Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARK WILLIAM SIMON MD
NPI 1649776584
Emergency Medicine - Medical Toxicology in San Diego, CA

Active since March 31, 2018PECOS Enrolled
91.11/100
CMS Quality Rating
200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 21, 2026, May 13, 2024, Dec 15, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Mark William Simon Md NPPES

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

DR. MARK WILLIAM SIMON MD (NPI 1649776584) is an individual medical toxicology provider in San Diego, California, licensed in California (A206785) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1649776584
Entity TypeIndividualMale
Primary Taxonomy207PT0002X
Provider Legal NameDR. MARK WILLIAM SIMONCredential: MD
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 31, 2018
Last NPPES UpdateAugust 21, 20264 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
NPI 1649776584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency Medicine · Medical ToxicologyAllopathic & Osteopathic Physicians
Taxonomy Code207PT0002X
License Licensed in CA · A206785
Definition
Medical toxicologists are physicians who specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for people in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, chemicals and hazardous materials, terrorism preparedness, venomous bites and stings and environmental and workplace exposures.
Also ListedEmergency MedicineTaxonomy 207P00000X · License A206785 (CA), DR.0066448 (CO)
200 W ARBOR DR, San Diego, CA 92103

Secondary Practice Locations 7

Location 110350 E Dakota AveDenver, CO 80247-1314 · Phone (303) 338-4545
Location 212505 E 16TH AVEAURORA, CO 80045-2545 · Phone (720) 848-0000
Location 39300 Campus Point DrLA Jolla, CA 92037-1300 · Phone (800) 926-8273
Location 4777 Bannock Street, MC 0108Denver, CO 80204 · Phone (303) 602-5183
Location 58910 Villa La Jolla Dr Ste 100LA Jolla, CA 92037-1701 · Phone (800) 926-8273
Location 63020 Childrens WaySan Diego, CA 92123-4223 · Phone (800) 926-8273
Location 76655 Alvarado RdSan Diego, CA 92120-5208 · Phone (800) 926-5273

Accepted 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

Dr. Mark William 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.

PECOS PAC ID4284025149
PECOS Enrollment IDI20220103001814
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.
94 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.
43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

91.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.23
Promoting Interoperability88
Improvement Activities40
Cost73.49

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.

Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
Physician Assistant (Surgical)
200 W ARBOR DR
SAN DIEGO, CA 92103

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 Mark Simon's NPI number?

The NPI number for Mark Simon is 1649776584. It was assigned to this individual provider in the NPPES registry on March 31, 2018.

Where is Mark Simon located?

Mark Simon practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.

What is Mark Simon's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Medical Toxicology, with taxonomy code 207PT0002X.

Is Mark Simon enrolled in Medicare?

Yes. Mark 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 Mark Simon accept?

Health plans from Medica list Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Simon was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.