GERALD B SIMONS M.D.
NPI 1568415636
Otolaryngology in Omaha, NE
NPI Status: Active since May 18, 2006
Contact Information
2727 S 144TH ST
SUITE 250
OMAHA, NE
ZIP 68144
Phone: (402) 778-5250
Fax: (402) 778-5216
- Individual
- Male
- Otolaryngology
- Medicare Quality Reporting
About GERALD SIMONS
This page provides the complete NPI Profile along with additional information for Gerald Simons, a provider established in Omaha, Nebraska with a medical specialization in Otolaryngology. The healthcare provider is registered in the NPI registry with number 1568415636 assigned on May 2006. The practitioner's primary taxonomy code is 207Y00000X with license number 12886 (NE). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1568415636
- Provider Name
- GERALD B SIMONS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2727 S 144TH ST SUITE 250 OMAHA, NE 68144
- Location Phone
- (402) 778-5250
- Location Fax
- (402) 778-5216
- Mailing Address
- 2727 S 144TH ST SUITE 250 OMAHA, NE 68144
- Mailing Phone
- (402) 778-5250
- Mailing Fax
- (402) 778-5216
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-18-2006
- Last Update Date
- 05-26-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 12886
- License State
- NE
- Taxonomy Description
- An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | 23936 (IA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0983197 | MEDICAID (05) | IA | |
| 51601 | OTHER (01) | IA | BCBS OF IA |
| D05103 | MEDICARE UPIN (02) | NE | |
| 4731 | OTHER (01) | NE | MIDLANDS CHOICE |
| 10026440200 | MEDICAID (05) | NE | |
| NA2595001 | MEDICARE PIN (08) | NE | |
| 2735 | OTHER (01) | NE | BCBSN |
| 1000007 | OTHER (01) | NE | UHCM |
| 040006234 | OTHER (01) | NE | RAILROAD MEDICARE |
| 47061028913 | MEDICAID (05) | NE |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 79% | 75 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1568415636, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
OMAHA, NE 68144
OMAHA, NE 68144
OMAHA, NE 68144
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568415636, enumerated as an "individual" on May 18, 2006.
The provider is located at 2727 S 144TH ST SUITE 250 OMAHA, NE 68144 and the phone number is (402) 778-5250.
Otolaryngology with taxonomy code 207Y00000X.
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.
