1. Home
  2. Directory
  3. Texas
  4. Temple
  5. Internal Medicine
  6. NPI Profile

SHEENA SIMON M.D
NPI 1477073161
Internal Medicine - Endocrinology, Diabetes & Metabolism in Temple, TX

Active since June 22, 2017PECOS EnrolledAccepts Medicare Assignment
1605 S 31ST ST, TEMPLE, TX 76505(254) 215-0100(254) 215-0636 Get Directions Write a Review

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

Record update history: Oct 13, 2022, Jul 14, 2022, Jun 22, 2017 (3 updates tracked since 2017).

About Sheena Simon M.d NPPES

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

SHEENA SIMON M.D (NPI 1477073161) is an individual endocrinology, diabetes & metabolism provider in Temple, Texas, licensed in Texas (T8053) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and maintains a secondary practice location in Temple.

NPPES Registry Identity

NPI1477073161
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSHEENA SIMONCredential: M.D
Location Address1605 S 31ST STTemple, TX 76505-0001
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111
Phone(254) 215-0100
Fax(254) 215-0636
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 22, 2017
Last NPPES UpdateOctober 13, 20223 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
✔ NPI 1477073161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TX · T8053
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1605 S 31ST ST, Temple, TX 76505
Open in Google Maps ↗

Secondary Practice Location 1

Location 1Scott and White Memorial Hospital 2401 S StTemple, TX 76508-0001 · Phone (254) 724-2111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Sheena Simon 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 ID9739452269
PECOS Enrollment IDI20220627000492
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 7

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 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.
353 services241 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
78 services46 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.
67 services67 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.
48 services44 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
27 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
23 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450054
Location2401 S 31st StTemple, TX 76508 · Bell County
Emergency services Birthing friendly

Baylor Scott & White Medical Center -Taylor

Critical Access Hospitals · Taylor, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451374
Location305 MallardTaylor, TX 76574 · Williamson County
Emergency services

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Baylor Scott & White Medical Center- College Stati

Acute Care Hospitals · College Station, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670088
Location700 Scott & White DriveCollege Station, TX 77845 · Brazos County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670108
Location810 W Highway 71Marble Falls, TX 78654 · Burnet County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76505 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Sheena Simon's NPI number?

The NPI number for Sheena Simon is 1477073161. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Sheena Simon located?

Sheena Simon practices at 1605 S 31st St, Temple, TX 76505. The listed phone number is (254) 215-0100.

What is Sheena Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sheena Simon enrolled in Medicare?

Yes. Sheena 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.

What insurance does Sheena Simon accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Sheena Simon 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 Sheena Simon affiliated with any hospitals?

According to CMS data, Sheena Simon is affiliated with Baylor Scott & White Medical Center - Temple, Baylor Scott & White Medical Center -Taylor, Baylor Scott & White Medical Center - Round Rock, Baylor Scott & White Medical Center- College Stati and Baylor Scott & White Medical Center - Marble Falls.

When was this NPI record last updated?

The NPPES record for Sheena 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.