ELLEN M SIMON M.D.
NPI 1649227331
Internal Medicine - Cardiovascular Disease in Brunswick, ME

Q: What is Ellen Simon's NPI number?

The NPI number for Ellen Simon is 1649227331. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Q: What is Ellen Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Simon was last updated on May 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

121 MEDICAL CENTER DR, SUITE 3100, BRUNSWICK, ME 04011(207) 729-7939(207) 725-4717 Get Directions Write a Review

NPPES record last updated: May 9, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ellen M Simon M.d. NPPES

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

ELLEN M SIMON M.D. (NPI 1649227331) is an individual cardiovascular disease provider in Brunswick, Maine, licensed in Maine (MD16225) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of Massachusetts Medical School (1996).

NPPES Registry Identity

NPI1649227331

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameELLEN M SIMONCredential: M.D.

Location Address121 MEDICAL CENTER DR, SUITE 3100Brunswick, ME 04011-2653

Mailing Address121 Medical Center Dr, Suite 3100Brunswick, ME 04011-2653 · (207) 729-7939 · Fax (207) 725-4717

Phone(207) 729-7939

Fax(207) 725-4717

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1996

Enumeration DateMay 28, 2006

Last NPPES UpdateMay 9, 2017

✔ NPI 1649227331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in ME · MD16225✔ Licensed in MA · 160838

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 160838 (MA)

121 MEDICAL CENTER DR, Brunswick, ME 04011

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Other Identifiers 1

Medicare PINME0053ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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

Ellen M Simon 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 ID4789670340

PECOS Enrollment IDI20040421000552

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 16

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

390 services336 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

222 services221 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.

124 services104 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

60 services58 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

57 services57 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

42 services42 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

38 services38 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

32 services32 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.

29 services29 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

27 services26 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

25 services24 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

24 services12 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

21 services19 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

18 services17 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services15 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.

16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200021

Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County

Emergency services Birthing friendly

Lincolnhealth

Critical Access Hospitals · Damariscotta, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number201302

Location35 Miles StreetDamariscotta, ME 04543 · Lincoln County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04011 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

$128.83 typical visit price

range $56.28 – $169.96

Typical copayment $32.20 (range $14.07 – $42.49)

Most-billed visit code 99204

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

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.

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.

98.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

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.

MIGUEL R ARGUEDAS - BROLLO MD

Internal Medicine (Gastroenterology)

121 MEDICAL CENTER DR, SUITE 3400
BRUNSWICK, ME 04011

Cumberland County (207) 406-7300

KENNEBEC PHARMACY AND HOME CARE LLC

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

121 MEDICAL CENTER DR, STE G500
BRUNSWICK, ME 04011

Cumberland County (207) 729-3642

MS. ALEXIS LEIGH NOLAN CNM

Advanced Practice Midwife

121 MEDICAL CENTER DR, STE 2700
BRUNSWICK, ME 04011

Cumberland County (207) 721-8700

GARY ZARTARIAN MD

Internal Medicine (Gastroenterology)

121 MEDICAL CENTER DR, SUITE 3400
BRUNSWICK, ME 04011

Cumberland County (508) 548-8989

DR. RICHARD BEVERIDGE M.D.

Internal Medicine (Gastroenterology)

121 MEDICAL CENTER DR, SUITE 3400
BRUNSWICK, ME 04011

Cumberland County (207) 406-7300

BRUNSWICK GASTROENTEROLOGY ASSOCIATES

Internal Medicine (Gastroenterology)

121 MEDICAL CENTER DR, SUITE 3400
BRUNSWICK, ME 04011

Cumberland County (207) 725-1355

WILLIAM W CURTIS JR. M.D.

Surgery

121 MEDICAL CENTER DR, SUITE 2550
BRUNSWICK, ME 04011

Cumberland County (207) 373-1707

RUTH E MACY P.T., DPT

Physical Therapist

121 MEDICAL CENTER DR
BRUNSWICK, ME 04011

Cumberland County (207) 373-6175

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 Ellen Simon's NPI number?

The NPI number for Ellen Simon is 1649227331. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Ellen Simon located?

Ellen Simon practices at 121 Medical Center Dr Suite 3100, Brunswick, ME 04011. The listed phone number is (207) 729-7939.

What is Ellen Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ellen Simon enrolled in Medicare?

Yes. Ellen 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.

What insurance does Ellen Simon accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Ellen 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 Ellen Simon affiliated with any hospitals?

According to CMS data, Ellen Simon is affiliated with Maine Medical Center, Mid Coast Hospital and Lincolnhealth.

When was this NPI record last updated?

The NPPES record for Ellen Simon was last updated on May 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.