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LAWRENCE F. SIMON M.D.
NPI 1710045281
Surgery in West Nyack, NY

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1CROSFIELD AVE, SUITE 105, WEST NYACK, NY 10994(845) 535-3362(845) 535-3368 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lawrence F. Simon M.d. NPPES

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

LAWRENCE F. SIMON M.D. (NPI 1710045281) is an individual surgery provider in West Nyack, New York, licensed in New York (096815-1) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Nyack Hospital, and is a graduate of State University Of Ny Upstate Medical University (1965).

NPPES Registry Identity

NPI1710045281
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameLAWRENCE F. SIMONCredential: M.D.
Location Address1CROSFIELD AVE, SUITE 105West Nyack, NY 10994
Mailing Address1 Crosfield Ave, Suite 105West Nyack, NY 10994-2222 · (845) 535-3362 · Fax (845) 535-3368
Phone(845) 535-3362
Fax(845) 535-3368
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1965
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 19, 2011
✔ NPI 1710045281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 096815-1
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.
1CROSFIELD AVE, West Nyack, NY 10994
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINC11586NY
Medicaid00496373NY
Medicare ID-Type Unspecified62625NY · Medicare

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

Lawrence F. Simon M.d. 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 ID9537293758
PECOS Enrollment IDI20100810000536
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 9

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
132 services69 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
93 services18 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.
55 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services14 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Nyack Hospital

Acute Care Hospitals · Nyack, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330104
Location160 North Midland AvenueNyack, NY 10960 · Rockland County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10994 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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 Lawrence Simon's NPI number?

The NPI number for Lawrence Simon is 1710045281. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Lawrence Simon located?

Lawrence Simon practices at 1crosfield Ave Suite 105, West Nyack, NY 10994. The listed phone number is (845) 535-3362.

What is Lawrence Simon's specialty?

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

Is Lawrence Simon enrolled in Medicare?

Yes. Lawrence 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 Lawrence Simon affiliated with any hospitals?

According to CMS data, Lawrence Simon is affiliated with Nyack Hospital.

When was this NPI record last updated?

The NPPES record for Lawrence Simon was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.