DR. JACAN SIMON DO
NPI 1669969085
Family Medicine in Colorado Springs, CO

Active since April 20, 2018PECOS EnrolledAccepts Medicare Assignment
1815 JET WING DR, COLORADO SPRINGS, CO 80916(719) 632-5700(719) 344-7887 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2023, Jun 11, 2021, Sep 18, 2020 and 2 more (5 updates tracked since 2018).

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

NPI1669969085
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACAN SIMONCredential: DO
Location Address1815 JET WING DRColorado Springs, CO 80916-2300
Mailing Address3205 N Academy Blvd Ste 130Colorado Springs, CO 80917-5152 · (719) 632-5700
Fax(719) 344-7887
Sole ProprietorYes
Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2018
Enumeration DateApril 20, 2018
Last NPPES UpdateOctober 1, 20255 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
NPI 1669969085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CO · DR.0066716 Licensed in MN · 66237
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1815 JET WING DR, Colorado Springs, CO 80916

Secondary Practice Locations 3

Location 11025 Marsh StMankato, MN 56001-4752 · Phone (507) 625-4031
Location 23027 N Circle DrColorado Springs, CO 80909-1179 · Phone (719) 776-4646 · Fax (719) 776-4640
Location 3101 Martin Luther King DrMankato, MN 56001-6460 · Phone (507) 594-6500

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. 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.

PECOS PAC ID5294082624
PECOS Enrollment IDI20200213001142, I20210614002031
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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
19 services13 patients

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.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Dental Public Health)
1815 JET WING DR
COLORADO SPRINGS, CO 80916
Physician Assistant
1815 JET WING DR
COLORADO SPRINGS, CO 80916
Dentist
1815 JET WING DR
COLORADO SPRINGS, CO 80916
Psychiatry & Neurology (Psychiatry)
1815 JET WING DR
COLORADO SPRINGS, CO 80916
Clinic/Center (Federally Qualified Health Center (FQHC))
1815 JET WING DR
COLORADO SPRINGS, CO 80916
Dental Hygienist
1815 JET WING DR
COLORADO SPRINGS, CO 80916
Pediatrics
1815 JET WING DR
COLORADO SPRINGS, CO 80916
Dental Hygienist
1815 JET WING DR
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.

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 10 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.