OLIVIA MARIE SIMON PA
NPI 1487246120
Physician Assistant - Medical in Rochester, NY

Active since February 04, 2021PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1445 PORTLAND AVE STE 304, ROCHESTER, NY 14621(585) 922-5920(585) 922-5960 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, Feb 4, 2021 (2 updates tracked since 2021).

About Olivia Marie Simon Pa NPPES

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

OLIVIA MARIE SIMON PA (NPI 1487246120) is an individual medical provider in Rochester, New York, licensed in New York (025777) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1487246120
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameOLIVIA MARIE SIMONCredential: PA
Location Address1445 PORTLAND AVE STE 304Rochester, NY 14621-3008
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Fax(585) 922-5960
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 4, 2021
Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
NPI 1487246120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 025777
1445 PORTLAND AVE STE 304, Rochester, NY 14621

Other Names 1

Former Name (1)Olivia Marie Lamb

Secondary Practice Location 1

Location 11425 Portland AveRochester, NY 14621-3011 · Phone (585) 922-4371 · Fax (585) 922-7485

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

Olivia Marie Simon Pa 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 ID4183039704
PECOS Enrollment IDI20210212000466
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.

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
1445 PORTLAND AVE STE 304
ROCHESTER, NY 14621
Nurse Practitioner (Family)
1445 PORTLAND AVE STE 304
ROCHESTER, NY 14621
Nurse Practitioner (Family)
1445 PORTLAND AVE STE 304
ROCHESTER, NY 14621
Neurological Surgery
1445 PORTLAND AVE STE 304
ROCHESTER, NY 14621

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 Olivia Simon's NPI number?

The NPI number for Olivia Simon is 1487246120. It was assigned to this individual provider in the NPPES registry on February 4, 2021. The provider is also known as Olivia Marie Lamb.

Where is Olivia Simon located?

Olivia Simon practices at 1445 Portland Ave Ste 304, Rochester, NY 14621. The listed phone number is (585) 922-5920.

What is Olivia Simon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Olivia Simon enrolled in Medicare?

Yes. Olivia 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 Olivia Simon affiliated with any hospitals?

According to CMS data, Olivia Simon is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Olivia Simon was last updated on March 11, 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.