SIMON JOSEPH MADORSKY M.D.
NPI 1447259981
Otolaryngology in Newport Beach, CA

Q: What is Simon Madorsky's NPI number?

The NPI number for Simon Madorsky is 1447259981. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Q: What is Simon Madorsky's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Simon Madorsky was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 July 18, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

180 NEWPORT CENTER DR, 158, NEWPORT BEACH, CA 92660(949) 719-1800(949) 719-1810 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Simon Joseph Madorsky M.d. NPPES

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

SIMON JOSEPH MADORSKY M.D. (NPI 1447259981) is an individual otolaryngology provider in Newport Beach, California, licensed in California (A50075) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1990).

NPPES Registry Identity

NPI1447259981

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameSIMON JOSEPH MADORSKYCredential: M.D.

Location Address180 NEWPORT CENTER DR, 158Newport Beach, CA 92660-6972

Mailing AddressPo Box 6765Orange, CA 92863-6765 · (714) 571-5000 · Fax (714) 571-5055

Phone(949) 719-1800

Fax(949) 719-1810

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 1990

Enumeration DateJuly 18, 2005

Last NPPES UpdateOctober 8, 2015

✔ NPI 1447259981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in CA · A50075

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License A50075 (CA)

180 NEWPORT CENTER DR, Newport Beach, CA 92660

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Other Identifiers 5

Medicaid00A500750CA

Medicare PINCB224169CA

OtherP00002596Railroad Medicare

Medicare PINWA50075BCA

OtherP01404246Railroad Medicare

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

Simon Joseph Madorsky M.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 ID7618861477

PECOS Enrollment IDI20071129000754

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.

115 services87 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004

This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.

107 services90 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

87 services87 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040

This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.

84 services71 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

78 services63 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

74 services59 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

62 services59 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

47 services47 patients

Creation of skin and tissue graft 15740

The creation of skin and tissue grafts involves taking healthy skin or tissue from one area of your body to replace damaged or missing skin or tissue in another area. This procedure helps heal wounds, burns, or areas affected by disease.

46 services45 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

45 services38 patients

Creation of flap graft to head and/or neck 15733

A flap graft to the head or neck is a surgical procedure where healthy tissue is moved from one area of your body to another. This is done to replace damaged tissue, improve blood flow, or restore function in the head or neck area.

43 services43 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

37 services27 patients

Repair of nasal passage 30465

Repair of the nasal passage is a surgical procedure aimed at correcting problems in your nose that cause difficulty in breathing or other discomforts. It can address issues like a deviated septum, nasal polyps, or chronic sinusitis. The goal is to improve your quality of life.

29 services28 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

24 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

Graft of nose cartilage 20912

A graft of nose cartilage is a surgical procedure where a piece of cartilage is taken from another part of your body and used to repair or reshape your nose. This is often done to improve breathing, correct deformities, or enhance the nose's appearance.

18 services17 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

16 services14 patients

Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less 15260

A full thickness skin graft is a procedure where a layer of skin is taken from one area of the body and transplanted to another. If it's done on the nose, ears, eyelids, or lips, it helps restore these areas when damaged. The size of the graft is 20.0 sq cm or less.

14 services14 patients

Transfer of skin flap to eyelids, nose, ears, or lips 15630

This procedure involves moving a piece of skin, called a flap, from one part of your body to your eyelids, nose, ears, or lips. It's typically done to repair areas affected by injury, disease, or surgery. The goal is to improve function and appearance.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

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.

75/100

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

Scored as part of a group practice

Other Providers at the Same Location NPPES 19

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

DR. NIRAV BABULAL SAVALIA M.D.

Plastic Surgery

180 NEWPORT CENTER DR, SUITE 170
NEWPORT BEACH, CA 92660

Orange County (949) 759-0980

DAINES PLASTIC SURGERY INC

Surgery (Plastic and Reconstructive Surgery)

180 NEWPORT CENTER DR, 158
NEWPORT BEACH, CA 92660

Orange County (949) 719-1800

GIGI KROLL MCCONNAUGHEY

Clinic/Center (Medical Specialty)

180 NEWPORT CENTER DR, 265
NEWPORT BEACH, CA 92660

Orange County (949) 706-0181

SKIN CANCER AND RECONSTRUCTIVE SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

180 NEWPORT CENTER DR, SUITE 157
NEWPORT BEACH, CA 92660

Orange County (949) 200-1600

GIGI KROLL MD, APC

Clinic/Center (Health Service)

180 NEWPORT CENTER DR, 265
NEWPORT BEACH, CA 92660

Orange County (949) 706-0181

DR. KRISTY FAYE FLEMING M.D.

Dermatology

180 NEWPORT CENTER DR, SUITE 158
NEWPORT BEACH, CA 92660

Orange County (949) 719-1800

SIMON MADORSKY M.D A MEDICAL CORPORATION

Otolaryngology (Facial Plastic Surgery)

180 NEWPORT CENTER DR, SUITE 158
NEWPORT BEACH, CA 92660

Orange County (949) 719-1800

RECONSTRUCTIVE SURGERY CENTER OF NEWPORT BEACH INC

Clinic/Center (Ambulatory Surgical)

180 NEWPORT CENTER DR, SUITE 150
NEWPORT BEACH, CA 92660

Orange County (949) 200-1600

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 Simon Madorsky's NPI number?

The NPI number for Simon Madorsky is 1447259981. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Simon Madorsky located?

Simon Madorsky practices at 180 Newport Center Dr 158, Newport Beach, CA 92660. The listed phone number is (949) 719-1800.

What is Simon Madorsky's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Simon Madorsky enrolled in Medicare?

Yes. Simon Madorsky 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.

When was this NPI record last updated?

The NPPES record for Simon Madorsky was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.