ROBERT EDWARD SIMON MD
NPI 1649353236
Psychiatry & Neurology - Child & Adolescent Psychiatry in Lexington, KY
About Robert Edward Simon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT EDWARD SIMON MD (NPI 1649353236) is an individual child & adolescent psychiatry provider in Lexington, Kentucky, licensed in Kentucky (31351) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of University Of Kentucky College Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
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
Robert Edward 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 Robert Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, KY 40517
- Reassigned Medicare billing, Kentucky enrollment
- 1,502 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Kentucky Hospital
Acute Care Hospitals · Lexington, KYMedicare 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.
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.
LEXINGTON, KY 40509
LEXINGTON, KY 40509
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 Robert Simon's NPI number?
The NPI number for Robert Simon is 1649353236. It was assigned to this individual provider in the NPPES registry on October 24, 2006.
Where is Robert Simon located?
Robert Simon practices at 3470 Blazer Pkwy, Lexington, KY 40509. The listed phone number is (859) 323-6021.
What is Robert Simon's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Robert Simon enrolled in Medicare?
Yes. Robert 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 Robert Simon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Simon reassigns Medicare benefits to Kentucky Medical Services Foundation, Inc (Lexington, KY). 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 Robert Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robert Simon accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Robert 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 Robert Simon affiliated with any hospitals?
According to CMS data, Robert Simon is affiliated with University Of Kentucky Hospital.
When was this NPI record last updated?
The NPPES record for Robert Simon was last updated on February 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Robert Edward Simon, MD · NPI 1649353236
Child & Adolescent Psychiatry physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since October 24, 2006.
## Identity
- **NPI:** 1649353236 (Entity type: Individual)
- **Enumerated:** October 24, 2006
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 31351 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 3470 BLAZER PKWY, Lexington, KY 40509-1200
- **Phone:** (859) 323-6021
## 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:** Kentucky Medical Services Foundation, Inc (NPI 1326091448, Lexington, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kentucky College Of Medicine, class of 1994
## Record status
- **NPPES last updated:** February 4, 2015
- **Other identifiers:** Medicare ID-Type Unspecified 0647518; Medicare UPIN H05189; Medicaid 64313513 (KY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1649353236) · Data from the CMS NPPES public registry.