DR. JACAN SIMON DO
NPI 1669969085
Family Medicine in Colorado Springs, CO
About Dr. Jacan Simon Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACAN SIMON DO (NPI 1669969085) is an individual family medicine provider in Colorado Springs, Colorado, licensed in Colorado (DR.0066716) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Group Practice 1
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
Dr. Jacan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacan Simon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Colorado Springs, CO 80906
- Reassigned Medicare billing, Colorado enrollment
- 1,193 clinicians in this Medicare group
Colorado Springs, CO 80917
- Reassigned Medicare billing, Colorado enrollment
- 355 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80916 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLORADO SPRINGS, CO 80916
COLORADO SPRINGS, CO 80916
COLORADO SPRINGS, CO 80916
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 Jacan Simon's NPI number?
The NPI number for Jacan Simon is 1669969085. It was assigned to this individual provider in the NPPES registry on April 20, 2018.
Where is Jacan Simon located?
Jacan Simon practices at 1815 Jet Wing Dr, Colorado Springs, CO 80916. The listed phone number is (719) 632-5700.
What is Jacan Simon's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jacan Simon enrolled in Medicare?
Yes. Jacan 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 organizations bill Medicare for Jacan Simon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacan Simon reassigns Medicare benefits to 2 organizations: Catholic Health Initiatives Colorado (Colorado Springs, CO) and Peak Vista Community Health Centers (Colorado Springs, CO). Each 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 Jacan Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacan Simon accept?
Health plans from Select Health list Jacan 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 Jacan Simon was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Dr. Jacan Simon, DO · NPI 1669969085
Family Medicine physician in Colorado Springs, Colorado. Individual provider, active in the CMS NPPES registry since April 20, 2018.
## Identity
- **NPI:** 1669969085 (Entity type: Individual)
- **Enumerated:** April 20, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DR.0066716 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1815 JET WING DR, Colorado Springs, CO 80916-2300
- **Phone:** (719) 632-5700 · **Fax:** (719) 344-7887
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Catholic Health Initiatives Colorado (NPI 1205451606, Colorado Springs, CO); Peak Vista Community Health Centers (NPI 1730166034, Colorado Springs, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Edward Via Col Of Osteo Medicine-Carolinas Campus, class of 2018
## Record status
- **NPPES last updated:** October 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669969085) · Data from the CMS NPPES public registry.