MADELINE SIMON
NPI 1467010884
Physician Assistant in Naperville, IL

Active since May 31, 2019PECOS EnrolledAccepts Medicare Assignment
72.68/100
CMS Quality Rating
1720 FROST LN, NAPERVILLE, IL 60564(630) 577-7739 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2019, May 31, 2019 (2 updates tracked since 2019).

About Madeline Simon NPPES

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

MADELINE SIMON (NPI 1467010884) is an individual physician assistant in Naperville, Illinois, licensed in Illinois (085.007270) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Adventist Hinsdale Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1467010884
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADELINE SIMON
Location Address1720 FROST LNNaperville, IL 60564-5165
Mailing Address1 Westbrook Corporate Ctr, Ste 240Westchester, IL 60154-5745 · (708) 236-2673
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 31, 2019
Last NPPES UpdateSeptember 19, 20192 updates tracked since enumeration
NPI 1467010884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085.007270
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1720 FROST LN, Naperville, IL 60564

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

Madeline 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 ID1759611007
PECOS Enrollment IDI20190930001058
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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
212 services40 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.
145 services118 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
102 services78 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
56 services38 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.
26 services26 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.
24 services21 patients

Hospital Affiliations CMS Care Compare

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

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60564 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

72.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability81
Improvement Activities40
Cost52.96

Referred Medical Equipment & Supplies CMS DME claims

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

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers26 claims26 services$215.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Madeline Simon's NPI number?

The NPI number for Madeline Simon is 1467010884. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Where is Madeline Simon located?

Madeline Simon practices at 1720 Frost Ln, Naperville, IL 60564. The listed phone number is (630) 577-7739.

What is Madeline Simon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Madeline Simon enrolled in Medicare?

Yes. Madeline 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 Madeline Simon affiliated with any hospitals?

According to CMS data, Madeline Simon is affiliated with Adventist Hinsdale Hospital.

When was this NPI record last updated?

The NPPES record for Madeline Simon was last updated on September 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.