THOMAS MICHAEL SIMONIAN MD
NPI 1609876333
Emergency Medicine in Erie, PA

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment
201 STATE STREET, ERIE, PA 16550(814) 877-6139(814) 877-6093 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 31, 2023, Jan 14, 2020 (2 updates tracked since 2020).

About Thomas Michael Simonian Md NPPES

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

THOMAS MICHAEL SIMONIAN MD (NPI 1609876333) is an individual emergency medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (MD039537E) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Chautauqua At Wca, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1986).

NPPES Registry Identity

NPI1609876333
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHOMAS MICHAEL SIMONIANCredential: MD
Location Address201 STATE STREETErie, PA 16550-0002
Mailing Address201 State StreetErie, PA 16550-0002 · (814) 877-6139 · Fax (814) 877-6093
Fax(814) 877-6093
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1986
Enumeration DateJuly 22, 2005
Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
NPI 1609876333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in PA · MD039537E
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

201 STATE STREET, Erie, PA 16550

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

Thomas Michael Simonian 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.

PECOS PAC ID749299519
PECOS Enrollment IDI20200811002666
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
95 services93 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
57 services56 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Chautauqua At Wca

Acute Care Hospitals · Jamestown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330239
Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County
Emergency services Birthing friendly

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16550 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Student in an Organized Health Care Education/Training Program
201 STATE STREET
ERIE, PA 16550
Emergency Medicine
201 STATE STREET
ERIE, PA 16550
Emergency Medicine
201 STATE STREET
ERIE, PA 16550
Anesthesiology
201 STATE STREET, HAMOT MEDICAL CENTER
ERIE, PA 16550
Registered Nurse
201 STATE STREET
ERIE, PA 16550
Radiology (Diagnostic Radiology)
201 STATE STREET
ERIE, PA 16550
Emergency Medicine
201 STATE STREET
ERIE, PA 16550
Student in an Organized Health Care Education/Training Program
201 STATE STREET
ERIE, PA 16550

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 Thomas Simonian's NPI number?

The NPI number for Thomas Simonian is 1609876333. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Thomas Simonian located?

Thomas Simonian practices at 201 State Street, Erie, PA 16550. The listed phone number is (814) 877-6139.

What is Thomas Simonian's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Thomas Simonian enrolled in Medicare?

Yes. Thomas Simonian 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 Thomas Simonian affiliated with any hospitals?

According to CMS data, Thomas Simonian is affiliated with Upmc Chautauqua At Wca and Upmc Hamot.

When was this NPI record last updated?

The NPPES record for Thomas Simonian was last updated on January 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.