MISHEL SIMONI MD
NPI 1447836549
Family Medicine in Waverly, OH

Active since March 20, 2021PECOS EnrolledAccepts Medicare Assignment
12340 STATE ROUTE 104, WAVERLY, OH 45690(740) 941-5180 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2024, Apr 23, 2021, Mar 20, 2021 (3 updates tracked since 2021).

About Mishel Simoni Md NPPES

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

MISHEL SIMONI MD (NPI 1447836549) is an individual family medicine provider in Waverly, Ohio, licensed in Ohio (35.150639) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Adena Regional Medical Center, and maintains a secondary practice location in Chillicothe.

NPPES Registry Identity

NPI1447836549
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMISHEL SIMONICredential: MD
Location Address12340 STATE ROUTE 104Waverly, OH 45690-8968
Mailing Address12340 State Route 104Waverly, OH 45690-8968 · (740) 941-5180 · Fax (740) 941-5178
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 20, 2021
Last NPPES UpdateJune 26, 20243 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
NPI 1447836549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35.150639
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12340 STATE ROUTE 104, Waverly, OH 45690

Secondary Practice Location 1

Location 14461 State Route 159 Ste AChillicothe, OH 45601-6000 · Phone (740) 779-4900 · Fax (740) 779-4909

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 and accepts Medicare assignment

Mishel Simoni 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 ID5294135117
PECOS Enrollment IDI20240826000406
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 2

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.
52 services42 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.
37 services32 patients

Hospital Affiliations CMS Care Compare

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

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45690 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Family)
12340 STATE ROUTE 104
WAVERLY, OH 45690
Specialist/Technologist (Athletic Trainer)
12340 STATE ROUTE 104
WAVERLY, OH 45690
Registered Nurse
12340 STATE ROUTE 104
WAVERLY, OH 45690
Nurse Practitioner (Family)
12340 STATE ROUTE 104
WAVERLY, OH 45690
Family Medicine
12340 STATE ROUTE 104
WAVERLY, OH 45690
Nurse Practitioner (Family)
12340 STATE ROUTE 104
WAVERLY, OH 45690
Physical Medicine & Rehabilitation
12340 STATE ROUTE 104
WAVERLY, OH 45690
Physical Therapy Assistant
12340 STATE ROUTE 104
WAVERLY, OH 45690

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 Mishel Simoni's NPI number?

The NPI number for Mishel Simoni is 1447836549. It was assigned to this individual provider in the NPPES registry on March 20, 2021.

Where is Mishel Simoni located?

Mishel Simoni practices at 12340 State Route 104, Waverly, OH 45690. The listed phone number is (740) 941-5180.

What is Mishel Simoni's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mishel Simoni enrolled in Medicare?

Yes. Mishel Simoni 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.

What insurance does Mishel Simoni accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Mishel Simoni 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.

Is Mishel Simoni affiliated with any hospitals?

According to CMS data, Mishel Simoni is affiliated with Adena Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mishel Simoni was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.