DR. SHIRA SIVAN SIMON M.D., M.B.A.
NPI 1659632420
Ophthalmology in Chicago, IL

Q: What is Shira Simon's NPI number?

The NPI number for Shira Simon is 1659632420. It was assigned to this individual provider in the NPPES registry on June 7, 2012.

Q: What is Shira Simon's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shira Simon was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 07, 2012PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

259 E ERIE ST, CHICAGO, IL 60611(312) 695-6868 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Jul 12, 2016 (2 updates tracked since 2016).

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About Dr. Shira Sivan Simon M.d., M.b.a. NPPES

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

DR. SHIRA SIVAN SIMON M.D., M.B.A. (NPI 1659632420) is an individual ophthalmology provider in Chicago, Illinois, licensed in Illinois (036.144693) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Harvard Medical School (2012).

NPPES Registry Identity

NPI1659632420

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. SHIRA SIVAN SIMONCredential: M.D., M.B.A.

Location Address259 E ERIE STChicago, IL 60611-2987

Mailing Address680 N Lake Shore DrChicago, IL 60611-4546 · (312) 695-5858

Phone(312) 695-6868

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 2012

Enumeration DateJune 7, 2012

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1659632420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in IL · 036.144693✔ Licensed in IA · MD-43371

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Neuro-ophthalmologyTaxonomy 207WX0109X · License 036.144693 (IL)

259 E ERIE ST, Chicago, IL 60611

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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. Shira Sivan Simon M.d., M.b.a. 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 ID1153626213

PECOS Enrollment IDI20180329001564

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 5

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.

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.

247 services182 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

213 services162 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

192 services146 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

44 services44 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

94.1/100

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

Scored through an Alternative Payment Model

Quality

82.59

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.

DIANE MARIE HEIDMANN MD

Internal Medicine

259 E ERIE ST, SUITE 2230
CHICAGO, IL 60611

Cook County (312) 926-6000

DR. VEHNIAH KRISTIN TJONG M.D.

Orthopaedic Surgery (Sports Medicine)

259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611

Cook County (312) 695-6800

GRETCHEN YORK

Nurse Practitioner (Family)

259 E ERIE ST
CHICAGO, IL 60611

Cook County (610) 212-4235

DR. TRACY B SORCE MD

Internal Medicine

259 E ERIE ST, STE 2230
CHICAGO, IL 60611

Cook County (312) 926-6000

DR. CURT S KREVITZ DPM

Podiatrist

259 E ERIE ST, SUITE 2230
CHICAGO, IL 60611

Cook County (312) 926-6000

DR. KEVIN D HARDT M.D

Orthopaedic Surgery

259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611

Cook County (312) 695-6800

DR. KEVIN D HARDT M.D

Orthopaedic Surgery

259 E ERIE ST, 13TH FLOOR
CHICAGO, IL 60611

Cook County (312) 695-6800

JI MIN KIM

Nurse Practitioner (Gerontology)

259 E ERIE ST
CHICAGO, IL 60611

Cook County (312) 695-4517

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 Shira Simon's NPI number?

The NPI number for Shira Simon is 1659632420. It was assigned to this individual provider in the NPPES registry on June 7, 2012.

Where is Shira Simon located?

Shira Simon practices at 259 E Erie St, Chicago, IL 60611. The listed phone number is (312) 695-6868.

What is Shira Simon's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Shira Simon enrolled in Medicare?

Yes. Shira 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.

Is Shira Simon affiliated with any hospitals?

According to CMS data, Shira Simon is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shira Simon was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.