LUCAS SIMON DPT
NPI 1477488245
Physical Therapist in Fargo, ND

Active since June 15, 2026Accepts Medicare Assignment
1461 BROADWAY N, FARGO, ND 58102(701) 293-6037(701) 290-0242 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lucas Simon Dpt NPPES

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

LUCAS SIMON DPT (NPI 1477488245) is an individual physical therapist in Fargo, North Dakota, licensed in North Dakota (2927) and active in the NPI registry since June 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1477488245
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameLUCAS SIMONCredential: DPT
Location Address1461 BROADWAY NFargo, ND 58102-2622
Mailing Address1461 Broadway NFargo, ND 58102-2622 · (701) 293-6037 · Fax (701) 290-0242
Fax(701) 290-0242
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1477488245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in ND · 2927
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1461 BROADWAY N, Fargo, ND 58102

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lucas Simon Dpt 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 ID6800360801
PECOS Enrollment IDI20260630004747

Medicare Billing Reassignment

Medicare enrollment records show Lucas Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
1461 BROADWAY N STE 106
Fargo, ND 58102
  • Reassigned Medicare billing, North Dakota enrollment
  • 39 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
1461 BROADWAY N
FARGO, ND 58102
Physical Therapist
1461 BROADWAY N
FARGO, ND 58102
Speech-Language Pathologist
1461 BROADWAY N
FARGO, ND 58102
Physical Therapist
1461 BROADWAY N
FARGO, ND 58102
Occupational Therapist
1461 BROADWAY N
FARGO, ND 58102
Speech-Language Pathologist
1461 BROADWAY N
FARGO, ND 58102
Physical Therapist
1461 BROADWAY N
FARGO, ND 58102
Occupational Therapist
1461 BROADWAY N
FARGO, ND 58102

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 Lucas Simon's NPI number?

The NPI number for Lucas Simon is 1477488245. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Where is Lucas Simon located?

Lucas Simon practices at 1461 Broadway N, Fargo, ND 58102. The listed phone number is (701) 293-6037.

What is Lucas Simon's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Lucas Simon enrolled in Medicare?

Yes. Lucas 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.

Which organization bills Medicare for Lucas Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucas Simon reassigns Medicare benefits to Total Balance Physical Therapy And Fitness, LLC (Fargo, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lucas Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lucas Simon accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Lucas 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.

When was this NPI record last updated?

The NPPES record for Lucas Simon was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.