TIMOTHY SIMON MD
NPI 1609824416
Colon & Rectal Surgery in Decatur, GA
About Timothy Simon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY SIMON MD (NPI 1609824416) is an individual colon & rectal surgery provider in Decatur, Georgia, licensed in Georgia (040846) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Howard University College Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Timothy Simon 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.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 487 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory Decatur Hospital
Acute Care Hospitals · Decatur, GAEmory University Hospital Midtown
Acute Care Hospitals · Atlanta, GANorthside Hospital
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
DECATUR, GA 30033
DECATUR, GA 30033
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 Timothy Simon's NPI number?
The NPI number for Timothy Simon is 1609824416. It was assigned to this individual provider in the NPPES registry on May 4, 2006.
Where is Timothy Simon located?
Timothy Simon practices at 2801 N Decatur Rd Suite 120, Decatur, GA 30033. The listed phone number is (770) 277-4277.
What is Timothy Simon's specialty?
The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.
Is Timothy Simon enrolled in Medicare?
Yes. Timothy Simon 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.
Which organization bills Medicare for Timothy Simon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Simon reassigns Medicare benefits to Northside Surgical Professional Services LLC (Atlanta, GA). 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 Timothy Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Simon accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Timothy Simon 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.
Is Timothy Simon affiliated with any hospitals?
According to CMS data, Timothy Simon is affiliated with Emory Decatur Hospital, Emory University Hospital Midtown and Northside Hospital.
When was this NPI record last updated?
The NPPES record for Timothy Simon was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Timothy Simon, MD · NPI 1609824416
Colon & Rectal Surgery physician in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since May 4, 2006.
## Identity
- **NPI:** 1609824416 (Entity type: Individual)
- **Enumerated:** May 4, 2006
- **Primary specialty:** Colon & Rectal Surgery · taxonomy 208C00000X
- **State license:** 040846 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2801 N DECATUR RD, SUITE 120, Decatur, GA 30033-5949
- **Phone:** (770) 277-4277 · **Fax:** (404) 292-6305
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northside Surgical Professional Services LLC (NPI 1356630990, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Howard University College Of Medicine, class of 1993
## Record status
- **NPPES last updated:** February 26, 2021
- **Other identifiers:** Other 52439381; Other 4608346001; Medicaid 00947086A (GA); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1609824416) · Data from the CMS NPPES public registry.