SIMONA ALICE MARTIN MD
NPI 1568112183
Hospitalist in Aurora, CO

Active since March 26, 2022PECOS Enrolled
13123 E 16TH AVE, AURORA, CO 80045(720) 777-5070 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Simona Alice Martin Md NPPES

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

SIMONA ALICE MARTIN MD (NPI 1568112183) is an individual hospitalist provider in Aurora, Colorado, licensed in Colorado (DR.0075815) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of University Of Michigan Medical School (2022).

NPPES Registry Identity

NPI1568112183
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSIMONA ALICE MARTINCredential: MD
Location Address13123 E 16TH AVEAurora, CO 80045-7106
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2022
Enumeration DateMarch 26, 2022
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1568112183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CO · DR.0075815
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedPediatricsTaxonomy 208000000X · License DR.0075815 (CO), ML61291253 (WA)
13123 E 16TH AVE, Aurora, CO 80045

Secondary Practice Location 1

Location 14800 Sand Point Way NE # Oc.7830Seattle, WA 98105-3901 · Phone (206) 987-2525

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simona Alice Martin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648658971
PECOS Enrollment IDI20251006001885, I20260205000758
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 Reassignments

3

Medicare enrollment records show Simona Martin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
13123 E 16TH AVE
Aurora, CO 80045
  • Reassigned Medicare billing, Colorado enrollment
  • 4,283 clinicians in this Medicare group
Multi-Specialty
1233 E 2ND ST
Casper, WY 82601
  • Reassigned Medicare billing, Wyoming enrollment
  • 54 clinicians in this Medicare group
Family Medicine
201 YELLOWSTONE AVE
Cody, WY 82414
  • Reassigned Medicare billing, Montana enrollment
  • 1,264 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 80045 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045

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 Simona Martin's NPI number?

The NPI number for Simona Martin is 1568112183. It was assigned to this individual provider in the NPPES registry on March 26, 2022.

Where is Simona Martin located?

Simona Martin practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-5070.

What is Simona Martin's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Simona Martin enrolled in Medicare?

Yes. Simona Martin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Simona Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simona Martin reassigns Medicare benefits to 3 organizations: University Physicians Incorporated (Aurora, CO), Banner Hospital Based Physicians West LLC (Casper, WY) and Billings Clinic (Cody, WY). Each 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 Simona Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Simona Martin accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan and Select Health list Simona Martin 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 Simona Martin was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.