DR. MICHAEL G SIMONS DO
NPI 1518495589
Family Medicine in Grimes, IA

Q: What is Michael Simons's NPI number?

The NPI number for Michael Simons is 1518495589. It was assigned to this individual provider in the NPPES registry on June 2, 2017.

Q: What is Michael Simons's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Simons was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 02, 2017PECOS Enrolled

97.58/100

CMS Quality Rating

601 SW MAPLEWOOD DR, GRIMES, IA 50111(801) 734-0257 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 3, 2026, Jun 2, 2017 (2 updates tracked since 2017).

On this page

About Dr. Michael G Simons Do NPPES

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

DR. MICHAEL G SIMONS DO (NPI 1518495589) is an individual family medicine provider in Grimes, Iowa, licensed in Iowa (R-10971) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518495589

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MICHAEL G SIMONSCredential: DO

Location Address601 SW MAPLEWOOD DRGrimes, IA 50111-2142

Mailing Address601 Sw Maplewood DrGrimes, IA 50111-2142

Phone(801) 734-0257

Sole ProprietorNo

Enumeration DateJune 2, 2017

Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1518495589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · R-10971

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

601 SW MAPLEWOOD DR, Grimes, IA 50111

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael G Simons Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

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

St Anthony Regional Hospital And Nursing Home

61 mi

Registered Nurse

311 S CLARK ST
Carroll, IA 51401

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1720067127 (Iowa)
125 clinicians in this Medicare group

NPI 1710062088 (712) 792-3581

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 50111 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers17 claims17 services$17.88 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers24 claims24 services$85.24 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 Michael Simons's NPI number?

The NPI number for Michael Simons is 1518495589. It was assigned to this individual provider in the NPPES registry on June 2, 2017.

Where is Michael Simons located?

Michael Simons practices at 601 SW Maplewood Dr, Grimes, IA 50111. The listed phone number is (801) 734-0257.

What is Michael Simons's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Simons enrolled in Medicare?

Yes. Michael Simons is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Simons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Simons reassigns Medicare benefits to St Anthony Regional Hospital And Nursing Home (Carroll, IA). 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 Michael Simons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Simons accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Michael Simons 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 Michael Simons was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.