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PIERO ANTHONY SIMONE MD
NPI 1497769624
Ophthalmology in Warren, MI

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
77.05/100
CMS Quality Rating
29245 RYAN RD, #100, WARREN, MI 48092(586) 558-5891(586) 558-8338 Get Directions Write a Review

NPPES record last updated: March 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Piero Anthony Simone Md NPPES

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

PIERO ANTHONY SIMONE MD (NPI 1497769624) is an individual ophthalmology provider in Warren, Michigan, licensed in Michigan (PS066663) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1995).

NPPES Registry Identity

NPI1497769624
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePIERO ANTHONY SIMONECredential: MD
Location Address29245 RYAN RD, #100Warren, MI 48092
Mailing Address29245 Ryan Rd, #100Warren, MI 48092 · (586) 558-5891 · Fax (586) 558-8338
Phone(586) 558-5891
Fax(586) 558-8338
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 1995
Enumeration DateJuly 27, 2006
Last NPPES UpdateMarch 10, 2014
✔ NPI 1497769624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in MI · PS066663✔ Licensed in MI · 4301066663
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
29245 RYAN RD, Warren, MI 48092
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Other Identifiers 3

Medicare UPING96569MI
Medicare PINOP21930MI
Medicaid4397424MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Piero Anthony Simone 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 ID3971536079
PECOS Enrollment IDI20050917000394
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 13

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,130 services1,052 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
374 services280 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
286 services178 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
248 services138 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
199 services172 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
170 services165 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48092 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

77.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost23.53

Referred Medical Equipment & Supplies CMS DME claims 2

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers21 claims21 services$52.61 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers12 claims20 services$53.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

MICHIGAN HEALTHCARE PROFESSIONALS
Clinic/Center (Sleep Disorder Diagnostic)
29245 RYAN RD, SUITE 400
WARREN, MI 48092
Macomb County (586) 576-0106
DR. ABBY MAUS O.D.
Optometrist
29245 RYAN RD, SUITE 100
WARREN, MI 48092
Macomb County (586) 558-2981
PIERO A. SIMONE, M.D., P.C.
Ophthalmology
29245 RYAN RD, STE. 100
WARREN, MI 48092
Macomb County (586) 558-2981

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 Piero Simone's NPI number?

The NPI number for Piero Simone is 1497769624. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Piero Simone located?

Piero Simone practices at 29245 Ryan Rd #100, Warren, MI 48092. The listed phone number is (586) 558-5891.

What is Piero Simone's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Piero Simone enrolled in Medicare?

Yes. Piero Simone 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 Piero Simone accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 10 other insurers list Piero Simone 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 Piero Simone was last updated on March 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.