DR. JESSICA SIMON MD
NPI 1447645908
Colon & Rectal Surgery in New York, NY

Active since April 01, 2015PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
530 1ST AVE STE 7V, NEW YORK, NY 10016(646) 501-8670(646) 501-9995 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jessica Simon Md NPPES

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

DR. JESSICA SIMON MD (NPI 1447645908) is an individual colon & rectal surgery provider in New York, New York, licensed in New York (305024) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of University Of Vermont College Of Medicine (2015).

NPPES Registry Identity

NPI1447645908
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameDR. JESSICA SIMONCredential: MD
Location Address530 1ST AVE STE 7VNew York, NY 10016-6402
Mailing Address530 1st Ave Ste 7vNew York, NY 10016-6402 · (646) 501-8670 · Fax (646) 501-9995
Fax(646) 501-9995
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2015
Enumeration DateApril 1, 2015
Last NPPES UpdateOctober 13, 2022
NPPES CertifiedOctober 13, 2022
NPI 1447645908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in NY · 305024
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
530 1ST AVE STE 7V, New York, NY 10016

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. Jessica 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 ID1759707185
PECOS Enrollment IDI20220811002356
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 5

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services16 patients
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.
21 services14 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.
18 services18 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.
14 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Colon & Rectal Surgery
530 1ST AVE STE 7V
NEW YORK, NY 10016
Colon & Rectal Surgery
530 1ST AVE STE 7V
NEW YORK, NY 10016
Surgery
530 1ST AVE STE 7V
NEW YORK, NY 10016
Colon & Rectal Surgery
530 1ST AVE STE 7V
NEW YORK, NY 10016
Physician Assistant
530 1ST AVE STE 7V
NEW YORK, NY 10016

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 Jessica Simon's NPI number?

The NPI number for Jessica Simon is 1447645908. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Jessica Simon located?

Jessica Simon practices at 530 1st Ave Ste 7V, New York, NY 10016. The listed phone number is (646) 501-8670.

What is Jessica Simon's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Jessica Simon enrolled in Medicare?

Yes. Jessica 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 Jessica Simon affiliated with any hospitals?

According to CMS data, Jessica Simon is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Jessica Simon was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.