DR. SIMON FISHMAN M.D.
NPI 1578654968
Specialist in Alexandria, VA

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6355 WALKER LANE, 313, ALEXANDRIA, VA 22310(703) 313-9111(703) 313-4945 Get Directions Write a Review

NPPES record last updated: December 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Simon Fishman M.d. NPPES

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

DR. SIMON FISHMAN M.D. (NPI 1578654968) is an individual specialist in Alexandria, Virginia, licensed in Virginia (0101225797) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1995).

NPPES Registry Identity

NPI1578654968
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. SIMON FISHMANCredential: M.D.
Location Address6355 WALKER LANE, 313Alexandria, VA 22310
Mailing Address6355 Walker Lane, 313Alexandria, VA 22310 · (703) 313-9111 · Fax (703) 313-4945
Fax(703) 313-4945
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1995
Enumeration DateSeptember 28, 2006
Last NPPES UpdateDecember 21, 2015
NPI 1578654968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in VA · 0101225797
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6355 WALKER LANE, Alexandria, VA 22310

Other Identifiers 11

Other2119441VA · Alliance/ Mamsi
Other3403215VA · Aetna Hmo
Medicare UPINH16256VA
OtherJ330 0001DC · Cf Bc Bs Dc
Other267731VA · Amerigroup
Medicare ID-Type UnspecifiedG01414DC
OtherP00148017VA · Railroad Medicare
Other102355VA · Anthem
Medicaid010045479VA
Other518960VA · Ncppo
Other7099103VA · Aetna Ppo

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

Dr. Simon Fishman M.d. 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 ID7416847371
PECOS Enrollment IDI20040316001077, I20150930000143
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 32

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
16,160 services56 patients
Injection, incobotulinumtoxin a, 1 unit J0588
Incobotulinumtoxin A, 1 unit, is an injection commonly known as Botox. It's used to treat various conditions like muscle spasms or wrinkles. The substance temporarily paralyzes muscles, providing relief or aesthetic improvement.
14,800 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
978 services594 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
623 services442 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
251 services251 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
162 services135 patients

Hospital Affiliations CMS Care Compare 4

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

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Sentara Northern Virginia Medical Center

Acute Care Hospitals · Woodbridge, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490113
Location2300 Opitz BoulevardWoodbridge, VA 22191 · Prince William County
Emergency services Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

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.

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

Referred Medical Equipment & Supplies CMS DME claims 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
19 suppliers72 claims72 services$29.05 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers30 claims30 services$74.88 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers29 claims80 services$27.93 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
12 suppliers43 claims186 services$12.00 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
8 suppliers15 claims85 services$10.69 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
17 suppliers56 claims56 services$41.44 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 20

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

Audiologist
6355 WALKER LANE, SUITE 308
ALEXANDRIA, VA 22310
Orthopaedic Surgery
6355 WALKER LANE, SUITE 202
ALEXANDRIA, VA 22310
Audiologist
6355 WALKER LANE, SUITE 308
ALEXANDRIA, VA 22310
Otolaryngology (Facial Plastic Surgery)
6355 WALKER LANE, SUITE 308
ALEXANDRIA, VA 22310
Otolaryngology
6355 WALKER LANE, SUITE 308
ALEXANDRIA, VA 22310
Orthopaedic Surgery
6355 WALKER LANE, SUITE 202
ALEXANDRIA, VA 22310
Nurse Practitioner
6355 WALKER LANE, STE 202
ALEXANDRIA, VA 22310
Specialist
6355 WALKER LANE, SUITE 510
ALEXANDRIA, VA 22310

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 Simon Fishman's NPI number?

The NPI number for Simon Fishman is 1578654968. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Simon Fishman located?

Simon Fishman practices at 6355 Walker Lane 313, Alexandria, VA 22310. The listed phone number is (703) 313-9111.

What is Simon Fishman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Simon Fishman enrolled in Medicare?

Yes. Simon Fishman 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 Simon Fishman affiliated with any hospitals?

According to CMS data, Simon Fishman is affiliated with Inova Alexandria Hospital, Virginia Hospital Center, Sentara Northern Virginia Medical Center and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Simon Fishman was last updated on December 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.