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DR. MARC LEE SIMON DO
NPI 1619013778
Surgery in Denville, NJ

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
16 POCONO RD STE 310, DENVILLE, NJ 07834(973) 627-4227(973) 664-7572 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2022, Jan 2, 2020, Feb 6, 2016 (3 updates tracked since 2016).

About Dr. Marc Lee Simon Do NPPES

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

DR. MARC LEE SIMON DO (NPI 1619013778) is an individual surgery provider in Denville, New Jersey, licensed in New Jersey (25MB03674200) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1978).

NPPES Registry Identity

NPI1619013778
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MARC LEE SIMONCredential: DO
Location Address16 POCONO RD STE 310Denville, NJ 07834-2908
Mailing Address16 Pocono Rd Ste 310Denville, NJ 07834-2908 · (973) 627-4227 · Fax (973) 627-2066
Phone(973) 627-4227
Fax(973) 664-7572
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1978
Enumeration DateJanuary 29, 2007
Last NPPES UpdateApril 27, 20223 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1619013778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NJ · 25MB03674200
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
16 POCONO RD STE 310, Denville, NJ 07834
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Other Identifiers 1

Medicaid1607901NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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. Marc Lee Simon Do 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 ID9335335264
PECOS Enrollment IDI20220506001685
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 4

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
62 services62 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.
23 services19 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services11 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07834 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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

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

PETER HEIT M.D.
Internal Medicine (Gastroenterology)
16 POCONO RD STE 310
DENVILLE, NJ 07834
Morris County (973) 627-7570

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 Marc Simon's NPI number?

The NPI number for Marc Simon is 1619013778. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Marc Simon located?

Marc Simon practices at 16 Pocono Rd Ste 310, Denville, NJ 07834. The listed phone number is (973) 627-4227.

What is Marc Simon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Marc Simon enrolled in Medicare?

Yes. Marc 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.

When was this NPI record last updated?

The NPPES record for Marc Simon was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.