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JEFFREY M DE SIMONE MD
NPI 1699726737
Surgery in Syracuse, NY

Active since May 13, 2006PECOS EnrolledAccepts Medicare Assignment
739 IRVING AVE, SUITE 450, SYRACUSE, NY 13210(315) 470-7364(315) 470-5859 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeffrey M De Simone Md NPPES

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

JEFFREY M DE SIMONE MD (NPI 1699726737) is an individual surgery provider in Syracuse, New York, licensed in New York (172879) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and is a graduate of Georgetown University School Of Medicine (1984).

NPPES Registry Identity

NPI1699726737
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJEFFREY M DE SIMONECredential: MD
Location Address739 IRVING AVE, SUITE 450Syracuse, NY 13210-1651
Mailing Address1001 W Fayette St Ste 400Syracuse, NY 13204-2866 · (315) 937-3433 · Fax (315) 470-5859
Phone(315) 470-7364
Fax(315) 470-5859
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1984
Enumeration DateMay 13, 2006
Last NPPES UpdateApril 9, 2021
NPPES CertifiedApril 9, 2021
✔ NPI 1699726737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 172879
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
739 IRVING AVE, Syracuse, NY 13210
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Other Identifiers 1

Medicaid01482200NY

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

Jeffrey M De Simone 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 ID8820019631
PECOS Enrollment IDI20051208000288
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jeffrey De Simone reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Crouse Health Hospital
Same address
Urgent Care
739 IRVING AVE
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 189 clinicians in this Medicare group
NPI 1699829846 (315) 470-7317
Crouse Medical Practice, PLLC
Same address
Internal Medicine
736 IRVING AVE
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 159 clinicians in this Medicare group
NPI 1922321934 (315) 470-7375
Physician Care PC
34 mi
Internal Medicine
110 W 6TH ST
Oswego, NY 13126
  • Reassigned Medicare billing, New York enrollment
  • 70 clinicians in this Medicare group
NPI 1073868113 (315) 349-5511
Claxton Medical PC
118 mi
Pediatrics
3 LYON PL, SUITE 200
Ogdensburg, NY 13669
  • Reassigned Medicare billing, New York enrollment
  • 58 clinicians in this Medicare group
NPI 1114164944 (315) 394-7542
Claxton-Hepburn Medical Center
118 mi
Psychiatric Hospital
214 KING ST STE B
Ogdensburg, NY 13669
  • Reassigned Medicare billing, New York enrollment
  • 129 clinicians in this Medicare group
NPI 1891753034 (315) 393-3600

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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Crouse Hospital

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330203
Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Oswego Hospital

Acute Care Hospitals · Oswego, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330218
Location110 West Sixth StreetOswego, NY 13126 · Oswego County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,402 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%364 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%170 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
8%766 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
46%635 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 621 patients
92%239 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
79%766 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
60%766 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
55%766 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy vent, any type, each A4366
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$1.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RACHNA ZIRATH MD
Internal Medicine
739 IRVING AVE, SUITE 200
SYRACUSE, NY 13210
Onondaga County (315) 479-5070
DR. SETH EVAN KRONENBERG MD
Internal Medicine
739 IRVING AVE, STE 200
SYRACUSE, NY 13210
Onondaga County (315) 479-5070
MAURA ANN BUTASH FNP
Nurse Practitioner (Family)
739 IRVING AVE, SUITE 400
SYRACUSE, NY 13210
Onondaga County (315) 234-6677
DR. MATTHEW E MARVEL M.D.
Internal Medicine
739 IRVING AVE, SUITE 200
SYRACUSE, NY 13210
Onondaga County (315) 479-5070
INTERNIST ASSOCIATES OF CENTRAL NEW YORK, PC
Clinical Medical Laboratory
739 IRVING AVE, SUITE 350
SYRACUSE, NY 13210
Onondaga County (315) 479-5070
MARK H KASOWITZ M.D.
Internal Medicine (Gastroenterology)
739 IRVING AVE, SUITE 400
SYRACUSE, NY 13210
Onondaga County (315) 234-6677
CARLY HORNIS MD
Obstetrics & Gynecology
739 IRVING AVE, SUITE 530
SYRACUSE, NY 13210
Onondaga County (315) 478-1158
CENTRAL NEW YORK SURGICAL PHYSICIANS PC
Surgery
739 IRVING AVE, STE 450
SYRACUSE, NY 13210
Onondaga County (315) 470-7364

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 Jeffrey De Simone's NPI number?

The NPI number for Jeffrey De Simone is 1699726737. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Jeffrey De Simone located?

Jeffrey De Simone practices at 739 Irving Ave Suite 450, Syracuse, NY 13210. The listed phone number is (315) 470-7364.

What is Jeffrey De Simone's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jeffrey De Simone enrolled in Medicare?

Yes. Jeffrey De Simone 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 Jeffrey De Simone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey De Simone reassigns Medicare benefits to 5 organizations: Crouse Health Hospital (Syracuse, NY), Crouse Medical Practice, PLLC (Syracuse, NY), Physician Care PC (Oswego, NY), Claxton Medical PC (Ogdensburg, NY) and Claxton-Hepburn Medical Center (Ogdensburg, NY). 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 Jeffrey De Simone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jeffrey De Simone affiliated with any hospitals?

According to CMS data, Jeffrey De Simone is affiliated with Crouse Hospital and Oswego Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey De Simone was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.