & Oncology)

672 UTICA AVE
BROOKLYN, NY 11203

Kings County (718) 221-9999

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 Herold Simon's NPI number?

The NPI number for Herold Simon is 1427034974. It was assigned to this individual provider in the NPPES registry on December 16, 2005. The provider is also known as Herold Simon MD.

Where is Herold Simon located?

Herold Simon practices at 672 Utica Ave, Brooklyn, NY 11203. The listed phone number is (718) 940-0400.

What is Herold Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Herold Simon enrolled in Medicare?

Yes. Herold 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.

Is Herold Simon affiliated with any hospitals?

According to CMS data, Herold Simon is affiliated with Brooklyn Hospital Center - Downtown Campus.

When was this NPI record last updated?

The NPPES record for Herold Simon was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.